Consult Only
- Consultative
health services
only that are
consistent with
the consultative
Provider's
specialty and
detainee's medical
condition
as listed on the
TAR.
Emergency Room
- Health services
consistent with an
emergency room
setting and
detainee's
specified medical
condition as
listed on the TAR.
In cases where an
inpatient
admission may be
medically
necessary
following an
initial emergency
room visit; a new
TAR must be
submitted by the
detainee's
custodial
facility.
Medical
Appointment (Not a
consult) -
Health services
consistent with
the provider's
specialty and
detainee's
specified medical
condition as
listed on the
TAR.
Medical
Lab/Test -
Labs and/or tests
consistent with
the detainee's
specified medical
condition as
listed on the
TAR.
Inpatient
Hospitalization
- Health
services
consistent with an
inpatient
hospitalization
and the detainee's
specified medical
condition as
listed on the
TAR.
Dental Services
- Health
services
consistent with a
dental Provider's
specialty and
detainee's
specified medical
condition as
listed on the
TAR.
Non-Formulary
Medications -
Any medication not
included on DIHS'
designated
formulary.