Functions of a Point of Entry

• Intake involves helping patients fill out the Eligibility Certification Form (Form C English | Spanish) and then verifying that the patient is eligible. This form asks for income, number of persons supported by this income and health insurance coverage. A table is included for computing where the patient falls on the federal poverty level scale. Eligibility Guidelines have been established.  A Point of Entry may establish its own eligibility form.
   

• Referral involves setting up an appointment for the eligible patient with a registered charitable health care provider. This is only necessary if the patient is referred by the POE to another site for care. POEs may use their own referral form. Referral forms are to be sent with the charitable patient for their visit to the charitable health care provider. The provider is asked to return a part of the form, to be retained in the POEs patient record.  (Referral Form(D):  Example)
   

A directory of charitable health care providers, listed by county, will be sent to each POE annually. POEs may contact charitable providers in other counties. Remember, that charitable health care providers are not obligated to treat patients regardless of their county of origin.
 

• Record maintenance involves keeping a file on each charitable patient that includes the patient's completed Eligibility Certification Forms, copies of medical assistance cards where applicable and copies of referral forms.
   

• Reporting involves filling out and submitting an annual report (Form E).  The report asks for unduplicated numbers and types of charitable patients. The data for the report is only submitted to KDHE annually.

Click here to contact the OLRH staff member responsible for this program.