2. Social Security Disability- insurance gap Increased health problems with decreased income Illness or injury Pre-existing condition/ uninsurable Health insurance unaffordable Qualifying Circumstances for County Medical Poor Relief

3. Hospital Notice SDCL 28-13-34.1 Application for Poor Relief SDCL 28-13-32.3 & 32.4 Residency Requirement SDCL 28-13-3 & 28-14-2.1 Post- Secondary Student SDCL 28-13-27(6)(b) Veteran or Indian Health Services SDCL 28-13-1.3(5) Emergency vs. non-emergency admissions SDCL 28-13-33 Ability to purchase Health Insurance SDCL 28-13-27(c)(d) Hospital must exhaust all avenues of payment SDCL 28-13-33.2 ELIGIBILITY CHECKLIST

4. Household resources (SDCL 28-12-32.8)

6. Household Income (SDCL 28-13-32.7)

8. Determining person’s ability to pay (SDCL 28-13-32.9) Household Factors contributions expenses discretionary income

14. Ability to purchase health insurance (SDCL 28-13-32.11)

16. Cost saving Resources to Counties Federal Risk Pool South Dakota Risk Pool COBRA Premiums Community Health Clinics (CHC) Prescription Assistance Programs Veteran Health Indian Health Services Medicaid Programs

17. Statewide County Medical Expenses

18. Counties not reported 2010 Douglas, Faulk, Yankton 2011 Yankton 2012 Charles Mix, Douglas, Mellette, Yankton

19. County Medical Indigent Expense 2010$3,142,646.00 2011$3,153,617.69 2012$2,543,429.05

20. County Jail Medical Expense 2010$2,470,838.05 2011$2,488,687.29 2012$2,786,048.93

21. Involuntary Alcohol and Mental Health 2010$1,861,917.61 2011$1,966,633.91 2012$2,543,429.05

22. Payments or reimbursement to counties Note: includes payments for non-medical items Client Payments Third Party Reimbursement Total 2010$830,475.49$213,084.47$1,043,559.96 2011$1,117,148.13$280,384.28$1,397,532.41 2012$920,516.56$208,702.53$1,129,219.09 Catastrophic Medical Pool ReimbursementsCounty Contributions $313,006.46$327,568.00 $418,895.95$306,371.00 $171,407.06$395,459.00

26. Sarah Petersen Codington County Welfare Director President SDACWO 605-882-6286 e-mail codwelfare@codington.org