Alaska Administrative Code
Title 7 - Health and Social Services
Part 8 - Medicaid Coverage and Payment
Chapter 145 - Medicaid Payment Rates
Article 9 - Payment Rates; Facility and Facility-Based Services
7 AAC 145.630 - Ambulatory surgical center payment rates

(a) The department will pay for services rendered in an ambulatory surgical center at the rate determined in accordance with 7 AAC 150. The department shall establish payment rates for each group code as assigned by the Ambulatory Surgical Center (ACS) Approved HCPCS Codes and Payment Ratesspreadsheet, adopted by reference in 7 AAC 160.900. The department will pay the highest valued procedure of multiple procedures at 100 percent of the procedure's group rate and all additional procedures will be paid at 50 percent of the procedure group rate.

(b) A payment made under (a) of this section covers all operative functions attendant to medically necessary surgery performed at the clinic by a private physician or dentist, including admitting and laboratory tests, recipient history and examination, operating room staffing and attendants, recovery room care, and discharge. The payment includes all supplies related to the surgical care of the recipient while in the clinic. The payment excludes the physician's fee, radiologist's fee, and anesthesiologist's fee.