Alaska Administrative Code
Title 7 - Health and Social Services
Part 8 - Medicaid Coverage and Payment
Chapter 135 - Medicaid Coverage; Behavioral Health Services
Article 1 - Scope; Eligibility; Enrollment; Authorization
7 AAC 135.030 - Behavioral health provider enrollment and organization
Current through November 28, 2024
(a) To be eligible for payment under 7 AAC 135.010 - 7 AAC 135.370 for providing Medicaid behavioral health services, a provider must be enrolled in Medicaid under 7 AAC 105.210 and must be either
(b) If a community behavioral health services provider is administratively, organizationally, financially, or otherwise connected to a health facility, as defined in AS 47.07.900, the community behavioral health services provider must account for income and expenses separately from the health facility to verify that the cost used by the department to determine the health facility's prospective payment rate under 7 AAC 150 is excluded from the operating cost of the community behavioral health services provider.
(c) If a community behavioral health services provider is operated by a governmental or corporate entity that concurrently operates a health facility, the health facility may provide administrative and other support services to the community behavioral health services provider. However, the department will not include the cost of providing those behavioral health services in determining the health facility's prospective payment rate under 7 AAC 150. If a physician or other health professional is employed by the health facility and by the community behavioral health services provider, the physician or other health professional must be employed under a separate written agreement with the community behavioral health services provider that requires that the cost of services provided by the physician or other health care professional be
(d) The department will pay for behavioral health clinic services provided by a mental health physician clinic only if the
(e) Repealed 11/10/2019.
Authority:AS 47.05.010
AS 47.07.030
AS 47.07.069