Sec. 47.07.030. Medical services to be provided.
(a) The department shall offer all mandatory services required under 42 U.S.C. 1396 – 1396p (Title XIX of the Social Security Act). (b) In addition to the mandatory services specified in (a) of this section and the services provided under (d) of this section, the department may offer only the following optional services: case management […]
Sec. 47.07.032. Inpatient psychiatric services for persons under 21 years of age.
(a) Notwithstanding AS 47.07.030, the department may not grant assistance under this chapter for inpatient psychiatric services to a person under 21 years of age who is in an out-of-state psychiatric hospital facility or an out-of-state residential psychiatric treatment center unless the department determines that the assistance is for (1) psychiatric hospital services that are […]
Sec. 47.07.036. Cost containment measures authorized.
(a) If the department finds that the costs of medical assistance for all persons eligible under this chapter will exceed the amount allocated in the state budget for a fiscal year, the department may implement cost containment measures to reduce anticipated program costs for that fiscal year as authorized under this section. (b) The department, […]
Sec. 47.07.039. Coordinated care demonstration projects.
(a) The department shall contract with one or more third parties to implement one or more coordinated care demonstration projects for recipients of medical assistance identified by the department. The purpose of a demonstration project under this section is to assess the efficacy of a proposed health care delivery model with respect to cost for, […]
Sec. 47.07.040. State plan for provision of medical assistance.
The department shall prepare a state plan in accordance with the provisions of 42 U.S.C. 1396 – 1396p (Title XIX, Social Security Act, Medical Assistance) and submit it for approval to the United States Department of Health and Human Services. The plan shall designate that the Department of Health is the single state agency to […]
Sec. 47.07.042. Recipient cost-sharing.
(a) Except as provided in (b) – (d) of this section, the state plan developed under AS 47.07.040 shall impose deductible, coinsurance, and copayment requirements on persons eligible for assistance under this chapter to the maximum extent allowed under federal law and regulations. The plan must provide that health care providers shall collect the allowable […]
Sec. 47.07.045. Home and community-based services.
(a) The department may provide home and community-based services under a waiver in accordance with 42 U.S.C. 1396 – 1396p (Title XIX, Social Security Act), this chapter, and regulations adopted under this chapter, if the department has received approval from the federal government and the department has appropriations allocated for the purpose. To supplement the […]