Purchased Referred Care (PRC) is the Health Service referral care program that pays for health services that are not directly provided at Chief Andrew Isaac Health Center (CAIHC), or Alaska Native Medical Center (ANMC).
Your provider may place a referral to a local specialist when services are not available at ANMC . The provider referral is not an authorization for payment, but a referral for medical services. Before a Referral Authorization Order is issued, PRC is required to screen all patients for the following: Residency, Alternate Resources, and Indian Health Services eligibility.
- PRC is Not An Entitlement, or a guarantee of payment.
- PRC is not an Insurance program.
- PRC is the “Payer of Last Resort” per Federal Regulations (42CFR36.61).
For our office to pay for your contract health services, it is important that you understand the process and your obligations. Since funds are limited, there are mandatory federal guidelines that must be followed and enforced.
CONTACT US:
907-451-6682, ext. 3613
Toll-Free: 1-800-478-6682, ext. 3613
Out-of-state toll-free: 1-800-770-8251, ext. 3613
HOURS:
Monday-Friday
8:00am-5:00pm
LOCATION:
Al Ketzler Sr. Building
201 1st Ave., Ste 121
Fairbanks, AK 99701
Our Services
You should call us before you receive services. When you call, it is very important to find out if you are eligible and if the services you need are covered. Don’t wait until it’s too late. Our contact info is above.
(We do not have after-hours telephone coverage, please leave a voice mail message and we will return your call the next business day)
Payments for services received are provided to eligible beneficiaries according to Health Service’s eligibility policy. Generally, to be eligible for TCC health services you must be an Alaska Native or American Indian with proof that you are a member or a descendant of a member of a federally recognized tribe.
To be eligible for Purchased & Referred Care services you must also have been a permanent resident in Alaska for the previous 180 days (6 months) and a minimum of 30 days in the Interior Alaska Service Unit with the intent to stay, and not to have moved to the IASU because of a pre-existing medical reason.
More information is available in our Patient Handbook or by calling our offices.
Emergency care is defined in the Purchased Referred Care Funds and Emergency Room Care Policy as “medical conditions for which immediate medical attention is necessary to prevent death or serious impairment of the health of an individual. For infants under the age of one and Elders 65 and over, for onset of a sudden condition”.
If CAIHC is open and available to provide the needed care, TCC Purchased Referred Care will not pay for services rendered at Fairbanks Memorial Hospital’s Emergency Department. Remember that CAIHC Urgent Care is open 7 days a week till 6pm in the evenings and on weekends. If CAIHC staff determine that you need specialized or hospital care, they will immediately refer you to Fairbanks Memorial Hospital (FMH).
All after hour clinic emergencies, please call 907 451-6682 or 1-800-478-6682. The after hour triage line will answer and give you guidance as to where to seek care.
Non-emergency services include, but are not limited to:
- Prescription drug refills
- Upper respiratory infections
- Minor cuts and bruises
- Dental encounters –not deemed emergent by the on-call dentist
- Urinary Tract Infections
- Vomiting
- Colds
- Ear infections
- Minor rashes
- Sinus infections
- Medical Clearance (ETOH)
- Seen during Clinic hours