Section 7 AAC 74.040 - Payment for services in a pioneers' home(a) Every resident and recipient shall pay the appropriate monthly or daily rate plus ancillary charges if financially able to do so. Every applicant and resident shall provide income and resource verification to the department upon admission, if there is a change in resources or income, and if there is a change in the level of service. The department will use the income and resource verification to determine the ability of the applicant and resident to pay and evaluate eligibility for other assistance.(b) A resident and a recipient who is not financially able to pay the appropriate rate shall apply to the department for payment assistance on a form supplied by the department. The department will determine the amount of assistance in accordance with 7 AAC 74.045.(c) The department is not liable for the medical expenses of a resident or recipient and, except for the medication expenses described in 7 AAC 74.050(b) (2), is not responsible for the payment of those expenses.(d) A person applying for or receiving payment assistance as a resident or a recipient under AS 47.55 shall apply for the following state or federally sponsored programs that may reduce the amount of payment assistance under AS 47.55: (1) Medicaid under 42 U.S.C. 1396 b - 1396v (Title XIX of the Social Security Act);(2) Medicare under 42 U.S.C. 1395- 1395 hhh (Title XVIII of the Social Security Act);(3) Supplemental Security Income under 43 U.S.C. 1382- 1383 a (Title XVI of the Social Security Act);(4) any program that the department identifies in writing to the person that may reduce the amount of payment assistance needed under AS 47.55; the department will make the identification authorized under this paragraph after a review of information available to the department.(e) To meet the requirement of (d) of this section, the person shall complete any forms necessary to apply for the programs specified in (d)(1) - (4) of this section within 60 days of a request from the department. If the person is unable to complete those forms, the department may designate staff to complete the forms on the person's behalf.(f) If the department determines that a person is ineligible for a program specified in (d) of this section, the department may waive the application requirement and inform the person that the person is not required to apply to the program.Eff. 8/1/2004, Register 171; am 12/31/2005, Register 176; am 8/30/2019, Register 231, October 2019; am 4/14/2021, Register 238, July 2021; am 7/9/2023, Register 247, October 2023Authority:AS 47.55.010
AS 47.55.020
AS 47.55.030
AS 47.55.070