7 AAC 35.145 - Claims for services
(a) The department will pay costs described
at AS
12.65.025(a), (b), or (c)
subject to legislative appropriation and the limitation of this
section.
(b) A medical examiner,
funeral director, embalmer, state agency or common carrier shall submit a claim
to the department for payment of a cost described at
AS
12.65.025 by delivering the claim to the
division as directed by the division. A claim authorized by this subsection
must include
(1) the name and address of the
claimant;
(2) the date when and
location at which services were provided;
(3) the state medical examiner's accession
number and name of the deceased;
(4) an itemized description of the services
and goods provided;
(5) the name
and address to which payment should be directed;
(6) the names and addresses of all other
persons to whom the claimant has submitted or will submit claims for goods and
services related to the deceased, the amounts of any such claims, and the
nature of the services for which the claims were or will be made.
(c) A person or state agency may
submit a claim to the department for payment of a cost described at
AS
12.65.025(b) or (c) only if
he or she is authorized to provide those services under AS 08.42 and only if
the department has authorized the person to provide clothing and a casket for,
or cremation and inurnment of, the deceased. A claim authorized under this
subsection must include the information required under (b) of this section and,
in addition, must include the name, address, and relationship to the deceased
of the person legally responsible for burial of the deceased.
(d) A person responsible for the final
disposition of the deceased may request that the department authorize the
provision of clothing and a casket for the deceased, or cremation and interment
of the deceased, as follows:
(1) A request
must include
(A) the name of the
deceased;
(B) the name and address
of the person making the request;
(C) the current location of the
deceased;
(D) a statement that all
persons responsible for the final disposition of the deceased are eligible for
assistance under
AS
47.25.120-47.25.300 or are otherwise unable
to pay the costs described at
AS
12.65.025(b) or
(c).
(2) A person may make a request under (d)(1)
of this subsection orally if the department finds that the person cannot
deliver a written request to the department without undue delay or
inconvenience. A person who makes an oral request must submit a written
confirmation of the request to the department within 30 days after making the
oral request.
(e) In its
discretion, the department will investigate a claim to determine whether goods
and services were actually provided, whether the goods and services provided
were ordered by the state medical examiner, or whether the goods and services
were necessary. The department will, in its discretion, delay payment of the
costs claimed for a reasonable time pending investigation. The department will
not pay costs for goods or services if it finds that the goods or services were
not provided or were not related to an autopsy or post-mortem examination by
the state medical examiner or the state medical examiner's designee. The
department will not pay the costs of cosmetology that it finds was not
necessary to make the head, face, and hands of the deceased presentable after
those parts were disfigured by an autopsy.
(f) Except for contracts for services for a
local, regional, and district medical examiner under
AS
12.65.015, the department will pay no more
for the costs described in
AS
12.65.025 than the lower of either the amount
charged by the claimant to the general public for the same goods or service, or
the maximum amount or rate set in this subsection, as follows:
(1) embalming - $500;
(2) restoration of the body and wound repair
after the autopsy - $100;
(3) body
storage
(A) first five days - $0;
(B) 6th through 30th days - $15 a
day;
(C) upon prior approval by the
state medical examiner and with notice to the department after 30 days - $15 a
day;
(4) facility use
and administration for medical examination involving internal examination by
autopsy - $115;
(5) if a
state-transfer case is unavailable, as determined by the state medical
examiner, transfer case rental (round-trip) - $50;
(6) transportation of human remains by a
funeral director, embalmer, medical examiner, or state agency
(A) $100 unless otherwise approved by the
state medical examiner;
(B) each
mile that the remains are transported in excess of 25 miles, upon prior
approval by the state medical examiner - $2;
(C) actual costs of ferry charges or tolls
(include receipts with billing).
(g) A person who enters into a contract with
the state medical examiner for services described in
AS
12.65.025 or provides services for payment by
the state medical examiner agrees that
(1)
the state may audit the financial records of the person;
(2) the person will not, pending payment of a
claim, delay provision of services or delay the return of a body to persons
responsible for the burial of the body; and
(3) the person will not bill the family or
person making final disposition of the deceased for services for which the
state will pay under
AS
12.65.025.
Notes
Authority:AS 12.65.015
AS 12.65.025
AS 18.05.040
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