Section 7 AAC 110.230 - Family planning services(a) The department will pay for family planning services authorized under this section if those services are provided by one of the following enrolled providers: (1) a family planning clinic of the department;(2) a family planning clinic of a local governmental health department;(3) a student health service operated by an educational institution;(4) a private family planning clinic;(5) a physician, advanced practice registered nurse, or physician assistant;(6) a federally qualified health center or rural health clinic.(b) A family planning service provider that operates its own laboratory must have a CMS Clinical Laboratory Improvement Amendments (CLIA) certificate of waiver under 42 C.F.R. 493.35- 493.37 or a registration certificate under 42 C.F.R. 493.43- 493.45.(c) An out-of-state family planning services provider must(1) meet the definition of a family planning services provider in the jurisdiction in which services are provided;(2) be enrolled in the jurisdiction in which it provides services; and(3) enroll as a family planning services provider in this state.(d) The department will pay for the following family planning services provided by a family planning services provider authorized under this section: (1) office visits for counseling services identified by one of the procedure codes in the range of 99201 to 99215 in Current Procedural Terminology (CPT), adopted by reference in 7 AAC 160.900;(2) laboratory services performed by a family planning services provider that meets the certificate requirements of (b) of this section; and(3) prescription drugs prescribed in accordance with 7 AAC 120.100 - 7 AAC 120.140.(e) The department will not pay separately for (1) office supplies and services associated with office visits and procedures identified in (d) of this section; or(2) handling or conveyance of a specimen from one provider to another under procedure codes 99000 and 99001 in Current Procedural Terminology (CPT), adopted by reference in 7 AAC 160.900.(f) In this section, "family planning services" (1) means services and materials provided with the purpose of postponing, avoiding, or terminating pregnancy;(2) includes the dispensing of birth control drugs and devices for males and females, and the performance of vasectomies, sterilizations, and abortions for the purpose of avoiding or terminating pregnancy.Eff. 2/1/2010, Register 193; am 4/24/2020, Register 234, April 2020Authority:AS 47.05.010
AS 47.07.030
AS 47.07.040