Current through November 28, 2024
(a) The department
will pay for family planning services authorized under this section if those
services are provided by one of the following enrolled providers:
(1) a family planning clinic of the
department;
(2) a family planning
clinic of a local governmental health department;
(3) a student health service operated by an
educational institution;
(4) a
private family planning clinic;
(5)
a physician, advanced practice registered nurse, or physician
assistant;
(6) a federally
qualified health center or rural health clinic.
(b) A family planning service provider that
operates its own laboratory 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.
(c) An out-of-state family planning services
provider must
(1) meet the definition of a
family planning services provider in the jurisdiction in which services are
provided;
(2) be enrolled in the
jurisdiction in which it provides services; and
(3) enroll as a family planning services
provider in this state.
(d) The department will pay for the following
family planning services provided by a family planning services provider
authorized under this section:
(1) office
visits for counseling services identified by one of the procedure codes in the
range of 99201 to 99215 in
Current Procedural Terminology
(CPT), adopted by reference in
7
AAC 160.900;
(2) laboratory services performed by a family
planning services provider that meets the certificate requirements of (b) of
this section; and
(3) prescription
drugs prescribed in accordance with
7
AAC 120.100 -
7
AAC 120.140.
(e) The department will not pay separately
for
(1) office supplies and services
associated with office visits and procedures identified in (d) of this section;
or
(2) handling or conveyance of a
specimen from one provider to another under procedure codes 99000 and 99001 in
Current Procedural Terminology (CPT), adopted by reference in
7
AAC 160.900.
(f) In this section, "family planning
services"
(1) means services and materials
provided with the purpose of postponing, avoiding, or terminating
pregnancy;
(2) includes the
dispensing of birth control drugs and devices for males and females, and the
performance of vasectomies, sterilizations, and abortions for the purpose of
avoiding or terminating pregnancy.
Authority:AS
47.05.010
AS 47.07.030
AS
47.07.040
