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(1) “emergency service” means

(A) inpatient hospital care provided to a recipient admitted into the hospital from the emergency room of that hospital;

(B) outpatient hospital services and physician services provided to a recipient in response to the sudden and unexpected onset of an illness or accidental injury that requires immediate medical attention to safeguard the recipient’s life; in this subparagraph, “immediate medical attention” means medical care that the department determines cannot be delayed for 24 hours or more after the onset of the illness or occurrence of the accidental injury;

(2) “non-emergent condition” means a condition that does not require an emergency service;

(3) “qualified health care professional” means a health care provider who is licensed under AS 08 and whose area of licensure relates to the service or item identified under (b) of this section. (Eff. 2/1/2010, Register 193; am 1/1/2021, Register 236) Statutory Authority: Authority: AS 47.05.010 AS 47.07.030 AS 47.07.040 7 AAC 105.610. Recipient cost-sharing. (a) Except as provided in (b) of this section, a person eligible for Medicaid under 7 AAC 100 shall pay the following cost-sharing amounts:

(1) $50 per day up to a maximum of $200 per discharge for inpatient hospital services;

(2) five percent of allowable charges for outpatient hospital services;

(3) $3 per day for physician services;

(4) for a covered outpatient drug described in 7 AAC 120.110(b), $0.50 for each prescription that is filled or refilled with a payment for service of $50 or less, or $3.50 for each prescription that is filled or refilled with a payment for service of greater than $50; however, a cost-sharing amount is not required for

(A) a prescription for a covered outpatient drug for a recipient eligible under 7 AAC 48.560 (chronic and acute medical assistance; limited reimbursement for prescribed drugs