Section 7 AAC 120.235 - Respiratory therapy equipment, supplies, and assessment visits(a) The department will pay a provider enrolled under 7 AAC 120.200 for respiratory therapy equipment and supplies if the (1) provider employs or contracts with a(A) registered respiratory therapist who(i) holds a valid national registry number and certificate from the National Board for Respiratory Care (NBRC) or a certificate from another body that the National Board for Respiratory Care recognizes as a credentialing equivalent; and(ii) is enrolled as a rendering provider under 7 AAC 105.210; or(B) certified respiratory therapy technician who (i) holds a valid national certificate from the National Board for Respiratory Care (NBRC) or a certificate from another body that the National Board for Respiratory Care recognizes as a credentialing equivalent; and(ii) is enrolled as a rendering provider under 7 AAC 105.210; and(2) equipment is not provided by, or under arrangements made by, a home health agency or hospice program.(b) The department will not pay a registered respiratory therapist or enrolled certified respiratory therapy technician separately for respiratory therapy assessment visits. The department will pay a durable medical equipment provider at the rate identified in 7 AAC 145.420 for each assessment provided to a ventilator-dependent recipient by a registered respiratory therapist or a certified respiratory therapy technician during an assessment visit, if the visit is (1) given prior authorization as part of the recipient's plan of care; and(2) certified as medically necessary by the recipient's attending physician, physician assistant, or advanced practice registered nurse, on a form provided by the department.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