AK HB92

Exempts written direct care agreements between health care providers and patients from insurance regulation if the agreement specifies periodic fees, allows termination with 60 days notice, and includes a statement that it is not health insurance.

Applies the direct care agreement exemption only to health care providers who accept new medical assistance or Medicare recipients, or maintain a practice where 20 percent or more of patients are medical assistance or Medicare recipients.

Establishes a direct care payment program allowing the Department of Health and Social Services to contract directly with health care providers to serve medical assistance recipients for periodic fees, with voluntary enrollment and provider selection by recipients.

Requires the department to immediately amend and submit the state Medicaid plan to federal authorities for approval and to apply for any necessary waivers to implement the direct care payment program.

Makes the exemption provisions and direct care payment program conditional on federal Medicaid plan approval by October 1, 2021, with implementation occurring on different dates depending on federal approval.