Title 47 — Welfare, Social Services, and Institutions
34 chapters · 745 sections in this title.
AS 47.07.010 Purpose.
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It is declared by the legislature as a matter of public concern that the needy persons of this state who are eligible for medical care at public expense under this chapter should seek only uniform and high quality care that is appropriate to their condition and cost-effective to …
AS 47.07.020 Eligible persons.
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(a) All residents of the state for whom the Social Security Act requires Medicaid coverage are eligible to receive medical assistance under 42 U.S.C. 1396 — 1396p (Title XIX, Social Security Act). (b) In addition to the persons specified in (a) of this section, the following opti…
AS 47.07.025 Assignment of medical support rights.
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(a) An applicant for or recipient of assistance under this chapter is considered to have assigned to the state, through the department and the child support services agency, all rights to accrued and continuing medical support that the applicant and other persons for whom assista…
AS 47.07.030 Medical services to be provided.
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(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 o…
AS 47.07.032 Inpatient psychiatric services for persons under 21 years of age.
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(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 un…
AS 47.07.035 Priority of medical assistance. [Repealed, § 4 ch 106 SLA 2003.]
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[Repealed or reserved.]
AS 47.07.036 Cost containment measures authorized.
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(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…
AS 47.07.038 Collaborative, hospital-based project to reduce use of emergency department services.
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[Repealed or reserved.]
AS 47.07.039 Coordinated care demonstration projects.
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(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…
AS 47.07.040 State plan for provision of medical assistance.
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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 De…
AS 47.07.042 Recipient cost-sharing.
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(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.…
AS 47.07.045 Home and community-based services.
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(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 governmen…
AS 47.07.046 Traumatic or acquired brain injury services.
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(a) The department shall provide traumatic or acquired brain injury 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 feder…
AS 47.07.048 Host home care services. [See conditional effective date note.]
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[Repealed or reserved.]
AS 47.07.050 Implementation of the medical assistance program.
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The department shall take the steps necessary to adopt those regulations, prepare necessary documentation for the state and providers, and undertake the systems design that may be necessary to implement the provisions of this chapter on or before November 1, 1972. Implementation …
AS 47.07.055 Recovery of medical assistance from estates.
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(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 propert…
AS 47.07.060 Receipt of federal money.
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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 …
AS 47.07.063 Payment for certain services furnished or paid for by a school district.
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(a) The department may pay medical assistance under this chapter to a school district on behalf of an eligible child, including a child with a disability, for rehabilitative and other mandatory and optional services covered under this chapter that are furnished or paid for by the…
AS 47.07.065 Payment for prescribed drugs.
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(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 authorizati…
AS 47.07.067 Payment for adult dental services.
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(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 cha…
AS 47.07.068 Payment for abortions.
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(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…
AS 47.07.069 Payment for telehealth.
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(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 …
AS 47.07.070 Payment rates for health facilities.
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(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…
AS 47.07.071 Reports by health facilities.
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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.
AS 47.07.072 Report by the department. [Repealed, § 35 ch 126 SLA 1994.]
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[Repealed or reserved.]
AS 47.07.073 Uniform accounting, budgeting, and reporting.
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(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 ite…
AS 47.07.074 Audits and inspections.
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(a) As a condition of obtaining payment under AS 47.07.070, a health facility shall allow (1) the department reasonable access to the records of medical assistance recipients and providers; and (2) audit and inspection of the records by state and federal agencies. (b) The departm…
AS 47.07.075 Administrative procedure.
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(a) Actions of the department regarding health facility payment rates under this chapter and AS 47.25.120 — 47.25.300 are subject to provisions of AS 44.62 (Administrative Procedure Act) except as provided in (b) of this section, and the hearing for an appeal must be conducted by…
AS 47.07.076 Reports to legislature.
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(a) The department and the attorney general shall annually prepare a report relating to the medical assistance program under this chapter. The report must include the following information: (1) the amount and source of funds used to prevent or prosecute fraud, abuse, payment erro…
AS 47.07.080 [Renumbered as AS 47.07.900.]
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[Repealed or reserved.]
AS 47.07.085 Supplemental reimbursement for emergency medical transportation services.
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(a) The department shall develop a program to provide supplemental reimbursement to eligible emergency medical transportation service providers for the cost of providing services to medical assistance recipients. Except as provided in (b) of this section, the amount of the supple…
AS 47.07.110 Secs. 47.07.110 — 47.07.190. Medicaid Rate Advisory Commission. [Repealed, § 6 ch 28 SLA 2003.]
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[Repealed or reserved.]
AS 47.07.900 Definitions.
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In this chapter, (1) [Repealed, § 4 ch 52 SLA 2006.] (2) “advanced practice registered nurse services” means services furnished by a person who is licensed as an advanced practice registered nurse under AS 08.68.850 that are within the scope of regulations adopted under AS 08.68.…