7 Alaska Admin. Code § 110.445

Current through September 25, 2024
Section 7 AAC 110.445 - Mental health services by a physician
(a) Subject to the limitations identified in this section, the department will pay for mental health services provided by a physician if those services are
(1) medically necessary;
(2) rendered directly by that physician; and
(3) specified in a treatment plan that meets the requirements of 7 AAC 135.120(a) (1) - (5) and (b).
(b) The department will pay a psychiatrist for providing health care services in an inpatient psychiatric hospital, general acute care hospital, nursing facility, intermediate care facility for the mentally retarded, or residential psychiatric treatment center.
(c) The department will not pay a physician for experimental therapy, nonmedical outpatient therapy, or nonmedical counseling, including any of the following services:
(1) repealed 9/1/2023;
(2) preparing of reports;
(3) narcosynthesis;
(4) socialization;
(5) recreation therapy;
(6) primal therapy;
(7) marathon group therapy;
(8) megavitamin therapy;
(9) pastoral counseling;
(10) employment counseling;
(11) explanation of an examination to a family member or other responsible person when the explanation is provided outside of a family therapy session;
(12) interaction between recipient and provider by means of the Internet, except as provided in 7 AAC 110.620 - 7 AAC 110.639 for telehealth services.
(d) The department will not pay a psychiatrist for providing group psychotherapy services to a recipient in an inpatient psychiatric hospital or in a general acute care hospital offering psychiatric services.
(e) Mental health services rendered by someone other than a physician, an advanced practice registered nurse, a rural health clinic, or a federally qualified health center must be provided by an individual licensed under AS 08 and within the individual's scope of practice under 7 AAC 135, or must be provided by a tribal health program.

7 AAC 110.445

Eff. 2/1/2010, Register 193; am 10/1/2011, Register 199; am 4/24/2020, Register 234, April 2020; am 9/1/2023, Register 247, October 2023

Authority:AS 47.05.010

AS 47.07.030

AS 47.07.040

AS 47.07.069