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 120.430 - Authorized escort

(a) The department will approve transportation and accommodation services for an authorized escort to accompany a recipient during travel authorized by the department for medical treatment if

(b) All transportation and accommodation services for an authorized escort must be approved by the department before the time that the transportation and accommodation services are provided. The recipient's health care provider must request authorization for an escort at the same time transportation and accommodation services are requested for the recipient. If the recipient is 18 years of age or older, the recipient's health care provider must submit sufficient information to establish medical necessity for the escort.

(c) The department will not pay for transportation services for an authorized escort if the recipient is transported by ground ambulance or air ambulance.

(d) A provider may not submit a claim to the department for an additional or a higher accommodation rate when the recipient and authorized escort stay in the same room, or when more than one escort stays in the same room, unless the department determines that the circumstances warrant a higher rate as indicated in the prior authorization.

(e) A provider may not submit a claim to the department for more than one room for the recipient and escort or for more than one escort, unless the department determines that circumstances warrant separate accommodations as indicated in the prior authorization.

(f) The department may deny approval of an individual to serve as escort if the individual has demonstrated behavior that is not in the best interest of the recipient or if the individual cannot fulfill the responsibilities of an escort.