7 AAC 23.170 - Exhaustion of alternate resources

The department will not pay a cost of treatment unless no other resource is available to pay the cost. A child with a disability and the child's family shall fully use all alternate resources in the community. Alternative resources that the child and the child's family must exhaust before the department will pay costs of treatment include

(1) benefits under a worker's compensation law or plan of the United States or a particular state;

(2) benefits furnished by reason of membership in a prepayment plan, such as a health insurance plan or a Health Maintenance Organization;

(3) items or services provided or paid for directly or indirectly by a private or government health insurance plan or as health benefits of a governmental entity, including

(A) Veterans Administration;

(B) Armed Forces Retirees and Dependents Military Benefits Act;

(C) Armed Forces Active Duty and Dependents Military Medical Benefits Act;

(D) parts A and B of medicare;

(E) Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); and

(F) Fisherman's Fund;

(4) assistance under a medicaid program;

(5) special services for exceptional children provided by a school district under AS 14.30.186, and other counseling, screening, and therapy available through the schools; and

(6) vocational rehabilitation services under AS 23.15.010 and AS 23.15.210.

Notes

7 AAC 23.170

Eff. 6/28/85, Register 94

With Register 179, October 2006 and under the authority of AS 44.62.125, the regulations attorney changed obsolete terminology concerning persons with disabilities in conformity with ch. 25, SLA 2006.

Authority:AS 18.05.010

AS 18.05.030

AS 18.05.040