Alaska Administrative Code
Title 7 - Health and Social Services
Part 8 - Medicaid Coverage and Payment
Chapter 105 - Medicaid Provider and Recipient Participation
Article 1 - Medicaid Program; Scope and Authorization of Service
7 AAC 105.100 - Covered services

(1) is identified as a covered service in accordance with AS 47.07 and 7 AAC 105 - 7 AAC 160;

(2) is provided to an individual who is eligible for Medicaid under 7 AAC 100 on the date of service;

(3) is ordered or prescribed by a provider authorized to order or prescribe that service under applicable law;

(4) is provided by a person who is enrolled as a Medicaid provider or rendering provider under 7 AAC 105.210, or otherwise eligible to receive payment for services under 7 AAC 105 - 7 AAC 160;

(5) is medically necessary as determined by criteria established under 7 AAC 105 - 7 AAC 160 or by the standards of practice applicable to the provider;

(6) has received prior authorization from the department, if prior authorization is required under 7 AAC 105 - 7 AAC 160; and

(7) is not specifically excluded as a noncovered service under 7 AAC 105 - 7 AAC 160.