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 110.410 - Physician services in a nursing facility
Universal Citation: 7 AK Admin Code 110.410
Current through November 28, 2024
(a) For a physician visit to a recipient living in a nursing facility, the department will not pay for more than
(1) one initial evaluation and
management visit per recipient stay; and
(2) one subsequent or established care visit
per recipient per 30-day period.
(b) In addition to a visit covered under (a) of this section, the department will pay for a physician visit if the physician submits supporting documentation substantiating the medical need for the additional visit.
(c) The 30-day limit established in (a)(2) of this section does not apply to a physician service provided in response to a medical emergency.
Authority:AS 47.05.010
AS 47.07.030
AS 47.07.040
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