Section 7 AAC 140.590 - Medicare coinsurance(a) The department will pay, on behalf of a recipient, the coinsurance established under part A of Medicare for care rendered from the 21st through the 100th day of care in a nursing facility. The department will pay the nursing facility rate established for care in that particular facility beyond the 100th day.(b) Rejection or nonpayment by Medicare of services provided by a nursing facility because the services were custodial in nature or because the facility did not choose to participate as a Medicare provider is not, by itself, justification for the department to make full payment to a nursing facility during the period from the 1st to the 100th day of care at a nursing facility. The department will make payment to the nursing facility in accordance with the level of care appropriate to the recipient's needs as determined by the nursing facility's utilization review committee and approved by the department.Eff. 2/1/2010, Register 193Authority:AS 47.05.010
AS 47.07.030
AS 47.07.040