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CALIFORNIA CODE OF REGULATIONS
TITLE 15. CRIME PREVENTION AND CORRECTIONS
DIVISION 3. ADULT INSTITUTIONS, PROGRAMS AND PAROLE
CHAPTER 1. RULES AND REGULATIONS OF ADULT OPERATIONS AND PROGRAMS
SUBCHAPTER 4. GENERAL INSTITUTION REGULATIONS
ARTI
Date:
03/21/2014
Document:
ยง 3354.2. Inmate Copayment for Health Care Services
(a) The terms below are defined for the purposes of this section:
(1) Inmate-initiated means that the inmate sought health care services through Department staff, or reported to health care staff for consultation and/or treatment without having first been contacted or scheduled by health care staff.
(2) Health care services means medical, mental health, dental, pharmaceutical, diagnostic and ancillary services to identify, diagnose, evaluate, and treat a medical, psychiatric, or dental condition.
(3) Health care staff means those persons licensed by the state to provide health care services, who are either employed by the Department or are under contract with the Department to provide health care services.
(b) Inmates shall be provided an opportunity to report an illness or any other health problem and receive an evaluation of the condition and medically necessary treatment and follow-up by health care staff.
(c) Inmates shall be charged and inmates shall pay a fee of five dollars ($ 5.00) for each inmate-initiated health care visit. The fee for this visit shall:
(1) Cover the evaluation, assessment, and medically necessary treatment, including follow-up services that relate to the initial condition and which are determined by health care staff to be necessary.
(2) Be charged for subsequent dental services provided in accordance with a prescribed dental treatment plan. Such services shall, not be considered as a follow-up service as described in Section 3354.2(c)(1) and shall be subject to a copayment unless the visit was initiated by the dental care provider.
(3) Be charged to the trust account of the inmate. When the inmate is without sufficient funds at the time for the charge, and remains without sufficient funds for 30 days after this time, the inmate shall not be charged for any re-maining balance of the fee.
(4) Be waived for the following:
(A) Emergencies: any medical or dental condition for which evaluation and therapy, as determined by health care staff, are immediately necessary to prevent death, severe or permanent disability, or to alleviate or lessen objectively apparent and disabling pain. Signs of objectively apparent and disabling pain may include, but are not limited to, visible injuries, high blood pressure, rapid heart rate, sweating, pallor, involuntary muscle spasms, nausea and vomiting, high fever, and facial swelling. Emergency also includes, as determined by health care staff, necessary crisis intervention for inmates suffering from situational crises or acute episodes of mental illness.
(B) Diagnosis and treatment of communicable disease conditions as outlined in Title 17, Chapter 4, Subchapter 1, Section 2500 of the California Code of Regulations, including human immunodeficiency virus and Acquired Immunode-ficiency Syndrome.
(C) Diagnosis and necessary mental health treatment for which there is a clinical determination of mental illness.
(D) Follow-up health care services defined as any request or recommendation by a member of the health care staff to provide subsequent health care services.
(E) Health care services necessary to comply with state law and/or regulations that shall include, but not be limited to, annual testing for tuberculosis.
(F) Reception center health screening and evaluation.
(G) Inpatient services, extended care, or skilled nursing services.
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