7 AAC 110.230 - Family planning services
(a) The department
will pay for family planning services authorized under this section if those
services are provided by one of the following enrolled providers:
(1) a family planning clinic of the
department;
(2) a family planning
clinic of a local governmental health department;
(3) a student health service operated by an
educational institution;
(4) a
private family planning clinic;
(5)
a physician, advanced practice registered nurse, or physician
assistant;
(6) a federally
qualified health center or rural health clinic.
(b) A family planning service provider that
operates its own laboratory must have a CMS Clinical Laboratory Improvement
Amendments (CLIA) certificate of waiver under
42 C.F.R.
493.35-
493.37 or a registration
certificate under 42 C.F.R.
493.43-
493.45.
(c) An out-of-state family planning services
provider must
(1) meet the definition of a
family planning services provider in the jurisdiction in which services are
provided;
(2) be enrolled in the
jurisdiction in which it provides services; and
(3) enroll as a family planning services
provider in this state.
(d) The department will pay for the following
family planning services provided by a family planning services provider
authorized under this section:
(1) office
visits for counseling services identified by one of the procedure codes in the
range of 99201 to 99215 in Current Procedural Terminology
(CPT), adopted by reference in
7
AAC 160.900;
(2) laboratory services performed by a family
planning services provider that meets the certificate requirements of (b) of
this section; and
(e) The department will not pay separately
for
(1) office supplies and services
associated with office visits and procedures identified in (d) of this section;
or
(2) handling or conveyance of a
specimen from one provider to another under procedure codes 99000 and 99001 in
Current Procedural Terminology (CPT), adopted by reference in
7
AAC 160.900.
(f) In this section, "family planning
services"
(1) means services and materials
provided with the purpose of postponing, avoiding, or terminating
pregnancy;
(2) includes the
dispensing of birth control drugs and devices for males and females, and the
performance of vasectomies, sterilizations, and abortions for the purpose of
avoiding or terminating pregnancy.
Notes
Authority:AS 47.05.010
AS 47.07.030
AS 47.07.040
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