7 AAC 47.220 - Responsibility of recipient

(a) It is the responsibility of the recipient to

(1) guard his certification of eligibility with reasonable care to prevent it being used by unauthorized persons;

(2) present it to the provider at the time service is rendered;

(3) provide the identification supporting the proper use of the certification which the provider may require; and

(4) refrain from using the certification after eligibility has expired.

(b) The recipient is responsible for

(1) all charges incurred if no certification is presented, and for charges incurred before and after the eligibility period;

(2) all charges incurred for services that are not covered under 7 AAC 47;

(3) paying the hospital $50 for each day of stay up to a maximum of $200 per hospital admission; and

(4) paying a $1 co-payment on each prescribed drug or medical supply.

(c) The department will restrict a General Relief Medical recipient in the recipient's choice or providers in the same manner and for the same reasons that the department restricts Medicaid recipients under 7 AAC 43.027.

(d) If the department has awarded a group service agreement to providers or to a health facility or health facilities in the recipient's community, only the services provided to the recipient by those providers or health facilities may be reimbursed by the division of medical assistance.

Notes

7 AAC 47.220

Eff. 3/23/78, Register 65; am 4/15/82, Register 82; am 5/25/82, Register 84; am 6/28/85, Register 94; am 8/1/86, Register 99; am 11/28/86, Register 100

Authority:AS 47.05.010

AS 47.25.130

AS 47.25.170

AS 47.25.195