AN/AI Eligible Veterans. Preauthorization is not required for AN/AI Eligible Veterans receiving Direct Care Services from ATHP or from another Tribal Health Program in Alaska, provided that inpatient stays longer than three days may be subject to AVAHS review and authorization. Nothing in this Agreement authorizes AVAHS to reimburse a Tribal Health Program other than ATHP.
AN/AI Eligible Veterans. AVAHS will reimburse ATHP for drugs provided to an AN/AI Eligible Veteran during an outpatient visit, and for prescriptions filled by ATHP.
AN/AI Eligible Veterans. As claims are submitted, AVAHS shall pay ATHP the full amount of reimbursement provided for under this Agreement. AVAHS will determine the amount of copayments that VA is required to collect for Direct Care Services provided to Eligible Veterans by ATHP, and on a periodic basis submit a report of those copayment amounts to ATHP. ATHP shall reimburse AVAHS for the copayment amounts specified in the report within 45 days of receiving the report.
