Alaska Administrative Code
Title 7 - Health and Social Services
Part 5 - Services for Behavioral Health Recipients, Seniors, and Persons with a Disability
Chapter 72 - Civil Commitment
Article 10 - Mental Health Treatment Assistance Program
7 AAC 72.530 - Application for financial assistance
Universal Citation: 7 AK Admin Code 72.530
Current through August 30, 2024
(a) An application for assistance that is submitted under AS 47.31.015(a) must include
(1) a copy of the invoice for the services
for which financial assistance is sought;
(2) proof of gross monthly household income;
this proof includes paycheck stubs, tax records, unemployment check stubs, a
signed statement from an employer, or any other document that shows evidence of
income for the month during which a patient received care provided by a
designated facility; and
(3)
identification of and information about any third-party payor that provides
insurance coverage to the patient; for purposes of this paragraph, the
following persons are not third-party payors under
AS
47.31.010:
(A) the United States Department of Interior,
Bureau of Indian Affairs;
(B) the
United States Department of Health and Human Services, Indian Health
Service;
(C) the patient's private
insurance company, if the company does not cover mental health inpatient
treatment or the maximum benefit level for that treatment has been
reached.
(b) If a designated facility makes a notification under AS 47.31.015(b), the notification must
(1) be signed and submitted
by the administrator; and
(2)
include
(A) any information as to whether a
thirty-party payor is responsible for payment; and
(B) subject to the disclosure restrictions of
42 C.F.R. Part 2 for a patient who is also being treated for alcohol or drug
abuse in a facility that receives federal assistance as described in 42 C.F.R.
Part 2, a copy of the invoice for the services for which financial assistance
is sought.
(c) If the facility receives payment from a patient or a third-party payor after being reimbursed by the department under this chapter, the administrator shall return the money to the department.
Authority:AS 47.30.660
AS 47.31.015
AS 47.31.090
Disclaimer: These regulations may not be the most recent version. Alaska may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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