Section 7 AAC 139.040 - Service rates, limits, and authorization(a) The behavioral health 1115 waiver services rates are found in the department's Chart of 1115 Medicaid Waiver Services, adopted by reference in 7 AAC 160.900. Click here to view image
(b) The department will not pay for a behavioral health 1115 waiver service beyond the limits listed in the Alaska Behavioral Health Providers Services Standards & Administrative Procedures for Behavioral Health Provider Services, adopted by reference in 7 AAC 160.900, without prior authorization from the department. Click here to view image
(c) A provider of behavioral health 1115 waiver services must file a request for prior authorization of an extension for a behavioral health 1115 waiver service beyond service limits under (b) of this section using a form approved by the department. The request must (1) be documented in the clinical record; (2) include the expected duration of the service; and (3) include an explanation for the need to extend the service. (d) Except as provided in (b) of this section, a provider that meets the requirements of 7 AAC 136.020 may provide any behavioral health 1115 waiver service without prior authorization from the department. (e) The department may review a provider's clinical record to confirm the need for an extension of a behavioral health 1115 waiver service. Eff. 5/21/2020, Register 234; am 10/4/2020, Register 236Authority:AS 47.05.010
AS 47.05.270
AS 47.07.030
AS 47.07.036