7 AAC 110.280 - Nutrition services for pregnant women

(a) The department will pay for outpatient nutrition services provided to a recipient who is

(1) pregnant;

(2) consistent with the criteria in (b) of this section, determined to be at high risk nutritionally by

(A) a physician, an advanced practice registered nurse, or a physician assistant who may order those services within the scope of the practitioner's license or certification; or

(B) a licensed dietitian or nutritionist employed by a hospital or the state's Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) under 42 U.S.C. 1786.

(b) A pregnant recipient is at high risk nutritionally if the recipient

(1) has a chronic or metabolic disease;

(2) has a disease or condition that requires a prescribed therapeutic diet;

(3) was underweight before conception;

(4) has inadequate or excessive weight gain during pregnancy;

(5) has a history of substance abuse;

(6) has a history of low birth-weight infants;

(7) has multiple fetuses;

(8) has anemia;

(9) has intrauterine growth retardation; or

(10) is less than 16 years of age.

(c) The department will pay for the following nutrition services provided to a pregnant woman who meets the requirements of (a) and (b) of this section:

(1) one initial assessment, not to exceed one hour, in a calendar year;

(2) up to 12 hours of services in a calendar year for counseling and follow-up care after the initial assessment;

(3) more than 12 hours of service in a calendar year if those hours are

(A) medically justified and prescribed by a physician, an advanced practice registered nurse, or a physician assistant who may order those services within the scope of the practitioner's license; and

(B) given prior authorization by the department.

Notes

7 AAC 110.280

Eff. 2/1/2010, Register 193; am 5/1/2016, Register 218, July 2016; am 4/24/2020, Register 234, April 2020

Authority:AS 47.05.010

AS 47.07.030

AS 47.07.040