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Resolution 146-1974 , , RESOLUTION NO. 146 -1974 WHEREAS, the Board of County Commissioners of Monroe County, Florida, through its County Social Services Department, has been rendering certain services to indigent citizens of Monroe County, Florida, under the direction of said Board of County Com- missioners, and WHEREAS, in order to facilitate the operation of said service department, said Board of County Commissioners desires to adopt rules and regulations and guidelines for providing social services through said Social Service Department, now, therefore, BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, that it hereby adopts the following rules and regulations for the administration and rendering of social services for the indigents of Monroe County, Florida: RULES AND REGULATIONS FOR THE ADMINISTRATION OF THE MONROE COUNTY SOCIAL SERVICES DEPARTMENT 1. Eligibility. The vendor payment services hereinafter set forth will be available to those individuals eligible for county assistance. Eligibility will be based on the following income guide- lines: Income Guidelines Number of Household Annual Income 1 2 3 4 5 6 7 8 9 10 $2500.00 $3500.00 $4000.00 $4500.00 $5000.00 $5500.00 $6000.00 $6500.00 $7000.00 $7500.00 Any cases not coming within the above income guidelines, the Director may recommend approval of said eligibility for approval by the Board of County Commissioners of Monroe County, Florida. " -2- 2. Services to be Delivered or Rendered to Indigents. a. Food and Dietary - Emergency food orders for no more than three days to be provided by participating local grocery stores. b. Shelter - Emergency payment of rent for extensively disabled or aged individuals who are not receiving assistance from any other agency. c. Utilities - Emergency payment of utilities (electricity, water, and cooking fuel) for extensively disabled or aged individuals who are not receiving assistance from any other agency. d. Clothing - Emergency clothing for households or individuals who are victims of disasters. e. Transportation - Transportation to be provided by public transportation. f. Pauper Burials - Burial Services provided by par- ticipating local funeral homes for paupers for the sum of $175.00 for each burial. g. Physicians Services - Medical treatment to be provided by local participating physicians who accept payment of 80% of their customary charges for county indigents and prisoners. h. Drugs - Purchase of prescriptioned medication on a monthly basis for aged and disabled individuals and temporary assistance with medicine where the individual's circumstances jus- tifies the expenditure. i. Medical Supplies - Purchase of medical supplies such as bandages, dressings, syringes, etc. which are not included as prescriptioned medications for county indigents. j. Out-Patient Services - Payment for out-patient treatment at participating local hospitals such as emergency room services, x-ray and laboratory services for. eligible individuals. k. Ambulance - Payment for ambulance services pro- vided by local participating ambulance companies for county indi- gents and prisoners such as transfers to nursing homes and emergency ambulance services to treatment centers. , -3- 1. In-Patient Hospital Services - Payment for emergency or urgent hospitalization at participating local hospitals for county indigents. m. Nursing Home Care - Payment for nursing home care at an extended care center for individuals not entitled to State Assistance and who cannot afford the entire cost of nursing home care. 3. Regulations and Guidelines for Qualified Indigents. a. The Monroe County Social Services Department shall supervise the administration of the general assistance program in the County of Monroe, rendering emergency and/or temporary services while assistance of a more permanent nature is pending. The Depart- ment shall also be responsible for the cooperation and close co- ordination with other agencies; defining and determining the basic needs of clients; and making every effort to adequately correct such needs. General supervision shall be provided by the Social Services Director. Full use of existing public service agencies and private agencies will be exhausted before county funds are expended. The social services listed herein are offered to individuals who are determined eligible by the Department according to their income and ability to pay by taking the person's family circumstances into con- sideration. b. Individuals who are eligible based on the income standards passed by the Board of County Commissioners will be authorized for vendor payment services. There may be unusual cir- cumstances in which case the Director may use his or her discretion in giving one-time emergency assistance subject to approval by the Board of County Commissioners. c. Applicants requesting the listed social services must be willing to verify all income and show written medical proof of any disability which would make them unable to work. If they are able to work they must be registered at the Florida State Employment Service, and be actively seeking employment. The fact that an indi- vidual is unemployed does not make them eligible for assistance. The only exception will be persons who are unemployed through no fault of their own and not eligible for other assistance. ... -4- d. Applicants must sign medical and financial releases and reimbursement forms. This information is necessary to determine indigency under Florida Statute 409 and for the County Auditor. e. Applicants must show their Social Security card, or other forms of identification, such as driver's license, voter's registration, etc. f. All applicants requesting medical or hospital assistance will be screened by the Department and if eligible, given an authorization form for county payment. g. When physicians services or out-patient services are approved the applicant will be charged a fee according to their income and ability to pay. These fees will be determined according to the following fee classification schedule: CLASS A - No charge CLASS B - $1. 00 CLASS C - $2.00 CLASS D - $3.00 CLASS E - $4.00 CLASS F - $5.00 CLASS A: CLASS B: No. of Household Annual Income No. of Househol d Annual Income 1 $2500.00 1 $3000.00 2 $3500.00 2 $4000.00 3 $4000.00 3 $4500.00 4 $4500.00 4 $5000.00 5 $5000.00 5 $5500.00 6 $5500.00 6 $6000.00 7 $6000.00 7 $6500.00 8 $6500.00 8 $7000.00 9 $7000.00 9 $7500.00 10 $7500.00 10 $8000.00 CLASS C: CLASS D: No. of Household Annual Income No. of Household Annual Income 1 $3500.00 1 $4000.00 2 $4500.00 2 $5000.00 3 $5000.00 3 $5500.00 4 $5500.00 4 $6000.00 5 $6000.00 5 $6500.00 6 $6500.00 6 $7000.00 7 $7000.00 7 $7500.00 8 $7500.00 8 $8000.00 9 $8000.00 9 $8500.00 10 $8500.00 10 $9000.00 " -5- CLASS E: No. of Household Annual Income CLASS F: No. of Household Annual Income 1 2 3 4 5 6 7 8 9 10 $4500.00 $5500.00 $6000.00 $6500.00 $7000.00 $7500.00 $8000.00 $8500.00 $9000.00 $9500.00 1 2 3 4 5 6 7 8 9 10 $5000.00 $6000.00 $6500.00 $7000.00 $7500.00 $8000.00 $8500.00 $9000.00 $9500.00 $10000.00 h. The Department will collect the appropriate fee from the applicants being referred to doctors and hospitals as county indigents and turn it over to the County Finance Department. This money will be put back into the Out-Patient Account to help defray the cost to the County. i. The applicants may choose the doctor of his/her choice from any of the participating physicians. j. All information given by the applicants will be held in strictest confidence. In most cases a home visit will be done before assistance is granted. The home visit will be made to verify the home situation and to assist the applicants in making better use of their own resources. BE IT FURTHER RESOLVED BY SAID BOARD that social services heretofore rendered by the Board of County Commissioners of Monroe County, Florida, through its Social Services Department be and the same are hereby ratified and confirmed. 2.("", DATED November~, 1974. "