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 145.660 - ICF/IID all-inclusive rate
Universal Citation: 7 AK Admin Code 145.660
Current through November 28, 2024
(a) The rate established for an intermediate care facility for the mentally retarded (ICF/MR) includes all services, supplies, and equipment required for complete care, except as otherwise provided in this section.
(b) The following services are included in the ICF/MR all-inclusive rate and will not be paid for separately:
(1) resident living staff, dental services,
training and habilitation services, medical services, nursing services,
pharmacy services, physical and occupational therapy services, psychological
services, recreational services, social services, and speech pathology and
audiology services, as prescribed in 42 C.F.R. 442.300 - 442.516, adopted by
reference in
7
AAC 160.900;
(2) nonprescription drugs;
(3) periodic oxygen, if that is all that is
required by the recipient;
(4) all
transportation in a facility's vehicle and related to the recipient's care and
recreation;
(5) an annual physical
examination for a recipient in a long-term care facility.
(c) The following services are not included in the ICF/MR all-inclusive rate:
(1) services
provided out of the facility by a physician, hospital, or other provider, other
than services listed in (b)(1) of this section;
(2) nonemergency, continuous heavy use of
oxygen described in
7
AAC 140.615(a); if given prior
authorization by the department, the department will pay the facility the
facility's cost of the oxygen;
(3)
legend drugs and biologicals;
(4)
essential transportation for residents to and from a source of medical care;
the department will pay the carrier directly for that essential
transportation;
(5) transportation
for nonmedical reasons in a vehicle other than the facility's
vehicle.
Authority:AS 47.05.010
AS 47.07.030
AS 47.07.040
AS 47.07.070
Disclaimer: These regulations may not be the most recent version. Alaska may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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