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.

History: 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

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