Forensic Rape Exam (FRE)

Forensic Rape Exam (FRE)

Is it necessary to file a police report to qualify for coverage through the FRE Direct Reimbursement Program?

Is it necessary to file a police report to qualify for coverage through the FRE Direct Reimbursement Program?

No. OVS will accept the Medical Provider Forensic Rape Examination Direct Reimbursement Claim Form, along with the itemized bill, as documentation of the sexual assault forensic examination in lieu of a police or criminal justice agency report and will provide direct reimbursement for the forensic examination to the healthcare provider.

Does a sexual assault survivor have to use Medicaid or apply for Medicaid to pay for the forensic exam?

Does a sexual assault survivor have to use Medicaid or apply for Medicaid to pay for the forensic exam?

No. Sexual assault survivors do not have to use their private insurance benefits, Medicaid, Medicare, HMO (Health Maintenance Organization) or any other insurance program for payment of the forensic exam especially if it would interfere with personal privacy or safety. A sexual assault survivor may be asked to provide such information for medical care or services that are NOT related to the sexual assault forensic examination and not billed by the provider as part of the direct reimbursement claim.

Does a sexual assault survivor have to file the regular application with the Office of Victim Services to ensure payment for the forensic exam?

Does a sexual assault survivor have to file the regular application with the Office of Victim Services to ensure payment for the forensic exam?

No. However, sexual assault survivors are encouraged to file an application if other medical services (outside of the forensic exam) are needed. Also, sexual assault survivors should be advised that they may be eligible to recover reimbursement for loss of personal property, loss of earnings or support and expenses associated with counseling, in addition to medical care, if a regular application is filed.

What services are included in the FRE Direct Reimbursement Program’s definition of a "forensic exam?"

What services are included in the FRE Direct Reimbursement Program’s definition of a "forensic exam?"

Facility services such as personnel, overhead, space, necessary supplies and use of equipment which are directly related to the sexual assault forensic examination. This includes an Emergency Room (ER) Physician for a victim seen in the ER if the services provided by the ER Physician are related to the Forensic Exam.

What is the Medical Provider Forensic Rape Examination (“FRE”) Direct Reimbursement Program?

What is the Medical Provider Forensic Rape Examination (“FRE”) Direct Reimbursement Program?

New York State Executive Law (§631.13) provides for direct reimbursement by the Office of Victim Services (OVS) to providers of forensic sexual assault examination services. The law requires the medical provider to explain the victim's billing choices to them. When a victim chooses to have the provider bill OVS directly for the forensic examination and its related charges, the provider shall use the Direct Reimbursement Program.

What is a "forensic exam?"

What is a "forensic exam?"

The term "forensic exam" means an examination provided to a sexual assault victim by medical personnel trained to gather evidence of a sexual assault in a manner suitable for use in a court of law. A list of the elements of a forensic examination is described in detail in the Department of Health's Protocols for the Acute Care of the Adult Patient Reporting Sexual Assault.

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