Alaska Administrative Code
Title 7 - Health and Social Services
Part 8 - Medicaid Coverage and Payment
Chapter 115 - Medicaid Coverage; Therapies and Related Services
Article 4 - Speech-Language Pathology Services
7 AAC 115.410 - Speech-language pathology services
Universal Citation: 7 AK Admin Code 115.410
Current through August 30, 2024
The department will pay for speech-language pathology services and supplies
(1) that are identified in the Fee Schedule for Therapy Senvcis, adopted by reference in 7 AAC 160.900; and
(2) if those services and supplies, except the initial evaluation, are
(A) prescribed by
a physician, advanced practice registered nurse (APRN), or physician assistant
(PA) enrolled under 7 AAC 105 - 7 AAC 160 and the services and supplies
prescribed are within the scope of the practitioner's license;
(B) within the scope of practice of an
speech-language pathologist or speech-language pathology assistant;
(C) provided by or under the direction of a
speech-language pathologist who is enrolled under 7 AAC 105 - 7 AAC
160;
(D) provided in accordance
with the initial evaluation conducted under
7 AAC 115.420(a) and treatment plan
developed by the speech-language pathologist under
7 AAC 115.420(b); and
(E) documented in a progress note to include
start and stop times for time-based billing codes used as provided in the
Healthcare Common Procedure Coding System (HCPCS), adopted by
reference in
7 AAC 160.900.
(3) for an individual 21 years of age or older, the department will pay for
(A) eight
units of speech-language therapy evaluation services each state fiscal
year;
(B) 15 units of
speech-language therapy services each state fiscal year; and
(C) additional units of occupational therapy
services if the department gives prior authorization based on medical
justification submitted by the provider.
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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