Mo. Code Regs. Ann. tit. 19, § 40-2.010 – Requirements for Participating in the Hemophilia Program

PURPOSE: This rule establishes the in the requirements for participation Missouri Hemophilia Program as a patient and as a provider of diagnosis, treatment or blood products for patients in the program. Editor’s Note: The secretary of state has determined that the publication of this rule in its entirety would be unduly cumbersome 01 erpensiue. The entire text of the rule has been filed with the secretary of state. Theentire text of the rule may be found at the headquarters of theagency andisauailabk toany kterested person at a cost established by state law. (1) To be eligible to receive assistance from the Missouri Hemophilia Program -

(A) The individual must be diagnosed as having a hereditary disorder of blood coago lation;
(B) The individual shall have on file with theMissouriHemophiliaPrograma completed application and verification of his/her own income or, if the individual is under twentyone (21) yean 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;
(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
(D) The individual may be required to make payments for charges after insurance and other assistance. These chaws are determined by a sliding percentage&& matched against the individual’s income.
(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 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 Henophilia Diagnostic and Treatment Center Criteria. A& sections 191.330, 19I.335,I9I.340 and 192.420, RSMo (19861. This rule was preuimsly filed as 13 CSR 50-156.010.