Sec. 47.07.055. Recovery of medical assistance from estates.
(a) The estate of an individual who received medical assistance payments is subject to a claim for recovery of the medical assistance after the individual’s death that, except as provided in (b) of this section, may be secured by a lien filed against the individual’s real property during the individual’s lifetime if the (1) individual […]
Sec. 47.07.060. Receipt of federal money.
The Department of Administration shall accept and receive all grants of money awarded to the state under 42 U.S.C. 1396 – 1396p (Title XIX, Social Security Act, Medical Assistance). All money received shall be deposited by the Department of Administration in a special account of the general fund and shall be used by the state […]
Sec. 47.07.063. Payment for certain services furnished or paid for by a school district.
(a) The department may pay medical assistance under this chapter to a school district on behalf of an eligible child with a disability for rehabilitative and other mandatory and optional services covered under this chapter that are furnished or paid for by the school district if (1) the school district and the department have entered […]
Sec. 47.07.065. Payment for prescribed drugs.
(a) The department shall pay for prescribed drugs under AS 47.07.030(b) under regulations adopted by the commissioner in conformity with applicable federal regulations. (b) The department shall adopt in regulation and regularly update a preferred drug list and a prior authorization medications list under a state program permitted under 42 U.S.C. 1396r-8 (Title XIX, Social […]
Sec. 47.07.067. Payment for adult dental services.
(a) Subject to appropriation, the department shall pay for minimum treatment and for preventative and restorative adult dental services provided under AS 47.07.030(b) and under regulations adopted by the commissioner in conformity with applicable federal requirements and this chapter. Regulations adopted under this section must include the following: (1) except as provided in (d) of […]
Sec. 47.07.068. Payment for abortions.
(a) The department may not pay for abortion services under this chapter unless the abortion services are for a medically necessary abortion or the pregnancy was the result of rape or incest. Payment may not be made for an elective abortion. (b) In this section, (1) “abortion” has the meaning given in AS 18.16.090; (2) […]
Sec. 47.07.069. Payment for telehealth.
(a) [See conditional amendment note.] The department shall pay for all services covered by the medical assistance program provided through telehealth in the same manner as if the services had been provided in person, including (1) behavioral health services; (2) services covered under home and community-based waivers; (3) services covered under state plan options under […]
Sec. 47.07.070. Payment rates for health facilities.
(a) The department shall, by regulation, set rates of payment for health facilities under this chapter and AS 47.25.120 – 47.25.300 in accordance with 42 U.S.C. 1396 (Title XIX, Social Security Act, Medical Assistance) and this section. A rate established under this section takes effect under AS 44.62 (Administrative Procedure Act) but not until approved […]
Sec. 47.07.071. Reports by health facilities.
After the end of each fiscal year of a health facility, the facility shall submit to the department a report on the facility’s financial performance during the fiscal year. The commissioner shall, by regulation, establish the date by which this financial report is due.
Sec. 47.07.073. Uniform accounting, budgeting, and reporting.
(a) The department by regulation shall require a uniform system of accounting, budgeting, and reporting for health facilities receiving payments under this chapter. The regulations must provide for reporting revenues, expenses, assets, liabilities, units of service, and other items considered necessary by the department to implement this chapter. (b) [Repealed, § 6 ch 28 SLA […]