DRAFT NEW AGREEMENT
(1)
-3-
Transportation for the patient and escort as defined
in PL No. 7-116, by field trip ships and subsistence while on such
Ships, both in accordance with prevailing Marshall Islands rates.
(2)
Transportation by air to and between Majuro and Ebeye
when required.
(3)
Payments of $2.00 per day per patient for incidental
expenses while an inpatient.
(4)
Payments of $10.00 per day for escorts and for patients
while on outpatient status.
NOTE:
At its discretion the TTPI May deduct
subsistence charges from payments made to outpatients or escorts who
use hospital room and board facilities.
4,
Bilting for reimbursement under Provision 3 of this Agreement shall
be submitted to DOE/PASO quarterly and must include:
a.
Name of Claimant
b.
Status (patient or escort)
c.
Hospital to which referred (Majuro, Ebeye)
d.
Reason for escort (per criteria PL NO. 7-116)
e.
Referred by (health aide, medex, BNL physician)
T.
Diagnosis upon arrival Majuro or Ebeye
¥
g.
Wis
Treatment
5000348