7 Alaska Admin. Code § 115.400

Current through September 25, 2024

Section 7 AAC 115.400 - Speech-language pathology enrollment requirements

(a) To be eligible for payment under 7 AAC 105 - 7 AAC 160 for providing speech-language pathology services, a provider must be

(1) a speech-language pathologist who

(A) is enrolled in accordance with 7 AAC 105.210;

(B) provides documentation of an active license to practice speech-language pathology 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 08.11; and

(C) if providing speech-language pathology services out of state, is enrolled in the Medicaid program in the jurisdiction in which the individual provides services; or

(2) an outpatient speech therapy program operated by a tribal health program.

(b) The department will pay a speech-language pathologist for services provided in the state by a

(1) speech-language pathology assistant if the speech-language pathology assistant

(A) has an active registration to practice as a speech-language pathology assistant under AS 08.11.043; and

(B) has enrolled separately with the department as a rendering provider under 7 AAC 105.210; or

(2) speech-language pathologist described in AS 08.11.025(b)(3), if the speech-language pathologist

(A) has an active temporary license to practice as a speech-language pathologist under AS 08.11.025; and

(B) has 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 speech-language pathology services, an out-of-state

(1) speech-language pathology assistant must

(A) have an active registration to practice as a speech-language pathology assistant in the jurisdiction in which services are provided;

(B) provide proof of enrollment as a Medicaid provider in the jurisdiction in which services are provided or documentation from that jurisdiction that speech-language pathology assistants are not enrolled as Medicaid providers in that jurisdiction; and

(C) be enrolled separately with the department as a rendering provider;

(2) speech-language pathologist described in AS 08.11.025(b)(3) must

(A) have an active temporary license to practice as a speech-language pathologist in the jurisdiction in which services are provided;

(B) provide proof of enrollment as a Medicaid provider in the jurisdiction in which services are provided or documentation from that jurisdiction that speech-language pathologists holding a temporary license are not enrolled as Medicaid providers in that jurisdiction; and

(C) be enrolled separately with the department as a rendering provider under 7 AAC 105.210.

7 AAC 115.400

Eff. 2/1/2010, Register 193

Authority:AS 47.05.010

AS 47.07.030

AS 47.07.040