ORDER NO. 29660
REVIEW STATUS OF INDIGENT HEALTH CARE POLICY
PROVISIONS
Came to be heard this the 8th day of May, 2006, with a motion made by
Commissioner Letz seconded by Commissioner Williams. The Court
unanimously approved by vote of 4-0-0 to:
Adopt the four outlined suggestions as follows:
1. If an applicant to the IHCP does not appear for apre-scheduled
appointment, or call ahead of the appointment time to re-schedule, that
applicant may not re-apply to the IHCP for a period of six (6) months from
date of the missed appointment.
2. If an IHCP client does not respond to the written request for
review, or fails to provide requested information to complete review within
the designated time frame, he/she may not reapply for a period of six (6)
months from the date set for review.
3. If an applicant or client gives false information to IHCP, he/she
may not re-apply for a period of one (1) year from time the false information
was identified.
4. If an IHCP client fails to report a change within 14 days of the
change, and that change affects their eligibility, he/she may not reapply for a
period of one (1) year from date the change was identified by IHCP.
ac6~v
~' COMMISSIONERS' COURT AGENDA REOUEST
PLEASE FURNISH ONE ORIGINAL AND TEN COPIES OF THIS
MADE BY: Pat Tinley
MEETING DATE: May 8, 2006
OFFICE: County Judge
TIME PREFERRED: 9:00 a.m.
SUBJECT: Status of the Kerr County Indigent HealthCaze Program; Consider, discuss
and take appropriate action to modify or revise Ken County Indigent Health Care Policy
provisions.
EXECUTIVE SESSION REQUESTED: (PLEASE STATE REASON)
NAME OF PERSON ADDRESSING THE COURT: County Judge/Beth Taylor
ESTIMATED LENGTH OF PRESENTATION:
IF PERSONNEL MATTER -NAME OF EMPLOYEE:
Time for submitting this request for Court to assure that the matter is posted in
accordance with Title 5, Chapter 551 and 552, Government Code, is as follows:
Meeting scheduled for Mondays:
THIS REQUEST RECEIVED BY:
THIS REQUEST RECEIVED ON:
5:00 P.M. previous Tuesday.

All Agenda Requests will be screened by the County Judge's Office to determine if adequate
information has been prepared for the Court's formal consideration and action at time of Court
Meetings. Your cooperation will be appreciated and contribute towards your request being
addressed at the eazliest opportunity. See Agenda Request Rules Adopted by Commissioners'
Court.
To Jig-/ge Tinley and die Kerr Coon 1~ Commissioners Court:
To my know/erJge, die Kerr County ~'NCP cunendy has rho estab/is ~tY~ pn/ity rt~gardfnq
prob/emaac ls~nes that mme up on a fairly constant basis. When I attended Ohe JHC trafning
in Austin at the end of January, I ways told b'~at each czwnty cou/a initiate policies regarding
issues not addressed in the CountylrlC NarKltXbifc
Please be aware brrat in each of the srenarros below, Ohe IHC Handbook states that the
cllent~'appl>cant is ineligible and a Form XI71s issued, which Is none. But, by hawng these
,penalties in place, I think bhe ama;nt ofq~penvork generated wi/! be rrducc~d, as we/! as
create the atmosphere that de IHCP rs a 'tightly rr~n ship'and everyb'rirx,/ invoA~d with
determining aril malnbining a/igibdit~~ should be taken mrfous/v.
It seems there rs quite an act>'ve revodvrng door here, arttl l would like ~ reduce the case
load (and thus tYte e~aend/tyres) and he/p make this state-mandatrd prt~ram rvn more
smocTtitiy arrd urxter aw»tro+!
Please advise.
Beth Taylor, Coordinator
Kerr County IHCP
4-IB-D6
Suage~,g~ Kerr County IHCP Policies as Addendum
Program Handbook
1. If an applicant to he IHCP does not appear for apre-scheduled appoiniment, cx caA to
ahead of the appointment time to re-schedule, that applicant may not re-apply to the ICHP
for a period of six (6) months from date of the missed appointment.
2. If an IHCP Client d-.,es not respond to the written request for review, or fails to provide
requested information to Complete review wittrin the de•.ignated time frame, he/she may not
reapply for a period of six (6) months from the date set for review.
3. If an applicant or cfient gives false informaton to IHC he/she may not re-apply for a
period of one (1) year from Ume the false information was identified.
4. If an IHCP client fails to report a change within 14 dais of the change, and that change
aftects their eligibility, he/she may not reapply for a period of one (1) year from date the
change was identified by IHC.
iii ion,~l suaaestions tint Kerr Cpi~nty INCP
1. Need a plan for appeal (i. e., who will review application and denial
-when applicant appeals a decision made by IHC Coordinator)
2. Create anon-cumbersome process by which the IHC office can
obtain information from the Tax Assessor's office regarding
vehicles registered ro an IHC applicant. (i.e., create a form that
could be faxed on a weekly basis)
3. Possibility to purchase software to create a picture IHC ID card?
Set a small fee for replacements?
4. Possibility of designating discretionary funds to check online, etc
for background info or: some applicants
5. Possibility of designating funds to cover travel expense to
applicant's home for int°rview only when nerxssary to
det>rrnrine a/igibi/ity.
OTHER IDENTIFIED CONCERNS
IHC c Tents who cot+;istently use the l=R as a physician