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138. 1115 Substance Use Disorder Waiver Services (7 AAC 138.010 — 7 AAC 138.900) 139. Behavioral Health 1115 Waiver Services (7 AAC 139.010 — 7 AAC 139.900) 140. Medicaid Coverage; Facility and Facility-Based Services (7 AAC 140.100 — 7 AAC 140.810) 145. Medicaid Payment Rates (7 AAC 145.005 — 7 AAC 145.799) 150. Prospective Payment System; Other Payment (7 AAC 150.010 — 7 AAC 150.990) 155. Tribal Health Programs (7 AAC 155.010 — 7 AAC 155.040) 160. Medicaid Program; General Provisions (7 AAC 160.100 — 7 AAC 160.990) Chapter 105. Medicaid Provider and Recipient Participation. Article 1. Medicaid Program; Scope and Authorization of Service (7 AAC 105.100 — 7 AAC 105.140) 2. Provider Enrollment, Rights, and Responsibilities (7 AAC 105.200 — 7 AAC 105.290) 3. Provider Sanctions and Remedies (7 AAC 105.400 — 7 AAC 105.490) 4. Restriction of Recipient’s Choice of Providers; Cost-Sharing (7 AAC 105.600 — 7 AAC 105.610) Article 1. Medicaid Program; Scope and Authorization of Service. Rule 7 AAC 105.100. Covered services 7 AAC 105.110. Noncovered services 7 AAC 105.120. Out-of-state covered services 7 AAC 105.130. Services requiring prior authorization 7 AAC 105.140. Covered services during declared disaster emergency 7 AAC 105.100. Covered services. The department will pay for a service only if that service

(1) is identified as a covered service in accordance with AS 47.07 and 7 AAC 105 — 7 AAC 160;

(2) is provided to an individual who is eligible for Medicaid under 7 AAC 100 on the date of service;

(3) is ordered or prescribed by a provider authorized to order or prescribe that service under applicable law;

(4) is provided by a person who is enrolled as a Medicaid provider or rendering provider under 7 AAC 105.210, or otherwise eligible to receive payment for services under 7 AAC 105 — 7 AAC 160;

(5) is medically necessary as determined by criteria established under 7 AAC 105 — 7 AAC 160 or by the standards of practice applicable to the provider;