Purchased/Referred Care (PRC)
What is Purchased/Referred Care (PRC)?
Formerly known as Contract Health Services, Purchased/Referred Care (PRC) is a benefit to Alaska Native and American Indian people that provides funding for referred medical services not available at the Alaska Native Medical Center (ANMC). Following ANMC PRC’s policies and procedures may allow us to assist with the cost of medical services received from non-ANMC facilities and providers.
What is the referral process For Routine Scheduled Care?
- Visit your primary care provider and if necessary, they will refer you to ANMC.
- An ANMC provider initiates all referrals.
- All patients are screened for Medicaid, Medicare or private health insurance. If eligible, PRC will help patients apply.
- ANMC specialty clinic services [PDF]
What is the referral process for emergency medical care outside of Alaska?
In an emergency: Seek medical attention first and then notify PRC as soon as possible, ideally within three days. Anyone acting on behalf of the patient can make the call. Coverage for those traveling outside of Alaska is limited to emergent medical care. Emergency medical coverage is provided for:
- People moving outside Alaska (180 days maximum) other than residents of Tanana Chiefs Conference, Ketchikan Indian Community, Metlakatla Indian Community or SouthEast Alaska Regional Health Consortium.
- Travelers, temporarily outside Alaska, other than residents of Tanana Chiefs Conference, Ketchikan Indian Community, Metlakatla Indian Community or SouthEast Alaska Regional Health Consortium.
- Full-time students and legal dependents, other than residents of Tanana Chiefs Conference, Ketchikan Indian Community or Metlakatla Indian Community.
If you have any questions call ANMC PRC at (907) 729-2470 or toll free 1-800-478-1636.
Examples of services not covered by ANMC PRC:
- Medical services (including follow-up appointments) provided by a non-ANMC health care provider that has not been referred by an ANMC physician and authorized by PRC.
- Obstetric deliveries at private hospitals not referred by an ANMC physician and authorized by PRC.
- Inpatient or outpatient mental health services.
- Inpatient or outpatient substance abuse programs.
- Second opinions.
- Medical care considered investigational or experimental.
- Nursing home or long-term care facilities.
- Routine and emergent dental services.
- Services from non-ANMC facilities if an Indian Health Service facility or Tribal Health Facility was open and available to provide the needed care.
- Medical services received in other Alaska PRC service areas, such as Fairbanks, Juneau, Sitka, Kenai, Homer, Kodiak, Seward, Ketchikan, Valdez, Palmer, Wasilla, etc., unless authorized by ANMC PRC. Contact the respective PRC program for that area for assistance.
Who is eligible?
- Alaska Native and American Indians who are Alaska residents for 180 days immediately prior to the date of service and with the intent to remain in Alaska indefinitely.
- Alaska Natives and American Indians must meet ANMC’s eligibility policy requirements.
- Non-Indian women pregnant with an eligible Alaska Native or American Indian child.
- Children of an eligible Alaska Native or American Indian, including non-Indian foster children, adopted children, stepchildren, legal wards or orphans, until the age of nineteen.
- Purchased/Referred Care overview brochure [PDF]
- Purchased/Referred Care wallet card [PDF]
- Purchased/Referred Care Student Medical & Dental Program overview brochure [PDF]
- Purchased/Referred Care Student Medical & Dental Program wallet card [PDF]
- Patient Registration worksheet [PDF]
- FAQ [PDF]
- IHS Medical Priorities
- IHS Tribal Health Facilities Map
Emergency Care Notification
Toll free: (800) 478-1636
4141 Ambassador Dr #148
Anchorage, AK 99508
4315 Diplomacy Drive
Anchorage, AK 99508