DETERMINATION OF FINAL PAYMENT FOR COVERED VACCINE:
NOTICE OF PROPOSED REGULATIONS CHANGES
DIVISION OF INSURANCE
| BRIEF DESCRIPTION The Division of Insurance proposes to adopt regulation changes in Title 3 of the Alaska Administrative Code relating to the determination of final payment for a vaccine covered by an insurance policy that is an "included vaccine" as defined under AS 18.09.900 and purchased by a provider instead of obtained from the state under the statewide immunization program established under AS 18.09.200. |
The Division of Insurance proposes to adopt regulation changes in Title 3 of the Alaska Administrative Code, dealing with the determination of final payment for a vaccine covered by an insurance policy that is an "included vaccine" as defined under AS 18.09.900 and purchased by a provider instead of obtained from the state under the statewide immunization program established under AS 18.09.200.
3 AAC 26.110(a) is repealed and readopted to include a new paragraph to require that a person that provides coverage in this state for health care services or supplies on an expense incurred basis for which benefits are based on the amount that is less than the actual amount billed for health care services or supplies shall, for a vaccine covered by an insurance policy that is an "included vaccine" as defined under AS 18.09.900 and purchased by a provider instead of obtained from the state under the statewide immunization program established under AS 18.09.200, determine the final payment for the covered vaccine at an amount equal to or greater than the cost of the state purchased vaccine under the statewide immunization program.
You may comment on the proposed regulation changes, including the potential costs to private persons of complying with the proposed action, by submitting written comments to the Division of Insurance; Attention: Katie Campbell, P.O. Box 110805, Juneau, AK 99811-0805 or by e-mail to katie.campbell@alaska.gov; or by fax to (907) 465-3422. Comments may also be submitted through the Alaska Online Public Notice System at http://aws.state.ak.us/OnlinePublicNotices. All comments must be received no later than 5:00 p.m. on June 3, 2015.
Oral or written comments also may be submitted at a hearing to be held on May 20, 2015 in Room 515, Frontier Building, 3601 C Street, Anchorage, Alaska. The hearing will be held from 11:00 a.m. to 12:30 p.m., and may be extended to accommodate those present before 12:30 p.m. who may not have had the opportunity to comment. If you are unable to attend the meeting in person and would like to participate by teleconference, please call (760) 569-7171 and enter the access code 103063718 followed by # (pound sign). Note that the Division of Insurance hearing will be held in conjunction with a Department of Health and Social Services hearing relating to that agency's proposed regulations on establishing a statewide immunization program.
You may submit written questions relevant to the Division of Insurance proposed action to Chip Wagoner, Regulations Specialist II, Division of Insurance, P.O. Box 110805, Juneau, AK 99811-0805 or by e-mail to chip.wagoner@alaska.gov. The questions must be received at least 10 days before the end of the public comment period. The Division will aggregate its response to substantially similar questions and make the questions and response available on the Division's website at http://commerce.alaska.gov/dnn/ins/HearingsMeetingsandNotices.aspx or on the Alaska Online Public Notice System. The Division may, but is not required to, answer written questions received after the 10-day cut-off date and before the end of the comment period.
If you are a person with a disability who needs a special accommodation in order to participate in the process, please contact Rosalyn Singleton at (907) 269-8000 no later than May 11, 2015 to ensure that any necessary accommodations can be provided.
For a copy of the proposed regulation changes, please go to http://commerce.alaska.gov/dnn/ins/HearingsMeetingsandNotices.aspx, or contact the Division of Insurance at (907) 269-7900 in Anchorage or (907) 465-2515 in Juneau.
After the public comment period ends, the Division of Insurance will either adopt these or other provisions dealing with the same subject, without further notice, or decide to take no action on them. The language of the final regulations may be different from that of the proposed regulations. YOU SHOULD COMMENT DURING THE TIME ALLOWED IF YOUR INTERESTS COULD BE AFFECTED. Written comments and questions received are public records and are subject to public inspection.
Statutory Authority: AS 21.06.090; AS 21.36.125; AS 21.42.205
Statutes Being Implemented, Interpreted, or Made Specific: AS 21.42.205
Fiscal Information: This action is not expected to require an increased appropriation.
DATE: April 24, 2015
Lori Wing-Heier
Director of Insurance