MEMORANDUM
DATE: September 9, 2003
TO: ALL CAMA MANUAL HOLDERS
FROM: Program & Policy Development
SUBJECT: CAMA Manual Change #1
This manual change includes policy clarifications and substantial coverage changes due to large reductions in the CAMA appropriations. Effective September 20, 2003, CAMA no longer covers any inpatient hospitalization, nursing home services, or transportation expenses. Effective October 1, 2003, prescription drug coverage is restricted to three approved prescriptions per recipient within a calendar month. Medical supplies will only be reimbursed if they are related to the administration of a drug product needed to treat one of the covered conditions and may not exceed a 30 day supply.
If you have any questions about this manual change, please contact the Policy and Program Development Team at 465-3347 or email dpa_policy@health.state.ak.us.
OVERVIEW OF CHANGES
900 – Introduction and General Provisions
Removes coverage for inpatient hospitalization, nursing home care and transportation.
Removes language about using the Med 4 application form for nursing home coverage.
910-3 – Verification and Documentation
910-4 – MED 11 Processing Instructions
940-4 – Determining Month Net Income
950 – Covered Medical Services
950 -2 - Major Medical Care , 950-3 - Transportation, and
950-4 - Nursing Home Care
These subsections are removed.
960 –1 – Period of Eligibility
Removes paragraph regarding eligibility for nursing home cases.
970 - The CAMA Authorization (COUPON)
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