Alaska Administrative Code
Title 7 - Health and Social Services
Part 8 - Medicaid Coverage and Payment
Chapter 110 - Medicaid Coverage; Professional Services
Article 10 - Physician Services
7 AAC 110.400 - Physician services provider enrollment requirements
Current through November 28, 2024
(a) To be eligible for payment under 7 AAC 105 - 7 AAC 160 for providing physician services, the provider must
(b) To be eligible for payment under 7 AAC 105 - 7 AAC 160 for providing physician services in a group practice, the group must
(c) In addition to meeting the requirements of (a) of this section, to be eligible for payment for laboratory services performed in the physician's own laboratory, a physician must have a CMS Clinical Laboratory Improvement Amendments (CLIA) certificate of waiver under 42 C.F.R. 493.35 - 493.37 or a registration certificate under 42. C.F.R. 493.43 - 493.45. A copy of the CLIA certificate of waiver or registration certificate must be submitted with the application for enrollment under 7 AAC 105.210.
(d) In addition to meeting the requirements of (a) of this section, to be eligible for payment for dispensing prescription drugs, a physician must enroll as a dispensing provider under 7 AAC 120.100.
(e) A hospital-based physician must be individually enrolled as a physician under this section.
Authority:AS 47.05.010
AS 47.07.030
AS 47.07.040