7 Alaska Admin. Code § 115.100

Current through September 25, 2024
Section 7 AAC 115.100 - Occupational therapy provider enrollment requirements
(a) To be eligible for payment under 7 AAC 105 - 7 AAC 160 for providing outpatient occupational therapy services, a provider must be an
(1) occupational therapist who
(A) is enrolled in accordance with 7 AAC 105.210;
(B) provides documentation of an active license to practice occupational therapy in the jurisdiction in which the individual provides services; if services are provided in this state, the individual must hold an active license under AS 08.84; and
(C) if providing occupational therapy services out of state, is enrolled in the Medicaid program in the jurisdiction in which the individual provides services; or
(2) outpatient occupational therapy program operated by a tribal health program.
(b) The department will pay an occupational therapist for services provided in the state by a occupational therapy assistant if the occupational therapy assistant has
(1) an active license to practice as an occupational therapy assistant under AS 08.84; and
(2) enrolled separately with the department as a rendering provider under 7 AAC 105.210.
(c) To be eligible for payment under 7 AAC 105 - 7 AAC 160 for providing occupational therapy assistant services out of state, an out-of-state occupational therapy assistant must
(1) have an active license to practice as an occupational therapy assistant in the jurisdiction in which services are provided;
(2) provide proof of enrollment as a Medicaid provider in the jurisdiction in which the services are provided or documentation from that jurisdiction showing that occupational therapy assistants are not enrolled as Medicaid providers in that jurisdiction; and
(3) be enrolled separately with the department as a rendering provider under 7 AAC 105.210.

7 AAC 115.100

Eff. 2/1/2010, Register 193

Authority:AS 47.05.010

AS 47.07.030

AS 47.07.040