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 120.240 - Enteral and oral nutritional products
Universal Citation: 7 AK Admin Code 120.240
Current through November 28, 2024
(a) Subject to applicable requirements of 7 AAC 120.200 - 7 AAC 120.399, the department will pay a provider enrolled under 7AAC105.210 as a durable medical equipment provider providing durable medical equipment., medical supplies, and prefabricated off-the-shelf orthotics or related items and services under 7 AAC 120.200(a)(2) for enteral and oral nutritional products at the rate established in 7 AAC 145.420 if the products are
(1) not provided by, or under arrangements
made by, a home health agency or hospice program;
(2) prescribed by the attending physician,
physician assistant, or advanced practice registered nurse;
(3) certified as medically necessary by the
attending physician, physician assistant, advanced practice registered nurse,
or dietitian on a form provided by the department; certification of medical
necessity must indicate that sufficient caloric or protein intake is not
obtainable through regular, liquefied, or pureed food; and
(4) identified as an enteral formula in the
United States Department of Health and Human Services, Centers for Medicare and
Medicaid Services's (CMS) Healthcare Common Procedure Coding System
(HCPCS), adopted by reference in
7
AAC 160.900.
(b) In this section, "dietitian" means an individual who is licensed under AS 08.38 as a dietitian.
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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