Alaska Administrative Code
Title 7 - Health and Social Services
Part 8 - Medicaid Coverage and Payment
Chapter 135 - Medicaid Coverage; Behavioral Health Services
Article 4 - General Provisions
7 AAC 135.900 - Physicians providing behavioral health clinic services
Universal Citation: 7 AK Admin Code 135.900
Current through November 28, 2024
(a) If a physician provides behavioral health clinic services in a community behavioral health services provider organization, the physician may request payment for those services by submitting a claim for payment
(1) using the community behavioral health
services provider's medical assistance provider identification number; payment
for services under this paragraph is subject to the same requirements and
restrictions placed on a community behavioral health services provider under
this chapter; or
(2) using the
physician's medical assistance provider identification number; payment for
services under this paragraph is subject to the same requirements and
restrictions placed upon a physician under this chapter; the department will
pay a physician for medically necessary and clinically appropriate mental
health services only if the physician renders those services
directly.
(b) If a physician provides behavioral health clinic services in a mental health physician clinic, the physician may request payment for those services by submitting a claim for payment
(1) using the
mental health physician clinic medical assistance provider identification
number; payment for services under this paragraph is subject to the same
requirements and restrictions placed on a mental health physician clinic under
this chapter; or
(2) using the
physician's medical assistance provider identification number; payment for
services under this paragraph is subject to the same requirements and
restrictions placed upon a physician under this chapter; the department will
pay a physician for medically necessary and clinically appropriate mental
health services only if the physician renders those services
directly.
Authority:AS 47.05.010
AS 47.07.030
AS 47.07.040
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