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 135.910 - Licensed mental health professionals providing behavioral health services

(a) A mental health professional enrolled under 7 AAC 105.210 and licensed as required in AS 08 who provides behavioral health services under this chapter may only request payment for those services by submitting a claim for payment using the

(b) If, during an assessment, evaluation, or treatment of a recipient under 21 years of age, the provider determines that the recipient may meet the criteria in 7 AAC 135.065 for a child experiencing a severe emotional disturbance, the provider shall refer the recipient to a community behavioral health services provider that provides behavioral health rehabilitation services in the community.

(c) If, during an assessment, evaluation, or treatment of a recipient 21 years of age or older, the provider determines that the recipient may meet the criteria in 7 AAC 135.055 for an adult experiencing a serious mental illness, the provider shall refer the recipient to a community behavioral health services provider that provides behavioral health rehabilitation services in the community.

(d) If, during an assessment, evaluation, or treatment of a recipient, the provider discovers that the recipient meets the criteria in 7 AAC 135.020(b)(1) for an individual experiencing a substance use disorder, the provider shall refer the recipient to a community behavioral health services provider that provides substance use disorder treatment services in the community.

(e) If a provider covered under this section refers a recipient to a community behavioral health services provider for rehabilitation services in accordance with (b) - (d) of this section, the provider may still continue to provide other services to the recipient that the provider is eligible to provide under 7 AAC 110.

(f) A service provided under 7 AAC 140.215 by a psychologist, clinical social worker, marital and family therapist, or professional counselor enrolled under 7 AAC 105.210 must be billed by the federally qualified health center and may not be billed separately by the psychologist, clinical social worker, marital and family therapist, or professional counselor.