Part 2, Chapter 3: Manual Exhibit 2-3-L
Patient's Permanent Area of Record -
Examples to Clarify the Concept
- For example, the permanent Area of record for a Navajo who was born and raised in Tuba City, Arizona, and living in Phoenix, Arizona for 2 years would be Phoenix, Arizona. The patient is eligible for Contract Health Service (CHS) through the Phoenix Indian Medical Center (PIMC).
- The permanent Area of record for a Navajo who was born and raised, and lives in Tuba City, AZ, and is visiting in Phoenix, Arizona, would be Tuba City, Arizona. This patient would be eligible for CHS through the Tuba City Service Unit.
- The permanent Area of record for a Navajo who lives in Washington, D.C., for two years is Washington, D.C. If the Navajo whose permanent Area of record is Washington, D.C., is visiting Phoenix, Arizona, and obtains emergency treatment at PIMC prior to being referred to a non-IHS facility. Since the patient is not eligible for CHS, there is no need for PIMC to contact any other service unit. No IHS service unit should authorize payment for CHS, for the Navajo whose permanent Area of record is Washington, D.C., because the patient is not eligible for CHS.
- An infant, whose parents were members of the Rosebud Sioux Tribe, was living on the Rosebud reservation when the parents were killed in a car accident. The Tribal court assumed custody of the child and placed him with a foster family that lived outside of the Contract Health Service Delivery Area for the Tribe and the Tribal court maintained continued jurisdiction over the child. The child was a ward of the Tribal court and assumed the residency where the Tribal court sits during his foster home placement. After the child was living with the foster family for 300 days he became very sick and required high priority medical care. His permanent area of record is the Rosebud Service Unit and he is eligible for CHS.
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