Alaska Administrative Code

(a) Unless the context indicates otherwise, in this chapter (1) "department" means the Alaska Department of Health and Social Services; (2) "division" means the division of public assistance in the department; (3) "state agency" means the division; (4) "public assistance" means O…

Notes 7 AAC 47.010 Repealed 3/23/78. State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compar…

(a) The grant of General Relief assistance and General Relief Medical assistance may be considered only upon application. Any person, regardless of race, religion, age, sex, or national origin, may apply for this assistance. Applications must be made on a form designated by the d…

(a) If, because of a medical emergency, a person is unable to apply for General Relief Medical assistance before treatment is received, the patient or a representative of the patient must make application within 30 days of discharge from the medical facility. Failure to apply wit…

Notes 7 AAC 47.035 In effect 7/26/90 - 11/22/90, by em adop., Register 115 State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be ad…

If at all possible, an applicant shall make himself available for an interview at a district office of the division. If he cannot be interviewed, statements of other persons who have knowledge of the applicant's need or of aspects of his circumstances relating to factors of eligi…

The division shall render an eligibility decision upon each identifiable application for assistance and shall forward to the applicant a written notice-of-eligibility decision no later than 30 days from the receipt of the application by a district office. In this section, "identi…

Eligibility for General Relief assistance may extend no longer than six months from the date of application and eligibility for General Relief Medical assistance may not extend beyond July 31, 1998. Retroactive eligibility will be limited to the circumstances described in 7 AAC 4…

Any applicant or recipient whose application is not acted upon within 30 days after receipt, whose application is modified or denied, or whose assistance is reduced or discontinued, shall, upon presentation of an oral or written request to any employee of the division, be granted…

It is the responsibility of the recipient or his authorized representative to report to the nearest district office all changes which might affect his continuing eligibility. Such changes must be reported orally or in writing within 10 days after their occurrence. Changes which m…

The support of needy persons required by AS 47.25.230 of certain relatives who have the ability to furnish it means all needs for which General Relief assistance is authorized by the chapter, including General Relief Medical assistance. Notes 7 AAC 47.090 Eff. 3/23/78, Register 6…

The amount of General Relief assistance paid to or on behalf of eligible applicants is based on the extent of the specified need and the availability of program funds, but does not exceed a total of $80 per person per month. Within this limitation, payments for food stamps may be…

General Relief payments for rent, food, fuel, clothing, utilities, house repair, transportation, or funeral and burial expenses, as well as General Relief Medical assistance payments, may be made only to the vendor or provider and not to the recipient of assistance. General Relie…

Notes 7 AAC 47.120 Eff. 3/23/78, Register 65; repealed 10/10/96, Register 140 State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be…

(a) The department will pay general relief assistance to a vendor for basic funeral and burial services provided in the state at the rates published in that vendor's general price list, up to a maximum payment of $1250 to each vendor for each deceased person. Basic funeral and bu…

(a) Eligibility for General Relief and General Relief Medical assistance is based upon (1) financial need; (2) lack of prior or personal resources; (3) age; (4) residence in the State of Alaska at the time of application; proof of residence may be required; (5) U.S. citizenship o…

(a) Financial eligibility for General Relief assistance exists only if the need standard exceeds monthly net income, as determined under this section. (b) Need is determined by use of the following table: Number of Persons Maximum Monthly Need Standard 1 $ 3002 4003 5004 6005 700…

(a) Financial eligibility for General Relief Medical assistance exists only if the household's monthly net income, as determined under this section, does not exceed the need standard in 7 AAC 47.150(b). The applicant must provide verification of the household's income, including,…

(a) General Relief or General Relief Medical assistance may not be granted if the applicant, despite an excess of need over income, has a prior resource, as described in (b) of this section available to meet the specific need, or personal resources in excess of $500 as described …

(a) Applicants 18 years of age or older may be found eligible for General Relief and General Relief Medical assistance. (b) An applicant under 18 years of age may apply on his or her own behalf if the applicant is living apart from parents or guardian and is managing his or her o…

The division shall provide a written certification of eligibility for General Relief Medical benefits upon a form or card specified by it. This certification signifies that the person or persons named on it have been found eligible for medical assistance for the period of time st…

Notes 7 AAC 47.190 Repealed 7/1/86. State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare…

(a) The General Relief Medical program provides payment on behalf of needy persons who are eligible under the provisions of this chapter for any of the following services:(1) major medical care as defined in 7 AAC 47.290; (2) skilled nursing home care; (3) intermediate nursing ho…

(a) Notwithstanding any other provisions contained in this chapter or 7 AAC 105 - 7 AAC 160, a payment may not be made under the General Relief Medical program for any expense (1) that is for major medical care not determined necessary by the professional review organization on c…

(a) It is the responsibility of the recipient to (1) guard his certification of eligibility with reasonable care to prevent it being used by unauthorized persons; (2) present it to the provider at the time service is rendered; (3) provide the identification supporting the proper …

Providers under the General Relief Medical program are bound by the provisions of this chapter and the provisions of 7 AAC 105 - 7 AAC 160. If the provisions of this chapter conflict with the provision of 7 AAC 105 - 7 AAC 160, the provisions of this chapter will take precedence …

(a) Providers shall submit all claims for payment on invoices prescribed by the department and in accordance with the requirements under 7 AAC 105.220 for Medicaid providers. (b) Claims for payment must be filed promptly following care. The department will not make payment for se…

(a) The maximum number of days of hospitalization payable by the division for an individual recipient is limited to the 50th percentile of the length of hospitalization stay for that particular primary medical or surgical diagnosis involved identified in the Length of Stay by Dia…

Notes 7 AAC 47.250 Repealed 8/1/86. State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare…

If an applicant is granted General Relief Medical assistance for treatment of an injury negligently or intentionally caused by another person, institution, corporation, or public or private agency, details of the incident from which the injury arose must be noted on the applicati…

Notes 7 AAC 47.270 Repealed 8/1/86. State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare…

(a) The division of medical assistance may not pay for a brand-name prescription drug if an FDA-approved generic drug of equal therapeutic effectiveness is available, unless the prescriber prohibits substitution. (b) The division of medical assistance may only pay for prescriptio…

(a) A person who requires a level of medical or rehabilitative care that could appropriately be provided in a skilled nursing facility or an intermediate care facility may apply to the department for waiver of any or all of the following standards of and requirements for eligibil…

In 7 AAC 47.010 - 7 AAC 47.290 (1) "prescribed drug" means a simple or compound substance, or mixtures of substances, prescribed for the cure, mitigation, or prevention of disease, or for health maintenance that is prescribed by a physician or other licensed practitioner of the h…

The department has determined that a need exists among the state's adult population for the availability of nonmedical residential care. The purpose of the program described under 7 AAC 47.300 - 7 AAC 47.535 is to provide temporary financial assistance to eligible adults, includi…

Assisted living care is a range of care described in AS 47.33 and 7 AAC 75 that includes more than housing and food service, but does not include continuous nursing or medical care. Assisted living care encompasses 24-hour supportive and protective services in the activities of d…

In this chapter, an assisted living home is a home licensed by the department under AS 47.33 and 7 AAC 75, and with which the department has entered into an assisted living home agreement for services under 7 AAC 47.440. Notes 7 AAC 47.320 Eff. 11/23/80, Register 76; am 1/14/2000…

(a) Assistance under 7 AAC 47.300 - 7 AAC 47.535 is available to an individual who(1) is a resident of the state; (2) is 18 years of age or older; (3) has been assessed for eligibility by a case manager or other person approved by the department; (4) has (A) a disability that is …

(a) Subject to allowable exclusions, to be eligible to receive services under 7 AAC 47.300 - 7 AAC 47.535, the total monthly countable income of an individual described in 7 AAC 47.330 may not exceed 175 percent of the annual federal poverty line for the state, as determined by t…

(a) Certain types of income, excluded under the APA program in 7 AAC 40, are also excluded under this chapter in determining the total monthly income of an individual described in 7 AAC 47.330, together with spousal income, if any, under 7 AAC 47.360, including (1) cash or other …

(a) Subject to allowable exclusions, to be eligible for assistance under 7 AAC 47.300 - 7 AAC 47.535, the total resources of an individual described in 7 AAC 47.330 may not exceed (1) $2,000 for the individual; or (2) $3,000 for an individual living with a spouse, regardless of w…

(a) Certain types of resources, excluded under the APA program in 7 AAC 40, are also excluded under this chapter in determining the resources of an individual described in 7 AAC 47.330, together with the resources of a spouse, if any, under 7 AAC 47.360, including (1) the individ…

(a) If the nonexcludable resources of an otherwise eligible applicant exceed the resource limits of 7 AAC 47.350, assistance will be provided if the applicant enters into an agreement with the (1) Social Security Administration under 20 C.F.R. 416.1240 - 20 C.F.R. 416.1244 to dis…

(a) Subject to allowable exclusions, the income and resources of a spouse who is living with an individual seeking assistance under 7 AAC 47.300 - 7 AAC 47.535 are considered available to the individual for purposes of computing the amount of the individual's income under 7 AAC 4…

The following computations are made to determine total monthly income: (1) the monthly income available to the individual seeking financial assistance is identified by source, type, and amount; (2) any amounts excluded under 7 AAC 47.345, 7 AAC 47.360, or 7 AAC 47.450 are subtrac…

Notes 7 AAC 47.367 Eff. 6/28/2002, Register 162; repealed 7/17/2024, Register 251, October 2024 State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More compariso…

(a) Not later than 30 days after an individual applies for assistance under 7 AAC 47.300 - 7 AAC 47.535, the individual must also submit an application to each agency, organization, or program that provides financial assistance for which the individual may be eligible. The depart…