INMATE COPAYMENT PROGRAM
Pursuant to the Federal Prisoner Health Care Copayment Act (FHCCA) of 2000 (P.L. 106-294, 18 U.S.C. § 4048), the Federal Bureau of Prisons and FCI/SPC Texarkana provide notice of the Inmate Copayment Program for health care, effective
October 3, 2005.
A. Application: The Inmate Copayment Program applies to anyone in an institution under the Bureau’s jurisdiction and anyone who has been charged with or convicted of an offense against the United States, except inmates in inpatient status at a Medical Referral Center (MRC). All inmates in outpatient status at the MRCs and inmates assigned to the General Population at these facilities are subject to copay fees.
B. Health Care Visits with a Fee:
1. You must PAY a fee of $2.00 for health care services, charged to your Inmate Commissary Account, per health care visit, if you receive health care services in connection with a health care visit that you requested, except for services described in section C., below. These requested appointments include Sick Call and after-hours requests to see a health care provider. If you ask a non-medical staff member to contact medical staff to request a medical evaluation on your behalf for a health service not listed in section C., below, you will be charged a $2.00 copay fee for that visit.
2. You must PAY a fee of $2.00 for health care services, charged to your Inmate Commissary Account, per health care visit, if you are found responsible through the Disciplinary Hearing Process to have injured an inmate who, as a result of the injury, requires a health care visit.
C. Health Care Visits with no Fee:
We will not charge a fee for:
1. Health care services based on health care staff referrals;
2. Health care staff-approved follow-up treatment for a chronic condition;
3. Preventive health care services;
4. Emergency services;
5. Prenatal care;
6. Diagnosis or treatment of chronic infectious diseases;
7. Mental health care; or
8. Substance abuse treatment.
If a health care provider orders or approves any of the following, we will also not charge a fee for:
• Blood pressure monitoring;
• Glucose monitoring;
• Insulin injections;
• Chronic care clinics;
• TB testing;
• Wound Care; or
• Patient education.
Your health care provider will determine if the type of appointment scheduled is subject to a copay fee.
D. Indigency: An indigent inmate is an inmate who has not had a trust fund account balance of $6.00 for the past 30 days.
If you are considered indigent, you will not have the copay fee deducted from your Inmate Commissary Account.
If you are NOT indigent, but you do not have sufficient funds to make the copay fee on the date of the appointment, a debt will be established by TRUFACS, and the amount will be deducted as funds are deposited into your Inmate Commissary Account.
E. Complaints: You may seek review of issues related to health service fees through the Bureau’s
Administrative Remedy Program (see 28 CFR part 542).
Medical staffing for FCI/SPC Texarkana includes two full time Physicians, two Dentists, a Health Systems Administrator (HSA), an Assistant Health Systems Administrator (AHSA), five Mid- Level Practitioners (MLP), five Registered Nurses (RN), three Health Information Technicians (HIT), a Pharmacist, a Medication Technician, an Infectious Disease/IOP Coordinator, a Radiology Technologist, a Dental Technician, and two Medical Secretaries.
Medical emergency care is available 24 hours daily at the FCI and Camp, with on-site medical care available 16 hours (0600- 2200, Sunday through Saturday) a day. For the remaining eight (8) hours, the Clinical Director or his designee will determine if the patient should be transferred to the local emergency room or if medical staff will be called back to the institution to provide care. If you are injured or develop an emergency condition, you must report it to your work supervisor or Unit Officer. He/She will contact medical personnel to have you evaluated.
Emergency hospitalizations are admitted to the local community hospital. Non-emergency admissions for surgery or long term care are transferred to appropriate Bureau of Prisons medical facilities.
MEDICAL-SATELLITE PRISON CAMP (SPC) TRIAGE
Triage is held on Monday, Tuesday, Thursday, and Friday, excluding holidays. The clinician will be at the Camp to sign up Triage from 6:30 AM to 6:45 AM, unless otherwise announced over the public address system. You must sign up for Triage at this time in order to be seen for routine complaints. When you sign up for Triage, you must fill out a Triage Sign-Up form prior to reporting for Triage. The triage staff (clinician) will determine if you require a “same day” appointment or if you will be placed on callout for evaluation. If your appointment is scheduled for 7:30 AM or later that same day, you must report to your regular duty station at your regularly scheduled time. You must show your appointment slip to your work supervisor or Unit Officer. Your work supervisor or Unit Officer will then send you to your medical appointment at the appropriate time. When you return for your appointment, the assigned waiting area is the small waiting area in the Infirmary. When you are called in for your appointment, you must give the clinician your appointment slip and your commissary card (for identification purposes). If you are late for your appointment, you may miss it all together and have to make Triage the following day to obtain another appointment. At the conclusion of your appointment, you will have 10 minutes to report back to your work supervisor or Unit Officer. NOTE: Instead of reporting to Triage for routine medical complaints, you may submit an Inmate Request to Staff Member to the Camp MLP and you will be placed on callout for medical evaluation.
MEDICAL – FCI TRIAGE
Triage is held on Monday, Tuesday, Thursday, and Friday, excluding holidays. The clinician will sign up Triage in the Health Services lobby (or examination room) from 6:30 AM to 7:00 AM, unless otherwise announced over the public address system. You must fill out a Triage form prior to reporting for Triage.
When you sign up for Triage, the triage staff (clinician) will determine if you require a “same day” appointment or if you will be placed on callout for evaluation. If your appointment is scheduled for 7:30 AM or later that same day, you must report to your regular duty station at your regularly scheduled time. You must show your appointment slip to your work supervisor or Unit Officer. Your work supervisor or Unit Officer will then send you to your medical appointment at the appropriate time. When you are called in for your appointment, you must give the clinician your appointment slip and your commissary card (for identification purposes). If you are late for your appointment, you may miss it all together and have to make Triage the following day to obtain another appointment. At the conclusion of your appointment, you will have 10 minutes to report back to your work supervisor or Unit Officer. NOTE: Instead of reporting to Triage for routine medical complaints, you may submit an Inmate Request to Staff Member to your Primary Care Provider and you will be placed on callout for medical evaluation. When on callout to see a medical provider, please bring all medication with you to your appointments.
Physical examinations are done on Wednesdays. This includes A&O as well as “over 50″ and pre-release physicals. All new inmates committed to the Bureau of Prisons will have a complete A&O physical examination to include clinically indicated blood work and diagnostic tests. This examination is mandatory and is required prior to a work assignment/detail.
Inmates age 50 and over are eligible for a physical examination annually which you must request via an Inmate Request to Staff Member (copout) and addressed to Medical Records. The physician will determine what laboratory tests, if any, are indicated. A pre-release examination is available to you before you are released if you have not had one within a year. You must request this examination in a timely manner (usually at least two months prior to your release date) in order to receive it.
Annual tuberculosis (TB) screening (TB skin test) is mandatory for all inmates, unless you have had a positive TB skin test in the past. If you have had a positive skin test, you will receive a chest x-ray as clinically indicated.
A Sexual Abuse/Assault Prevention and Intervention Program is available for inmates upon request. For further information, contact Psychology or Health Services.
Advance Directives (Do Not Resuscitate Orders/Living Wills) are available upon request from Health Services. The Bureau of Prisons provides a generic Living Will form or you may have a private attorney prepare the documents at your own expense.
Emergency dental care for toothaches and denture adjustments is available via the same method described for Medical Triage. All other requests for routine dental care should be made with an Inmate Request to Staff Member (copout).
OVER-THE-COUNTER (OTC) MEDICATIONS
OTC’s, such as aspirin, antacids, allergy medication, Metamucil, etc., may be purchased from the Commissary. Inmates who are indigent will be provided OTC’s from the Pharmacy.
UNICOR manufactured eyeglasses will be provided to inmates at no cost to them, if eyeglasses are recommended by the contract Optometrist. You will not be allowed to have eyeglasses mailed in from outside vendors, family, or friends. You may purchase eyeglasses at your own expense from the contract Optometrist if you choose.
All inmates will be issued institution steel toe boots. If you cannot wear steel toe boots due to medical problems, you will be provided soft shoes from the Clothing/Laundry Department. Several different types/styles of shoes are available for you to purchase in the Commissary.
METHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS (MRSA)
Staphylococcus aureus, often referred to as “staph”, is a commonly occurring bacterium that is carried on the skin and in the nose of healthy persons. Staph aureus may cause minor skin or soft tissue infections such as boils, as well as more serious infections such as wound infections, abscesses, pneumonia, and sepsis. MRSA are staph bacteria that have become resistant to certain types of antibiotics. Frequent hand washing is probably the most effective way to prevent the spread of MRSA.
Influenza (flu), pneumococcal, tetanus/diphtheria, and measles/mumps/rubella immunizations will be provided routinely to inmates in accordance with CDC guidelines and guidance from the Medical Director.