7 AAC 48.550 - CAMA coverage
(a) The department will pay for services
furnished to eligible recipients under
7
AAC 48.525(b), subject to the limits
set out in this section and in
7
AAC 48.555 -
7
AAC 48.590.
(b) Medical services furnished under the CAMA
program are subject to the same limits placed on the amount, duration, and
scope of services furnished under the Medicaid program as set out in 7 AAC 105
- 7 AAC 160, except as provided in this section.
(c) For services furnished on or after July
1, 2004, the department will pay for the services listed in
AS
47.08.150(c)(1) and (4) only
if those services are directly related to the medical condition that makes the
recipient eligible under
7
AAC 48.525(b).
(d) The department will pay for the following
services:
(1) outpatient hospital radiation
and chemotherapy services furnished under
AS
47.08.150(c)(4) that are
rendered to a recipient in need of treatment for cancer, if prior authorization
for those services is obtained from the department;
(2) prescription drugs and medical supplies,
subject to the limits set out in
7
AAC 48.560;
(3) physician services furnished in a clinic,
physician's office, or an outpatient setting if those services are directly
related to the medical condition that makes the recipient eligible under
7
AAC 48.525(b).
Notes
Authority:AS 47.05.010
AS 47.08.150
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.