7 AAC 72.540 - Decision regarding eligibility for financial assistance
(a) The department
will review information submitted under
7 AAC 72.530 to verify that the patient meets the
eligibility requirements of
AS
47.31.010 and that each service for which
financial assistance is sought is an eligible service under
7 AAC 72.520(a) or (b). Subject to the
disclosure restrictions of 42 C.F.R. Part 2 for a patient who has also received
treatment for alcohol or drug abuse in a facility that receives federal
financial assistance as described in 42 C.F.R. Part 2, the department may,
after 10 days notice to the facility, review all financial and medical records
related to a patient for whom application for financial assistance has been
made.
(b) If the department
determines that the patient is eligible for financial assistance, payment will
be made directly to the designated facility that provided any service listed in
7 AAC 72.520(a) or (b), as required by
AS
47.31.030.
(c) If the department determines that the
patient is ineligible for financial assistance, or that a service provided is
not eligible under
7 AAC 72.520, the department will, as required by
AS
47.31.020, notify the patient and the
designated facility that the application for financial assistance has been
denied, and will advise the patient, the patient's legal representative, if
any, and the designated facility of the right to appeal the denial of
assistance under
AS
47.31.035.
Notes
Authority:AS 47.30.660
AS 47.31.025
AS 47.31.090
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