San Mateo County is responsible for providing necessary medical care to its medically indigent adult (MIA) population. If an MIA patient needs services or procedures not offered at SMMC, the patient is referred to another facility. Preference is given to area facilities with whom San Mateo County contracts.
Occasionally, it is necessary to send San Mateo County Medical Center (SMMC) patients to the UCSF Medical Center for specialized procedures because these procedures are not available on site or at any other medical center that San Mateo County contracts with. Examples of these services are specialty care procedures such as percutaneous nepholithotomy, ileal pouch, gated MRI, and melanoma treatment. Patients are referred to UCSF only when there is no other contracting facility able to provide the required procedure. All referrals to UCSF are authorized by the attending physicians at SMMC and utilization review is provided by the Case Management Department at SMMC.
All patients referred to UCSF for tertiary service will continue to undergo utilization review to minimize hospital stays and maintain control over costs.
Risk Management and County Counsel have approved the Agreement. The contractor has assured compliance with the County's Contractor Employee Jury Service Ordinance, as well as all other contract provisions that are required by County ordinance and administrative memoranda, including but not limited to insurance, hold harmless, non-discrimination and equal benefits.
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