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4080-4 B. CATASTROPHIC MEDICAL AND DENTAL PAYMENTS

When a family has catastrophic medical and/or dental payments, the portion of the payments exceeding ten percent (10%) of the family’s monthly income is an allowable deduction if: the payments are for services provided to the parent(s) and/or children of the CCAP family; are made for more than sixty (60) days; and are projected to be an ongoing expense for more than six (6) months. If the family is a recipient of a State of Alaska Medicaid program, only the portion of the payments not covered by the Medicaid program are allowable if that amount exceeds ten percent (10%) of the family’s monthly income. The portion of the family’s medical and dental insurance premiums for allowable services that exceeds ten percent (10%) of the family’s monthly income is also allowed as a deduction.

When a family is claiming catastrophic medical and/or dental payments, verification of the payment amount and service(s) paying for to determine if the expenses are allowable and more than ten percent (10%) of the family’s monthly countable income and allowable as a deduction.

Acceptable verification of catastrophic medical and dental payments includes: copies of medical and/or dental bills indicating a payment; and/or payment plans reflecting payments made.

1. Allowable Services a. Payment for procedures and treatments are allowable under Alaska Statute (AS) 47.07 regardless of the family member’s eligibility for Medicaid coverage and unless specifically excluded as a non-covered service.

b. Adult dental care and treatment for • preventative dental care; • treatment of cavities, • pain, and infection; and • dentures and orthodontia in extreme cases of malformation meeting the criteria under AS 47.07 for payment for care and treatment for children under the Medicaid program.

c. Medical and dental insurance premiums for services described in 1. a. or b. above.