Alaska Administrative Code
Title 7 - Health and Social Services
Part 8 - Medicaid Coverage and Payment
Chapter 110 - Medicaid Coverage; Professional Services
Article 9 - Nutrition Services
7 AAC 110.280 - Nutrition services for pregnant women
Universal Citation: 7 AK Admin Code 110.280
Current through November 28, 2024
(a) The department will pay for outpatient nutrition services provided to a recipient who is
(1) pregnant;
(2) consistent with the criteria in (b) of
this section, determined to be at high risk nutritionally by
(A) a physician, an advanced practice
registered nurse, or a physician assistant who may order those services within
the scope of the practitioner's license or certification; or
(B) a licensed dietitian or nutritionist
employed by a hospital or the state's Special Supplemental Nutrition Program
for Women, Infants, and Children (WIC) under
42 U.S.C.
1786.
(b) A pregnant recipient is at high risk nutritionally if the recipient
(1) has a
chronic or metabolic disease;
(2)
has a disease or condition that requires a prescribed therapeutic
diet;
(3) was underweight before
conception;
(4) has inadequate or
excessive weight gain during pregnancy;
(5) has a history of substance
abuse;
(6) has a history of low
birth-weight infants;
(7) has
multiple fetuses;
(8) has
anemia;
(9) has intrauterine growth
retardation; or
(10) is less than
16 years of age.
(c) The department will pay for the following nutrition services provided to a pregnant woman who meets the requirements of (a) and (b) of this section:
(1) one initial assessment, not to exceed one
hour, in a calendar year;
(2) up to
12 hours of services in a calendar year for counseling and follow-up care after
the initial assessment;
(3) more
than 12 hours of service in a calendar year if those hours are
(A) medically justified and prescribed by a
physician, an advanced practice registered nurse, or a physician assistant who
may order those services within the scope of the practitioner's license;
and
(B) given prior authorization
by the department.
Authority:AS 47.05.010
AS 47.07.030
AS 47.07.040
Disclaimer: These regulations may not be the most recent version. Alaska may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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