Section 7 AAC 110.630 - Telehealth provider requirements and conditions for paymentSubject to the requirements of 7 AAC 110.620 - 7 AAC 110.639, to be eligible for payment under 7 AAC 105 - 7 AAC 160 for providing a service by means of a telehealth modality, a provider must meet the following requirements:
(1) the provider must have an active license under AS 08 or AS 47, an active certification in the state, or an active license under the applicable laws of the jurisdiction in which the provider is located;(2) the provider must be enrolled under 7 AAC 105.210;(3) the provider, if licensed under AS 08 and required under 12 AAC 02.600, must be registered under 12 AAC 02.600 (telemedicine business registry);(4) the service must be delivered within the rendering provider's, and if applicable, consulting provider's scope of licensure or certification;(5) a claim submitted to the department must include applicable telehealth modifiers and place-of-service coding;(6) if the rendering provider or consulting provider determines, during a telehealth encounter, that a service extends beyond the scope of that provider's license or certification, the provider must discontinue the encounter and refer the recipient to an appropriate provider; the rendering provider or consulting provider may bill only for the portion of the encounter that was within that provider's scope of license or certification and only if the rendered portion of the encounter met all criteria of a separately billable service;(7) except as otherwise provided in 7 AAC 105-7 AAC 160, a recipient must be present during and participate in a telehealth encounter;(8) the provider must comply with all record keeping requirements set out under 7 AAC 105.230 for all telehealth services rendered;(9) the rendering provider and consulting provider, when delivering a service by means of a synchronous telehealth modality, must annotate the patient's clinical record with the method of delivery, the recipient's location during the delivery of the service, and confirmation that the recipient has consented to a telehealth method of delivery.Eff. 2/1/2010, Register 193; am 9/1/2023, Register 247, October 2023Authority:AS 47.05.010
AS 47.07.030
AS 47.07.040
AS 47.07.069