Alaska Administrative Code
Title 7 - Health and Social Services
Part 7 - Medicaid Assistance Eligibility
Chapter 100 - Medicaid Eligibility
Article 1 - Common Medicaid Eligibility Requirements
7 AAC 100.034 - Assignment of rights to third-party payment
Current through August 30, 2024
(a) To be eligible for Medicaid, an applicant or recipient must
(b) Signing an application for Medicaid on a form provided by the department constitutes assignment of the applicant's rights to third-party payment for medical care for which Medicaid coverage is sought.
(c) An assignment of rights under this section ends when the recipient's eligibility for Medicaid ends.
(d) The department will deny or terminate an applicant's or recipient's Medicaid eligibility if the applicant or recipient fails to assign rights or cooperate in obtaining or identifying a third-party resource, except that the department will not deny or terminate Medicaid eligibility for a child under 18 years of age if
(e) A third-party resource is an entity, individual, or program that is, or may be, liable to pay all or part of an applicant's or recipient's medical care for which Medicaid coverage is sought. A third-party resource includes
(f) Health care available to American Indians, Alaska Natives, and other beneficiaries of the United States Department of Health and Human Services, Indian Health Service, whether provided by the Indian Health Service or through tribal organizations funded in whole or in part by the Indian Health Service, is not a third-party resource for purposes of this section.
(g) An applicant or recipient may claim good cause for not cooperating with the assignment and cooperation requirements of this section by showing that, if required to cooperate, any individual for whom the applicant or recipient can assign rights could be subject to physical or emotional harm.
Authority:AS 47.05.010
AS 47.07.025
AS 47.07.040