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Erath County approves new indigent health-care handbook after audit finds overpayments, missing records
Summary
County commissioners approved a written indigent health-care handbook and new checks-and-balances after an outside audit and internal review found missing eligibility documentation, at least one ineligible case and payments made above permitted amounts.
Erath County commissioners on Aug. 11 approved a new county indigent health-care handbook and related procedures after an outside audit and an internal review found weaknesses in how the county’s indigent fund was administered.
The court voted to adopt the handbook and implement a multi-step verification and payment process intended to reduce errors and increase oversight.
The handbook summarizes relevant state law, incorporates state notifications and forms, and sets local procedures the county will follow. It also formalizes who will perform each step: initial application intake and document collection, a supervisory verification step, auditor review of bills, and a judge-level appeal process. The court approved the handbook after staff said the changes respond to problems identified in the audit.
Carla Trussell, a member of the public who spoke…
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