PURPOSE: This rule establishes the requirements for participation in the Missouri Hemophilia Program as a patient and as a provider of diagnosis, treatment or blood products for patients in the program.

PUBLISHER’S NOTE: The secretary of state has determined that the publication of the entire text of the material which is incorporated by reference as a portion of this rule would be unduly cumbersome or expensive. Therefore, the material which is so incorporated is on file with the agency who filed this rule, and with the Office of the Secretary of State. Any interested person may view this material at either agency’s headquarters or the same will be made available at the Office of the Secretary of State at a cost not to exceed actual cost of copy reproduction. The entire text of the rule is printed here. This note refers only to the incorporated by reference material.

1. (1) To be eligible to receive assistance from the Missouri Hemophilia Program —

   1. (A) The individual must be diagnosed as having a hereditary disorder of blood coagulation;
   2. (B) The individual shall have on file with the Missouri Hemophilia Program a completed application and verification of his/her own income or, if the individual is under twentyone (21) years of age, the income of his/her parents or guardian. An Internal Revenue Service Form 1040 or a valid substitute shall be submitted upon request of the program administrator;
   3. (C) The individual shall show that all benefits of insurance coverage and other assistance programs have been exhausted, as required in section 191.335, RSMo 1986; and
   4. (D) The individual may be required to make payments for charges after insurance and other assistance. These charges are determined by a sliding percentage scale matched against the individual’s income.
2. (2) Providers of diagnoses, treatment or blood products to persons participating in the Missouri Hemophilia Program shall be under contract with the Department of Health. Any facility under contract with the Department 19 CSR 40-2

of Health to provide comprehensive treatment shall meet the criteria of a hemophilia treatment center as established by the Department of Health with the counsel of the Hemophilia Advisory Committee in Hemophilia Diagnostic and Treatment Center Criteria.

AUTHORITY: sections 191.330, 191.335, 191.340 and 191.420, RSMo 1986.* This rule was previously filed as 13 CSR 50-156.010. Original rule filed Nov. 8, 1984, effective Feb. 11, 1985.

*Original authority: 191.335, RSMo 1979; 191.340, RSMo 1979.