7 Alaska Admin. Code § 48.555

Current through September 25, 2024
Section 7 AAC 48.555 - Exclusions from the CAMA program

For services furnished on or after July 1, 2004, the department will not make a payment under the CAMA program for any expense that is

(1) for major medical care;
(2) for nursing facility care;
(3) for items and services not properly prescribed or determined necessary by a health care provider enrolled with the department;
(4) for a person in the care and custody of a federal, state, or local correctional facility;
(5) for an elective procedure;
(6) for services furnished at no charge to an Indian Health Service beneficiary by an Indian Health Service facility or a facility funded by the Indian Health Service;
(7) not directly related to the treatment of a medical condition listed in 7 AAC 48.525(b);
(8) for prescriptions after the first three are filled within a calendar month;
(9) for transportation; or
(10) for physician services if the physician services are furnished in an inpatient hospital or in a nursing facility.

7 AAC 48.555

Eff. 11/1/2002, Register 164; am 9/20/2003, Register 167; am 7/1/2004, Register 170

Authority:AS 47.05.010

AS 47.08.150