D.

Except for non-citizens who sustain industrial injury while empicr2:

by the Trust Territory Government, the Trust Territory Government

will not be responsidle for transsortation costs of non-Trust
Territory ecitizens' referrals beyond Guar and/cr Eonolulu.

ce

the districts must pay the standard “Trust tersitery inpatie
outpatient charges, plus all other costs applicable within t:
Territory fee schedule normally charged at each district hes
F.

<All return visit appointzments are not an automatic process and
must be reviewed by the DDES and the Referral Ccormmittee tc cet
the present nature of the patient's condition end if the natur
of such revisit is warranted.

.

ROOM & BOAZD:
4.

Persons on referral status in Guam and Honolulu will be furnisheai
we ee
meee Sy
room and board plus $1.00 per day incidental expense
money
by the

Trust Territory Government.

B.

The Director

No other sudsistence will be provide:

f Heedauerters Health Services will vrovice ad¢equete

accommodations (Rocm & Foard x
money) for referral patients

er

i

sel

e

LNO's Guexn and Honolulu.

C.

If a patient or escort wishes

to stey with friends or relstives

rather than eccept the Government furnished reom and Dozrd, ne is

welcome to do so; however, no suosistence clain can be meade for
the non-use of Government furnished recon and board.

AUTHORIZED ESCORT
A.

Medical referral patients who have not attained 18 years of ace

may be permitted to have one edult varent or lesal guaréien
accompany then.

B. , No mem
ber of the family will be permitted to accomveny en aduit
patient at Government exvense unless vermission is resussted end

granted by the Director of Health Services at Headquarters.

TRAVEL AUTHORIZATIONS :
A.

Since the Government, through the LNO's Guem and Honolwu, ; furnis=ss
7

room and board on e@ contract basis, and the LNO's Guem anc Eenelule:
will also furnish the $1.0 ver day ane
incidental excense money on cr
u

VI.

as-needed basis from their local imprest fund, travel euvhoritutir-~:
issued by the districts for medical referrals will need cniy to cit:
the necessary ‘travel expenses involved with the referrel.

Select target paragraph3