County of San Diego Health and Human Services Agency HHSA County Medical Services CMS Program Guide
Applicant in Facility Outside San Diego County Number Page
0213 1 of 1
Background CMS pays for medical care only when it is provided in San Diego County Policy A OutofCounty Services CMS does not pay for medical care when it is provided outside of San Diego County A CMS beneficiary admitted to a hospital while in another county or state must identify himself as a San Diego County CMS patient and ask the hospital staff to call CMS at 800 5878118 to arrange for followup care in San Diego County B County Resident A key person or county representative may initiate a CMS application for a County resident hospitalized outside of the County The key person or county representative calls the CMS PatientProvider Relations Manager at 800 5878118 The Manager will coordinate the completion of the application with HCA C Not a County of San Diego Resident CMS does not coordinate the transfer of care or provide coverage for anyone who was not a County resident at the time of admission to the outofcounty facility even if the individual intends to live in San Diego County after discharge from the facility Other Program Impact None References None Sunset Date This policy will be reviewed for continuance by 04302019 Release Date April 04 2016