Alaska Administrative Code
Title 7 - Health and Social Services
Part 8 - Medicaid Coverage and Payment
Chapter 120 - Medicaid Coverage; Prescription Drugs and Medical Supplies; Durable Medical Equipment; Prosthetics and Orthotics Transportation Services
Article 2 - Durable Medical Equipment and Medical Supplies; Related Services
7 AAC 120.235 - Respiratory therapy equipment, supplies, and assessment visits

Universal Citation: 7 AK Admin Code 120.235

Current through November 28, 2024

(a) The department will pay a provider enrolled under 7 AAC 120.200 for respiratory therapy equipment and supplies if the

(1) provider employs or contracts with a
(A) registered respiratory therapist who
(i) holds a valid national registry number and certificate from the National Board for Respiratory Care (NBRC) or a certificate from another body that the National Board for Respiratory Care recognizes as a credentialing equivalent; and

(ii) is enrolled as a rendering provider under 7 AAC 105.210; or

(B) certified respiratory therapy technician who
(i) holds a valid national certificate from the National Board for Respiratory Care (NBRC) or a certificate from another body that the National Board for Respiratory Care recognizes as a credentialing equivalent; and

(ii) is enrolled as a rendering provider under 7 AAC 105.210; and

(2) equipment is not provided by, or under arrangements made by, a home health agency or hospice program.

(b) The department will not pay a registered respiratory therapist or enrolled certified respiratory therapy technician separately for respiratory therapy assessment visits. The department will pay a durable medical equipment provider at the rate identified in 7 AAC 145.420 for each assessment provided to a ventilator-dependent recipient by a registered respiratory therapist or a certified respiratory therapy technician during an assessment visit, if the visit is

(1) given prior authorization as part of the recipient's plan of care; and

(2) certified as medically necessary by the recipient's attending physician, physician assistant, or advanced practice registered nurse, on a form provided 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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