Current through September 25, 2024
Section 7 AAC 120.430 - Authorized escort(a) The department will approve transportation and accommodation services for an authorized escort to accompany a recipient during travel authorized by the department for medical treatment if (1) the recipient is 17 years of age or younger; or(2) the recipient is 18 years of age or older and the department determines that the escort is medically necessary for the recipient.(b) All transportation and accommodation services for an authorized escort must be approved by the department before the time that the transportation and accommodation services are provided. The recipient's health care provider must request authorization for an escort at the same time transportation and accommodation services are requested for the recipient. If the recipient is 18 years of age or older, the recipient's health care provider must submit sufficient information to establish medical necessity for the escort.(c) The department will not pay for transportation services for an authorized escort if the recipient is transported by ground ambulance or air ambulance.(d) A provider may not submit a claim to the department for an additional or a higher accommodation rate when the recipient and authorized escort stay in the same room, or when more than one escort stays in the same room, unless the department determines that the circumstances warrant a higher rate as indicated in the prior authorization.(e) A provider may not submit a claim to the department for more than one room for the recipient and escort or for more than one escort, unless the department determines that circumstances warrant separate accommodations as indicated in the prior authorization.(f) The department may deny approval of an individual to serve as escort if the individual has demonstrated behavior that is not in the best interest of the recipient or if the individual cannot fulfill the responsibilities of an escort.Eff. 2/1/2010, Register 193; am 6/7/2018,Register 226, July 2018 ; am 7/1/2020,Register 234, July 2020Authority:AS 47.05.010
AS 47.07.030
AS 47.07.040