(

a) Any county receiving an allocation pursuant to this part shall, at a minimum, report to the department all indigent health care program demographic, expenditure, and utilization data, in a manner that will provide an unduplicated count of users, as follows:

(1) The following patient demographic data: (

A) Age. (

B) Sex. (

C) Ethnicity. (

D) Family size. (

E) Monthly income. (

F) Source of income, according to the following categories: (

i) Disability income. (ii) Employment. (iii) Retirement. (iv) General assistance. (

v) Other. (

G) Type of employment, according to the following categories: (

i) Agriculture. (ii) Labor and production. (iii) Professional and technical. (iv) Service. (

v) Nonemployed. (

H) Payer source, according to the following categories: (

i) Private insurance. (ii) County program. (iii) Self-pay. (iv) Other. (

I) ZIP Code of residence.

(2) Indigent health care expenditure data, including all of the following: (

A) Inpatient hospital services, according to the following categories: (

i) County hospital. (ii) Contract hospital. (iii) University teaching hospital. (iv) Other, noncontract hospital. (

v) Diagnostic category, as defined by the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM). (

B) Outpatient services, according to the following categories: (

i) Hospital outpatient. (ii) Freestanding community clinic. (iii) Primary care physician. (iv) Nonemergency services rendered in an emergency room environment. (

v) Type of service. (

C) Emergency room services, according to the following categories: (

i) Emergency services. (ii) Emergency services which result in a hospital admission. (iii) Emergency services, which are rendered in a noncounty, noncontract hospital and result in a transfer of the patient to a county or contract hospital.

(3) Indigent health care utilization data. (

A) Inpatient hospital services, according to the following categories: (

i) County hospital days and discharges. (ii) Contract hospital days and discharges. (iii) University teaching hospital days and discharges. (iv) Other, noncontract hospital days and discharges. (

B) Outpatient services, according to the following categories: (

i) Hospital outpatient visits. (ii) Freestanding community clinic visits. (iii) Primary care physician visits. (iv) Visits to a hospital emergency room for nonemergency services. (

C) Emergency room services, according to the following categories: (

i) Visits for emergency services in a county hospital. (ii) Visits for emergency services in a contract hospital. (iii) Visits for emergency services in a noncounty, noncontract hospital. (iv) Visits for emergency services which result in an admission in a county hospital. (

v) Visits for emergency services which result in an admission to a contract hospital. (vi) Visits for emergency services which result in an admission to a noncounty, noncontract hospital. (

D) Visits for emergency services which are rendered in a noncounty, noncontract hospital and result in a transfer of the patient to a county or contract hospital.

(4) Geographic location of rendered services. (

A) Inpatient hospital services, according to the following categories: (

i) County hospital. (ii) Contract hospital. (iii) University teaching hospital. (iv) Other, noncontract hospital. (

B) Outpatient services, according to the following categories: (

i) Hospital outpatient. (ii) Freestanding community clinic. (iii) Primary care physician. (iv) Nonemergency services rendered in an emergency room environment. (

C) Emergency room services.

(5) Expenditure and utilization data for persons with acquired immunodeficiency syndrome (AIDS) and AIDS-related complex. (

A) Total number of patients. (

B) Number of inpatient users. (

C) Number of discharges. (

D) Total inpatient days. (

E) Total inpatient expenditures. (

F) Number of outpatient users. (

G) Number of outpatient visits. (

H) Total outpatient expenditures. (

I) Number of emergency room users. (

J) Number of emergency room visits. (

K) Total emergency room expenditures. (

b) Counties shall report demographic, cost and utilization data on indigent health care to the department as follows:

(1) An actual annual report no later than days after the last day of the year to be reported.

(2) Counties shall maintain all patient-specific data collected through the medically indigent care reporting system for a period of months after the last day of the fiscal year for which the data was collected.

(3) Reports shall be submitted on machine readable media, on 5 1 inch or 3 1 inch diskette, in the format specified by the department. (

c) Counties that are eligible to participate in the CMSP pursuant to

Section that do not operate a county hospital and that elect to enter into a contract with the department to administer the noncounty hospital portion of the Hospital Services Account, pursuant to

Section 16934.7, and the Physician Services Account, pursuant to subdivision (

c) of

Section 16952, are not required to report indigent health care program demographic, cost, and utilization data pursuant to this section. (

d) The department shall collect the data specified in subdivision (

a) for services paid for through the hospital contract-back and physician services contract-back programs specified in

Section 16934.7 and subdivision (

c) of

Section 16952. (

e) The data specified in subparagraphs (D), (E), (F), and (

G) of paragraph (1) of subdivision (

a) for services paid for with funds specified under subparagraph (

A) of paragraph (1) of subdivision (

b) of

Section and funds administered pursuant to

Article 3.5 (commencing with

Section 16951) of

Chapter are not required to be reported to the department pursuant to this section.