Section 7 AAC 115.410 - Speech-language pathology servicesThe department will pay for speech-language pathology services and supplies
(1) that are identified in the Fee Schedule for Therapy Senvcis, adopted by reference in 7 AAC 160.900; and(2) if those services and supplies, except the initial evaluation, are (A) prescribed by a physician, advanced practice registered nurse (APRN), or physician assistant (PA) enrolled under 7 AAC 105 - 7 AAC 160 and the services and supplies prescribed are within the scope of the practitioner's license;(B) within the scope of practice of an speech-language pathologist or speech-language pathology assistant;(C) provided by or under the direction of a speech-language pathologist who is enrolled under 7 AAC 105 - 7 AAC 160;(D) provided in accordance with the initial evaluation conducted under 7 AAC 115.420(a) and treatment plan developed by the speech-language pathologist under 7 AAC 115.420(b); and(E) documented in a progress note to include start and stop times for time-based billing codes used as provided in the Healthcare Common Procedure Coding System (HCPCS), adopted by reference in 7 AAC 160.900.(3) for an individual 21 years of age or older, the department will pay for(A) eight units of speech-language therapy evaluation services each state fiscal year;(B) 15 units of speech-language therapy services each state fiscal year; and(C) additional units of occupational therapy services if the department gives prior authorization based on medical justification submitted by the provider.Eff. 2/1/2010, Register 193; am 4/24/2020, Register 234, April 2020; am 3/3/2023, Register 245, April 2023Authority:AS 47.05.010
AS 47.07.030
AS 47.07.040