(a) Congenital
Cleft dental services;
(b) Mobius
Syndrome dental services;
(c) Cystic
Fibrosis treatment;
(d) Phenylketonuria
treatment;
(e) a Penicillin Prophylaxis program to prevent
further medical complications as a result of a person having had Rheumatic
Fever.
AR 248/85
s1;17/99;251/2001;297/2003
2(1) To be eligible for Congenital Cleft
dental services a person shall
(a) be
a resident of Alberta,
(b) be
registered at
(i) the University of Alberta Hospital Cleft Lip and Palate Clinic,
or
(ii) the Alberta Children’s Hospital Cleft Lip and Palate Clinic,
(c) be
certified as having a congenital cleft of the alveolar ridge by the personnel
of a clinic referred to in clause (b), and
(d) be
authorized by the personnel of a clinic referred to in clause (b) to receive
the treatment.
(2) Where dental treatment associated with a
congenital cleft of the alveolar ridge is authorized by a clinic referred to in
subsection (1)(b), the Minister shall pay for the costs of that treatment in
accordance with the Cleft Palate Dental Indemnity Program Dental Fee Payment
Guidelines, as approved and published by the Minister and as amended by the
Minister from time to time.
AR 248/85
s2;17/99;297/2003
3(1) To be eligible for treatment of the
medical condition Mobius Syndrome a person shall
(a) be
less than 18 years of age,
(b) be
a resident of Alberta,
(c) be
diagnosed as having the medical condition Mobius Syndrome by a physician
authorized to practise
(i) in Alberta, or
(ii) in Alberta or Saskatchewan, in the case of a resident of Alberta
receiving dental services in Lloydminster, and
(d) have
a document from a physician referred to in clause (c) in which the physician
certifies that the person has the medical condition Mobius Syndrome.
(2) The Minister shall pay for the costs
relating to restorative, surgical and prosthetic dental care used for the
treatment of the medical condition Mobius Syndrome.
(3) Notwithstanding subsection (2), the Minister
shall not pay for surgical costs if they are paid for under the Alberta
Health Care Insurance Act.
AR 248/85 s3
4(1) To be eligible for treatment of the
medical condition Cystic Fibrosis a person shall
(a) be
less than 18 years of age,
(b) be
a resident of Alberta,
(c) be
diagnosed as having the medical condition Cystic Fibrosis by a physician on
behalf of
(i) the University of Alberta Hospital Cystic Fibrosis Clinic, or
(ii) the Alberta Children’s Hospital Cystic Fibrosis Clinic.
(2) The Minister shall pay for the costs of all
antibiotics and pancreatic enzymes used for the treatment of the medical
condition Cystic Fibrosis that are prescribed by a physician on behalf of a
clinic referred to in subsection (1)(c).
AR 248/85 s4
5(1) To be eligible for treatment of
Phenylketonuria a person shall
(a) be
less than 7 years of age,
(b) be
a resident of Alberta, and
(c) be
diagnosed as having Phenylketonuria by a physician on behalf of
(i) the University of Alberta Hospital Pediatric Metabolic Disease
Clinic, or
(ii) the Alberta Children’s Hospital Pediatric Metabolic Disease
Clinic.
(2) The
Minister shall pay for the costs of all special dietary items used for the
treatment of Phenylketonuria that are prescribed by a physician of the clinic
referred to in subsection (1)(c).
(3) Notwithstanding subsection (1)(a), where a
physician referred to in subsection (1)(c) recommends that a person 7 years of
age or older be treated for Phenylketonuria, the Minister may pay for that
treatment under subsection (2).
AR 248/85 s5
6(1) To be eligible for the Penicillin
Prophylaxis program a person shall
(a) be
less than 18 years of age,
(b) be
a resident of Alberta,
(c) be
diagnosed according to the Jones criteria as having acute Rheumatic Fever by a
physician authorized to practise
(i) in Alberta, or
(ii) in Alberta or Saskatchewan, in the case of a resident of Alberta
receiving medical services in Lloydminster.
(2) The Minister shall pay for the costs of penicillin
prescribed by a physician as a preventive measure against further medical
complications as a result of having had Rheumatic Fever.
AR 248/85 s6
6.1(1) Notwithstanding sections 1 to 6, the
Minister may, for the purposes of section 12 of the Public Health Act
provide, or pay for all or part of the cost of providing, services, supplies,
equipment, care, drugs, medicines and biological agents to persons who suffer
from other severe medical conditions not referred to in sections 1 to 6.
(2) The provision of or payment for services,
supplies, equipment, care, drugs, medicines and biological agents under
subsection (1) is subject to any terms and conditions the Minister may
prescribe with respect to eligibility.
AR 494/87
s2;17/99;251/2001
7 Alberta
Regulations 69/74 and 250/74 are repealed.
AR 248/85 s7
8 For the purpose of ensuring
that this Regulation is reviewed for ongoing relevancy and necessity, with the
option that it may be repassed in its present or an amended form following a
review, this Regulation expires on November 30, 2012.
AR 297/2003 s4
