The Saskatchewan Hospitalization Regulations, 1978

Transcription

1 1 SASKATCHEWAN HOSPITALIZATION, 1978 SR 82/78 The Saskatchewan Hospitalization Regulations, 1978 Repealed by Saskatchewan Regulations 93/2000 (effective November 2, 2000). Formerly Saskatchewan Regulations 82/78 (effective April 1, 1978) as amended by Saskatchewan Regulations 340/78, 97/80, 129/81, 144/81, 77/84, 18/87, 131/87, 77/89, 45/90, 19/91, 28/91, 42/92, 148/92, 26/93. NOTE: This consolidation is not official. Amendments have been incorporated for convenience of reference and the original statutes and regulations should be consulted for all purposes of interpretation and application of the law. In order to preserve the integrity of the original statutes and regulations, errors that may have appeared are reproduced in this consolidation.

2 2 SR 82/78 SASKATCHEWAN HOSPITALIZATION, 1978 Table of Contents 1 Title PART I Registration and Residency 2 Interpretation 3 Application of regulations 4 Date upon which resident becomes a beneficiary 5 Classes of beneficiaries 6 Special residents 7 Identification certificate 8 Exemptions from benefits 8.1 Long-term care patients 9 Report to the minister 10 Repealed PART II Benefits 11 Benefits inpatients 12 Benefits outpatients 12.1 Osteopathic services 13 Inpatient outside Saskatchewan 14 Inpatient services outside Saskatchewan 15 Inpatient services outside Canada 16 Repealed 17 Payment for certain services outside Canada 18 Payment for outpatient out of province 19 Conditions for making payment 19.1 Manner of making payment PART III Reports by Hospitals 20 Submission of Admission Separation Records 21 Long stay case reports 22 Reports requested by the minister 23 Same PART IV 24 to 33 Repealed 34 Charges for administrative services

3 3 SASKATCHEWAN HOSPITALIZATION, 1978 SR 82/78 SASKATCHEWAN REGULATION 82/78 under The Saskatchewan Hospitalization Act Title 1 These regulations may be cited as The Saskatchewan Hospitalization Regulations, PART I Registration and Residency Interpretation 2(1) In these regulations, unless the context otherwise requires: (a) Act means The Saskatchewan Hospitalization Act; (b) average urban patient day payment means the average of the patient day payments made by the minister to all the general hospitals in the Cities of Regina and Saskatoon, as determined by the minister and computed by him in accordance with such methods of calculation as he deems advisable; (c) educational institution means an elementary, technical, vocational or high school, college, university or any other educational institution recognized as such by the minister for the purposes of these regulations; (d) fiscal year means the period commencing upon the first day of April of one year and ending upon the thirty-first day of March of the next succeeding year; (e) inpatient means any person who is admitted to a hospital for the purpose of receiving diagnostic or treatment services in the hospital and to whom a bed or bassinet is allocated for overnight stay; (f) local community authority means a local community authority within the meaning of The Northern Administration Act; (g) member of the Royal Canadian Mounted Police means a member of the Royal Canadian Mounted Police Force within the meaning of the Royal Canadian Mounted Police Act (Canada); (h) northern community area means a northern community area within the meaning of The Northern Administration Act; (i) outpatient means any person who receives diagnostic or treatment services in a hospital but to whom a bed or bassinet is not allocated in that hospital for overnight stay; (j) patient day payment means the payment made for the stay in hospital for a period of twenty-four hours or less of an inpatient; (k) provincial jail means a correctional institution within the meaning of The Corrections Act and which is operated by the province;

4 4 SR 82/78 SASKATCHEWAN HOSPITALIZATION, 1978 (l) resident means a person legally entitled to remain in Canada who makes his home and is ordinarily present in Saskatchewan, and means any other person declared to be a resident under subsection (3) of this section, but does not include a tourist, a transient or a visitor to the province; (m) student means a person attending an educational institution on a full time basis; (n) territory means the Yukon Territory or the North West Territories. (2) Other expressions used in these regulations shall, unless the contrary intention appears, have the same respective meanings as in the Act. Residency (3) The following persons are hereby declared to be residents: (a) a person who had been a resident and who leaves the province with the intention of establishing residence elsewhere, but who re-establishes residence in the province before the first day of the third calendar month after the date of departure, during that person s absence from the province; (b) a person whose principal place of residence is in Saskatchewan and who proves to the satisfaction of the minister that he or she is physically present in Saskatchewan for a period of at least six months of each year is a resident during that person s absence from Saskatchewan; (c) a person who had been a resident, and is ordinarily physically present in Saskatchewan but who is absent from the province for not more than twelve consecutive months for the purpose of a vacation, visit, business engagement, or employment during that person s absence from the province; (d) a person who had been a resident, and is ordinarily physically present in Saskatchewan, but who proves to the satisfaction of the minister that he is in full time attendance as a student at an educational institution outside the province or that he is taking advanced or supplementary professional, technical or skills training outside the province while on educational leave from employment and he intends to return to the province forthwith after completing his studies at the educational institution, or training, as the case may be, including additional time spent by that person outside the province not exceeding 60 days, for the purpose of travelling or because of some circumstance requiring him to be absent from the province, during that person s total absence from the province; (e) where it is provided by a contract of employment that a person would be employed outside Canada for a period of twenty-four months or less, and where that person had been a resident immediately prior to leaving Canada for that purpose and intended to resume residence in Saskatchewan after completing such employment outside Canada, that person during the said period of twenty-four months or less outside Canada; (f) subject to clauses (b), (c), and (d) a person who has been a resident and who leaves the province with the intention of establishing residence elsewhere, during that person s absence from the province prior to the first day of the third calendar month immediately following his establishment of residence outside the province;

5 5 SASKATCHEWAN HOSPITALIZATION, 1978 SR 82/78 (g) a dependent of a person who has become a resident, where the dependant is not a spouse, if he is ordinarily present and entitled to remain in Canada, although he may not be physically present in the province, during the first twelve consecutive months after the person upon whom he depends for maintenance has become a resident, but in any event not after the end of the calendar year in which he reaches his twenty-first birthday. 7 Apr 78 SR 82/78 s2; 17 Nov 78 SR 340/78 s1 to 3; 15 Mar 91 SR 19/91 s2. Application of regulations 3 These regulations provide for the times at which persons who become residents may qualify as beneficiaries, designate the services for which payment may be made and provide for various other matters related thereto. 7 Apr 78 SR 82/78 s3. Date upon which resident becomes a beneficiary 4(1) Subject to subsection (2) and the other provisions of these regulations and the Act every person who is a resident shall be entitled to benefits on the first day of the third calendar month following the date of establishing residence. (2) Subject to the other provisions of these regulations and the Act, every person who is a resident and who is married and is not living apart from his spouse pursuant to a decree of judicial separation, or under a separation agreement, or because of desertion on his part or the part of his spouse shall be entitled to benefits on the first day of the third calendar month following the date in which he establishes residence in the province or from the first day of the third calendar month following the date upon which his spouse establishes residence in the province whichever is the later. (3) Subject to clause (a) of subsection (1) of section 8 and the other provisions of these regulations and the Act, a person who has entered the province as a student and who subsequently decides to become a resident of the province shall be entitled to benefits on the first day of the third calendar month following the month in which the decision was made to establish permanent residence in the province. (4) Notwithstanding subsections (1) to (3), a student who has entered Saskatchewan from another province or territory shall not become entitled to benefits until he proves to the satisfaction of the minister that he has ceased to be entitled or eligible to have payment made by the province or territory in which he had previously been residing in respect of hospital services he may have received. 7 Apr 78 SR 82/78 s4. Classes of beneficiaries 5(1) Notwithstanding the other provisions of these regulations and subject to subsection (2), the following persons shall be beneficiaries: (a) every inmate of a provincial jail during the period he is in custody; (b) every person who within the meaning of The Mental Health Act is an inpatient of a mental hospital other than a person who is entitled to have payment made at the entire expense of the Government of Canada in respect of any hospital services he receives;

6 6 SR 82/78 SASKATCHEWAN HOSPITALIZATION, 1978 (c) every person who is admitted to any other facility within the meaning of The Mental Health Act pursuant to sections 11, 11A, 12, 14, 16, 17, 18 or 19A of that Act to the extent that he continues to remain therein as an inpatient pursuant to any of such sections or section 15 of that Act, other than a person who is entitled to have payment made at the entire expense of the Government of Canada in respect of any hospital services he receives; (d) any person to whom clause (b) or (c) had applied who is a patient of a mental hospital, or other facility pursuant to and for the purposes of section 30 of The Mental Health Act; (e) subject to clause (f), a person who had been nominated under The Saskatchewan Assistance Act, 1966, from the effective date of nomination; (f) a person who has been, for a period of three months or less, nominated under The Saskatchewan Assistance Act, 1966, for the purpose of this clause, from the effective date of the nomination to the date on which the nomination is cancelled; (g) a person to whom a supplemental allowance is being paid under The Saskatchewan Assistance Act, 1966, and the spouse and dependants of that person; (h) a child in the care of the Minister of Social Services from the date of the commencement of care; (i) on, from and after the first day of July, 1972, a person who was in receipt of assistance under The Saskatchewan Assistance Act, 1966, as of January 1, 1967, April 1, 1971, or July 1, 1972, who became ineligible to receive such assistance on January 1, 1967, April 1, 1971, or July 1, 1972, as the case may be by reason of being in receipt of a Guaranteed Income Supplement from the Government of Canada, and who was nominated by the Department of Social Services in the year 1967, 1971 or 1972, as the case may be, for the purpose of these regulations, the spouse of such person and a dependant of such person who is not a spouse and who: (i) is under eighteen years of age prior to commencement of the current year; (ii) has reached his majority as determined by The Age of Majority Act, 1972, within three years immediately preceding the commencement of the current year and is attending an educational institution; or (iii) is dependant upon the person for maintenance by reason of physical or mental infirmity; (j) a person designated by an officer of the Department of Social Services as a person to whom rehabilitation services are being given by that Department from the effective date of the nomination. (2) A person who is a beneficiary under clause (e), (g), (h), (i), or (j) of subsection (1) shall cease to be a beneficiary under this section on the effective date of cancellation of the nomination, designation or other entitlement. 7 Apr 78 SR 82/78 s5.

7 7 SASKATCHEWAN HOSPITALIZATION, 1978 SR 82/78 Special residents 6(1) In this section: (a) (b) landed immigrant means a person who: (i) is not a Canadian citizen and is without Canadian domicile within the meaning of the Immigration Act (Canada); and (ii) has been lawfully admitted to Canada for permanent residence; and (iii) establishes residence in the province before the first day of the third calendar month after having been so admitted; returning member of the Canadian Forces means a person who: (i) was a member of the Canadian Forces while serving outside Canada; and (ii) has been lawfully readmitted to Canada as a member of the Canadian Forces; and (iii) establishes residence in the province before the first day of the third calendar month after having been so readmitted; and (iv) was discharged from the Canadian Forces before the first day of the third calendar month after the establishment of residence in the province; (c) returning spouse of a member of the Canadian Forces means a person who: (d) (e) (i) is a spouse of a member of the Canadian Forces who has been residing outside Canada with such member; and (ii) has been lawfully readmitted to Canada while a dependant of a member of the Canadian Forces; and (iii) establishes residence in the province before the first day of the third calendar month after having been so readmitted; returning Canadian citizen means a person who: (i) is a Canadian citizen within the meaning of the Canadian Citizenship Act (Canada); and (ii) has been lawfully readmitted to Canada; and (iii) establishes residence in the province before the first day of the third calendar month after having been so readmitted; returning resident means a person who: (i) is not a Canadian citizen but has acquired and has not lost Canadian domicile within the meaning of the Immigration Act (Canada); and (ii) has been lawfully readmitted to Canada; and (iii) establishes residence in the province before the first day of the third calendar month after having been so readmitted;

8 8 SR 82/78 SASKATCHEWAN HOSPITALIZATION, 1978 (f) non-immigrant means a person who: (i) is a clergyman, priest or member of a religious order who is in Canada in connection with carrying out his religious duties, or is a student who is in Canada in connection with attending a school, university or other educational institution, or is engaged in a legitimate profession, trade or occupation who is in Canada for the temporary exercise of his calling, or for the purpose of receiving training promoted by a department of the Government of Saskatchewan and related to that calling, or is a person who has been allowed to enter and remain in Canada under authority of a permit issued by the Minister of Manpower and Immigration of Canada, or is the spouse or a dependant of a person mentioned in this clause; and (ii) has been lawfully admitted to Canada and the province; and (iii) establishes residence in the province before the first day of the third calendar month after having been so admitted; (g) special resident means any one of the persons referred to in clauses (a) to (f) of this subsection. (2) Subject to subsections (3) and (4), a special resident shall become a beneficiary upon establishing residence in the province. (3) A non-immigrant shall qualify as a beneficiary during the period to which his visa or permit applies, as the case may be. (4) A non-immigrant shall continue to qualify as a beneficiary during the period to which an additional visa or permit issued to him applies. (5) Every resident who: (a) is a member of the Royal Canadian Mounted Police or the regular forces of the Canadian Forces; or (b) is in custody in a provincial jail or federal penitentiary; shall, subject to the other provisions of these regulations and the Act, become a beneficiary forthwith upon: as the case may be. (i) being discharged from the Royal Canadian Mounted Police or the regular forces of the Canadian Forces; or (ii) being discharged or being granted full parole from a provincial jail or the federal penitentiary; 7 Apr 78 SR 82/78 s6; 9 May 80 SR 97/80 s2. Identification certificate 7(1) Upon a resident becoming a beneficiary, a certificate bearing his name shall be issued in such manner and form as may be prescribed by the minister. (2) The minister may require a person to provide by means of a statutory declaration or otherwise, such information regarding himself or members of his family as is deemed necessary by the minister for the proper administration of these regulations. 7 Apr 78 SR 82/78 s7.

9 9 SASKATCHEWAN HOSPITALIZATION, 1978 SR 82/78 Exemptions from benefits 8(1) The following persons are exempted from the benefits of the Act and are not beneficiaries: (a) students who have entered the province from another province or territory and who are entitled or eligible to have payment made by the province or territory in which they had previously been residing in respect of hospital services they may have received; (b) members of the Royal Canadian Mounted Police; (c) members of the regular forces of the Canadian Forces; (d) persons serving a term of imprisonment in a federal penitentiary maintained by the Government of Canada; (e) persons on, from and after the day they cease to be residents. (2) The following hospital services under the Act shall not be provided as benefits: (a) services received by a former member of the Canadian Forces in respect of which he is entitled to have payment made at the entire expense of the Government of Canada; (b) services provided within a mental hospital to a patient of the mental hospital within the meaning of The Mental Health Act; (c) services to which the patient is entitled under the provisions of The Workers Compensation Act, 1974, The Workmen s Compensation Act, or The Blind Workmen s Compensation Act; (d) services to which the patient is eligible or to which he is entitled under any statute or law enacted by any provincial legislature, or by Canada, or by any other competent jurisdiction as specified in an agreement with Canada, other than Canada or the province, under which a person receiving hospital services in the province is eligible for and entitled to such services or to reimbursement in whole or in part of the cost of such services. (3) Nothing in clause (b), (c) or (d) of subsection (1) affects the requirement for registration and entitlement to benefits in respect of residents who are or were spouses or dependants. 7 Apr 78 SR 82/78 s8. Long-term care patients 8.1(1) In this section: (a) committee means a long-term-care screening committee appointed under subsection (2); (b) in-patient means a patient in a hospital to whom a bed or bassinet has been assigned for an overnight stay; (c) long-term care means care that, due to infirmity, injury, illness or other disability, is required over a prolonged period and that may be provided by certain special-care homes, within the meaning of The Housing and Special-care Homes Act, that are operated to provide nursing care to persons for prolonged periods.

10 10 SR 82/78 SASKATCHEWAN HOSPITALIZATION, 1978 (2) A hospital may appoint a committee for the purposes of this section. (3) A committee may appoint a chairman and vice-chairman of the committee and may make rules for the holding and conduct of meetings. (4) A majority of the members of a committee constitutes a quorum and the decision of the majority of the members present and constituting a quorum is the decision of the committee. (5) During a vacancy, the remaining members of a committee may exercise all the powers of the committee. (6) The committee may decide whether any person who seeks admission as a patient to or is an in-patient in the hospital requires long-term care. (7) Every person who: (a) in the opinion of a committee, requires long-term care; and (b) is an in-patient in a part of a hospital that: (i) has been set aside by the hospital to provide in-patient care to persons requiring long-term care; and (ii) contains beds set up for in-patient care in a number that does not exceed the number that the minister may approve for the purpose; is exempt from the benefits of the Act. (8) Every person who: (a) in the opinion of a committee or the attending physician requires long-term care; and (b) is an in-patient in a part of a hospital other than that part of the hospital set aside under subclause (7)(b)(i); is exempt from the benefits of the Act immediately following notification in writing to him of the opinion formed under clause (a) that he requires long-term care. 26 Jne 81 SR 129/81 s2; 20 Jly 84 SR 77/84 s3; 24 Dec 87 SR 131/87 s3. Report to the minister 9 Where the minister has received information that a beneficiary has left the province that person shall not continue to be a beneficiary on and after the first day of the third calendar month immediately after leaving the province unless he provides to the minister satisfactory evidence regarding the date of his departure from the province, the date of establishment of residence outside the province, the purpose of his departure, his anticipated date of return to the province and any other information necessary to establish his continuing eligibility as a beneficiary in accordance with the other provisions of these regulations. 7 Apr 78 SR 82/78 s9. 10 Repealed. 24 Dec 87 SR 131/87 s4.

11 11 SASKATCHEWAN HOSPITALIZATION, 1978 SR 82/78 PART II Benefits Benefits inpatients 11 The inpatient services to which beneficiaries are entitled and for which payment may be made to hospitals from the Saskatchewan Hospitalization Fund, when rendered to beneficiaries under the Act, who are actually admitted to hospital as inpatients and when there is definite medical necessity for inpatient care, shall be as follows: (a) public ward or minimal accommodation; (payments shall not be made for the extra cost of private or semi-private accommodation.) (b) necessary nursing services; (c) operating room facilities, including the use of all equipment and material required in the proper care of surgical cases; (d) case room facilities, including the use of all equipment and material required in the proper care of maternity cases; (e) surgical dressings and casts as required, as well as other surgical materials and appliances, and the use of any equipment which may be required while in hospital; (f) X-ray, laboratory and other diagnostic procedures, together with the necessary interpretations, as required and recommended by the attending physician; (g) radiotherapy; (h) anaesthetic agents and the use of anaesthesia equipment; (The services of an anaesthetist shall be included only when such a person is an employee of the hospital.) (i) physiotherapeutic procedures as required and recommended by the attending physician; (The services of a physiotherapist shall be included only when such a person is an employee of the hospital or has contracted with the hospital for providing such services.) (j) all other services rendered by individuals who receive any remuneration (salaries, fees, commissions or maintenance) from the hospital for such services; (The services of a radiologist or pathologist or other person, shall be included only when such a person is an employee of the hospital or has contracted with the hospital for providing such services.) (k) all drugs, biologicals and related preparations which are of recognized value, are clinically approved as required in the treatment of beneficiaries, are administered in a hospital and are approved by the minister for the purpose of this clause, and no others except their generic equivalents. 7 Apr 78 SR 82/78 s11.

12 12 SR 82/78 SASKATCHEWAN HOSPITALIZATION, 1978 Benefits outpatients 12 The hospital services to which a beneficiary is entitled and for which payment may be made as an outpatient, when there is medical necessity for such services, are the services enumerated in section 11, to the extent that they can be provided by the hospital to him as an outpatient. 7 Apr 78 SR 82/78 s12. Osteopathic services 12.1 The services of an osteopathic physician registered and in good standing pursuant to The Osteopathic Practice Act provided pursuant to an agreement between the minister and the osteopathic physician are hereby designated for the purposes of clause 6(2)(b) of the Act. 20 Jly 84 SR 77/84 s4. Inpatient outside Saskatchewan 13 A beneficiary who upon the order of a duly qualified medical practitioner is admitted to: (a) a general or allied special hospital or other facility in Canada outside Saskatchewan, approved by the government of the province or the territory in which it is located, or a hospital owned and operated by Canada; (b) Repealed. 15 Jne 90 SR 45/90 s3. (c) a general or allied special hospital in the United States of America licensed or otherwise approved by the agency recognized by the government of the state in which it is located as being the agency responsible for licensing or approving it, provided it is not reported to engage in unethical practices by the American Medical Association or the health department of the government of the state in which it is located; or (d) a general or allied special hospital in any other country licensed to operate or otherwise approved by the agency recognized by the government of that country as being the agency responsible for approving hospitals; shall be eligible to have payments made to him or on his behalf from the Saskatchewan Hospitalization Fund for public ward or minimum accommodation and such other inpatient hospital services as may be provided in Saskatchewan under the provisions of the Act, under the conditions and to the extent set out in sections 14, 15, 16, 17 and 19 of these regulations, provided that there be medical necessity for hospitalization in the opinion of the attending physician, whose opinion shall be subject to review by the minister. 7 Apr 78 SR 82/78 s13; 15 Jne 90 SR 45/90 s3. Inpatient services outside Saskatchewan 14(1) Subject to subsection (2) and sections 15, 16, 17 and 19, payment may be made, to or on behalf of a beneficiary temporarily outside the province for hospital services described in section 11 and provided to the beneficiary in any other province or territory of Canada, at the per diem rates established by the provincial or territorial authority, as the case may be, excluding the per diem rate, if any, charged to every person receiving hospital services in that province or territory.

13 13 SASKATCHEWAN HOSPITALIZATION, 1978 SR 82/78 (2) Where the Government of Saskatchewan has entered into an agreement with another province or territory of Canada respecting the payment to or on behalf of beneficiaries temporarily outside Saskatchewan for hospital services described in section 11 and provided to the beneficiary in the other province or territory, payment may be made to or on behalf of the beneficiary for those services in accordance with the terms and conditions provided for in the agreement. 17 Jly 81 SR 144/81 s3; 24 Dec 87 SR 131/87 s5. Inpatient services outside Canada 15(1) Where a beneficiary who has not been referred in accordance with section 17 and who is temporarily outside Canada, receives or obtains, in a hospital outside Canada, any hospital services described in section 11, payment to or on behalf of the beneficiary shall be made in the appropriate amount prescribed in subsection (2). (2) The amount in which payment shall be made for hospital services mentioned in subsection (1) is: (a) for services provided before the day on which The Saskatchewan Hospitalization Amendment Regulations, 1992 came into force, the actual average daily charge for the hospital services charged by the hospital that provided the services to a maximum amount per day equal to the average urban patient day payment for the fiscal year preceding the fiscal year in which the hospital services were provided; (b) for services provided on or after the day on which The Saskatchewan Hospitalization Amendment Regulations, 1992 came into force and before April 1, 1993, the actual average daily charge for the hospital services charged by the hospital that provided the services to a maximum amount of $410 per day; (c) for services provided on or after April 1, 1993, the actual average daily charge for the hospital services charged by the hospital that provided the service to a maximum of $100 per day. 12 Jne 92 SR 42/92 s2; 16 Apr 93 SR 26/93 s2. 16 Repealed. 15 Dec 89 SR 77/89 s2. Payment for certain services outside Canada 17(1) In this section: (a) Repealed. 15 Jne 90 SR 45/90 s4. (b) Repealed. 15 Jne 90 SR 45/90 s4. (c) insured service means an insured service within the meaning of The Saskatchewan Medical Care Insurance Act.

14 14 SR 82/78 SASKATCHEWAN HOSPITALIZATION, 1978 (2) The minister may, where he considers it advisable, make payment for hospital services described in section 11 that are received outside Canada by a beneficiary on or after October 1, 1977, while those services are being provided and where: (a) the minister, by reason of the beneficiary requiring an insured service outside Canada and the insured service not being available in Saskatchewan, has decided to make payment in respect of that insured service in the manner provided in the regulations made under The Saskatchewan Medical Care Insurance Act with respect to payment for insured services not available in Saskatchewan; or (b) he is referred outside Canada by the executive director of the Saskatchewan Cancer Foundation for services for the treatment of cancer for the reason that the treatment services are required by the beneficiary and those services are not available in Saskatchewan. (c) Repealed. 15 Jne 90 SR 45/90 s4. (3) Payment may be made under this section at a rate that the minister considers fair and reasonable, and he shall take into account the locality in which the insured service is being provided. (4) When payment is made pursuant to subsection (3), the amount payable by the minister: (a) shall be calculated in Canadian currency based on the exchange rate prevailing on the date that the account is approved for payment; or (b) in the case of a charge for payment arising from services received in the United States of America, may be made in the currency of that country. 17 Jly 81 SR 144/81 s3; 3 Apr 87 SR 18/87 s3; 15 Jne 90 SR 45/90 s4. Payment for outpatient out of province 18 Payment may be made at the rate fixed by the minister to or on behalf of a beneficiary temporarily outside the province receiving an outpatient service mentioned in section 12 from a hospital of the kind mentioned in section Apr 78 SR 82/78 s18. Conditions for making payment 19 All payments referred to in sections 14, 15, 16, 17 and 18 of these regulations shall be subject to the following qualifications: (a) Payments shall be subject to the approval of the minister and shall be made in accordance with procedures to be prescribed by him. The extent of the period for which payment may be made shall be determined by the minister, who shall review at regular intervals, reports of the medical condition of beneficiaries involved. Excluded facilities

15 15 SASKATCHEWAN HOSPITALIZATION, 1978 SR 82/78 (b) Payment shall not be made where the beneficiary is admitted to a hospital or a home providing custodial care only, or hospital or other institution primarily concerned with the care and treatment of patients having addiction or mental or nervous disorders; (c) no payment shall be made to or on behalf of a beneficiary temporarily outside Canada for services involving the use of cancer treatments drugs or procedures unless: (i) the payment has been approved by the Saskatchewan Cancer Foundation; and (ii) where the services involve the use of a cancer treatment drug, that drug has been authorized for sale in Canada by the Minister of National Health and Welfare under the Food and Drugs Act (Canada), as amended from time to time; (d) A payment shall only be made to or on behalf of a beneficiary temporarily outside Canada for non-emergency services received on or after January 1, 1993 if the minister has, in writing, approved payment for the service prior to the service being provided; (e) A payment shall only be made to or on behalf of a beneficiary for non-emergency cataract surgery services or non-emergency magnetic resonance imaging services received on or after January 1, 1993 outside Saskatchewan if the minister has, in writing, approved payment for the service prior to the service being provided. 7 Apr 78 SR 82/78 s19; 17 Jly 81 SR 144/81 s4; 15 Jne 90 SR 45/90 s4; 24 Dec 92 SR 148/92 s2. Manner of making payment 19.1 Payments for hospital services made in accordance with this Act and the regulations may be made to: (a) the hospital providing the hospital services; (b) the person who receives the hospital services; or (c) any person who provides funding to or makes payments to the hospital for the provision of the hospital services. 10 May 91 SR 28/91 s2. PART III Reports by Hospitals Submission of Admission Separation Records 20 Each hospital shall submit to the minister, within seven days of the time of discharge, death or transfer of each patient, a discharge report of each patient in a form to be prescribed by the minister. 7 Apr 78 SR 82/78 s20. Long stay case reports

16 16 SR 82/78 SASKATCHEWAN HOSPITALIZATION, Each hospital shall submit to the minister, in a form to be prescribed by the minister, a report signed by the attending physician for each beneficiary who has been a patient in the hospital for thirty consecutive days; such report to be submitted within seventy-two hours from the time of expiration of the thirty-day period. 7 Apr 78 SR 82/78 s21. Reports requested by the minister 22 Each hospital and the attending physician shall submit to the minister, in a form to be prescribed by the minister, such reports as he may deem necessary at any time from the hospital and the attending physician in order to determine the medical necessity for continued hospitalization of any beneficiary. 7 Apr 78 SR 82/78 s22. Same 23 Each hospital shall submit to the minister such other reports, as he may deem necessary concerning any other matters relating to the provisions of the Act. 7 Apr 78 SR 82/78 s23. PART IV 24 to 33 Repealed. 3 Apr 87 SR 18/87 s4. Charges for administrative services 34 The Department of Health may provide services relating to the registration of residents and data processing services to any department, board, commission or agency, and may make charges for those services in amounts considered by the minister to be reasonably equivalent to the cost of providing them. 7 Apr 78 SR 82/78 s34. REGINA, SASKATCHEWAN Printed by the authority of THE QUEEN S PRINTER Copyright 1997