(a) The department
will pay for a service recommended as a result of the EPSDT screening, if that
service is an authorized service under
42 U.S.C.
1396-
1396w-1.
(b) The department will pay for the following
additional services for children under 21 years of age if the screening
identifies a need for that service:
(1)
podiatry services under
7
AAC 110.500 -
7
AAC 110.505;
(2) nutrition services under
7
AAC 110.275;
(3) private-duty nursing services under
7
AAC 110.520 - 7 AAC 110.535;
(4) hospice care under
7
AAC 140.280;
(5) chiropractic services under
7
AAC 110.120;
(6) dental services under
7
AAC 110.145 -
7
AAC 110.155;
(7) physical therapy under
7
AAC 115.300 -
7
AAC 115.320;
(8) occupational therapy under
7
AAC 115.100 -
7
AAC 115.120;
(9) speech therapy under
7
AAC 115.400 -
7
AAC 115.420;
(10) autism services under
7
AAC 135.350.
(c) The department will pay for
transportation services identified in (d) of this section if, before the date
of travel, the recipient or provider requests prior authorization for travel
from the department and if the department determines that
(1) the transportation is needed to
(A) obtain an EPSDT screening or medically
necessary service identified by an EPSDT screening;
(B) obtain a prenatal screening and resulting
referrals;
(C) attend an
appointment with a local office responsible within the department for
implementing the Special Supplemental Nutrition Program for Women Infants, and
Children (WIC) under
42
U.S.C. 1786;
(D) obtain necessary medical care for a
recipient under 21 years of age, if
(i) the
medical care involves intercommunity travel;
(ii) the medical care is not the result of an
EPSDT screening;
(iii) the
recipient lives in a community not served by a common carrier; and
(iv) the recipient is not eligible for
transportation services under
7
AAC 120.400 -
7
AAC 120.490; or
(E) obtain a prescription that is required as
a result of an EPSDT or prenatal screening;
(2) the recipient is under 21 years of age
and eligible for Medicaid under 7 AAC 100;
(3) other appropriate transportation services
are not available; and
(4) the
medical service requested is not available closer to the recipient's
residence.
(d) The
department will pay for the following transportation services authorized under
(c) of this section:
(2) a taxi, shuttle, or
similar form of ground transportation;
(3) a mileage payment for use of a private
vehicle driven for medical purposes.
