Alaska Administrative Code
Title 7 - Health and Social Services
Part 8 - Medicaid Coverage and Payment
Chapter 115 - Medicaid Coverage; Therapies and Related Services
Article 1 - Occupational Therapy Services
7 AAC 115.100 - Occupational therapy provider enrollment requirements
Universal Citation: 7 AK Admin Code 115.100
Current through August 30, 2024
(a) To be eligible for payment under 7 AAC 105 - 7 AAC 160 for providing outpatient occupational therapy services, a provider must be an
(1)
occupational therapist who
(A) is enrolled in
accordance with
7 AAC 105.210;
(B) provides documentation of an active
license to practice occupational therapy in the jurisdiction in which the
individual provides services; if services are provided in this state, the
individual must hold an active license under AS 08.84; and
(C) if providing occupational therapy
services out of state, is enrolled in the Medicaid program in the jurisdiction
in which the individual provides services; or
(2) outpatient occupational therapy program
operated by a tribal health program.
(b) The department will pay an occupational therapist for services provided in the state by a occupational therapy assistant if the occupational therapy assistant has
(1) an active license to practice as an
occupational therapy assistant under AS 08.84; and
(2) enrolled separately with the department
as a rendering provider under
7 AAC 105.210.
(c) To be eligible for payment under 7 AAC 105 - 7 AAC 160 for providing occupational therapy assistant services out of state, an out-of-state occupational therapy assistant must
(1) have an active license to practice as an
occupational therapy assistant in the jurisdiction in which services are
provided;
(2) provide proof of
enrollment as a Medicaid provider in the jurisdiction in which the services are
provided or documentation from that jurisdiction showing that occupational
therapy assistants are not enrolled as Medicaid providers in that jurisdiction;
and
(3) be enrolled separately with
the department as a rendering provider under
7 AAC 105.210.
Authority:AS 47.05.010
AS 47.07.030
AS 47.07.040
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