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 3 - Transportation and Accommodation Services
7 AAC 120.410 - Prior authorization for nonemergency transportation services

(a) The department will pay for the least expensive mode of nonemergency transportation to and from an appointment with the closest appropriate provider for a recipient if the

(b) In determining the mode of nonemergency transportation authorized, the department will consider the

(c) Payment for nonemergency transportation services, except for transportation services described under (i) of this section and services authorized under 7 AAC 110.210(c) and (d), requires prior authorization by the department.

(d) The recipient's health care provider shall request prior authorization for nonemergency transportation and accommodation services on behalf of the recipient by submitting a request to the department or its designee. If accommodation services are necessary, the provider shall request prior authorization for accommodation services at the same time that the provider requests prior authorization for nonemergency transportation services.

(e) The department will pay for changes to nonemergency transportation services authorized under this section if a recipient is forced to change authorized travel plans for reasons beyond the recipient's control, including the cancellation of an airline flight due to weather conditions or the closing of an airport for security reasons, or if the recipient's provider determines that the recipient must stay longer than previously approved because the medical service for which the recipient traveled reveals the need for additional services, screening, or treatment. The recipient's provider shall notify the department or its designee of the change in the recipient's travel plans immediately upon becoming aware that the change is necessary, but not later than the next business day.

(f) Payment for rescheduled travel that occurs

(g) If a recipient's travel plans change for a reason not described in (e) of this section, the department will not pay to change or rebook a flight unless, before the departure of the flight, the recipient, the recipient's escort, or the recipient's provider notifies the Medicaid travel office that originally arranged the travel.

(h) The department will not pay for the following nonemergency transportation services:

(i) A claim submitted to the department for the cost of nonemergency ground and air ambulance transportation service must be accompanied by written medical justification for the service.