The act sets payment limits for outside medical providers, trauma hospitals, and emergency transport services serving inmates in Lake County detention centers.
Most medical providers without a Lake County inmate-care contract may receive no more than 110 percent of the Medicare rate. Providers reporting a previous-year operating loss may receive up to 125 percent.
A noncontracted trauma-center hospital must receive 175 percent of the Medicare rate when treating an inmate who is a trauma-alert victim.
Noncontracted emergency transport providers may receive no more than 110 percent of the Medicare rate for transporting inmates. County-operated hospitals are excluded.
Lake County limits payment to most noncontracted health care providers for medical services provided to inmates. The limit covers licensed hospitals, physicians, physician assistants, podiatrists, health maintenance organizations, ambulatory surgery centers, certain outpatient facilities, and related professional associations. Payment may not exceed 110 percent of the Medicare allowable rate. Payment may reach 125 percent if the provider reported a negative operating margin for the previous year through hospital-audited financial data. The provider must not have a contract with Lake County to provide inmate medical services. The act takes effect when it becomes law.
Lake County pays a noncontracted trauma-center hospital 175 percent of the Medicare allowable rate for covered inmate trauma care. The rule covers a hospital designated as a trauma center that treats an inmate identified as a trauma-alert victim. The hospital must not have a contract with Lake County to provide inmate medical services. The act takes effect when it becomes law.
Lake County limits payment to noncontracted emergency medical transportation providers serving inmates. The rule covers air ambulances and privately or publicly owned vehicles or vessels used to transport sick or injured inmates who need or may need medical attention during transport. Payment may not exceed 110 percent of the Medicare allowable rate. The entity must not have a contract with Lake County to provide inmate emergency medical transportation services. The act does not apply to medical services provided at a hospital operated by Lake County. The act takes effect when it becomes law.
No hearings or votes scheduled.