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Authority: AS 47.05.010 AS 47.07.030 AS 47.07.040 7 AAC 110.405. Physician services coverage and limitations. (a) Subject to 7 AAC 110.400 — 7 AAC 110.455, the department will pay a physician who meets the requirements of 7 AAC 110.400 for the following services provided within the scope of the physician’s license to practice medicine or osteopathy:

(1) any physician services and supplies necessary for diagnosing and treating illness and injury for which a payment rate has been established by the department that meets the requirements of 7 AAC 145.020;

(2) preventive health screening and treatment provided as part of the EPSDT program under 7 AAC 110.200 — 7 AAC 110.215;

(3) physician services provided in a nursing facility in accordance with 7 AAC 110.410;

(4) sterilization performed by a physician in accordance with 7 AAC 110.415;

(5) a hysterectomy performed by a physician in accordance with 7 AAC 110.420;

(6) speech-language pathology services, if medically necessary;

(7) hearing services, if medically necessary;

(8) a complete vision examination, including a check of refractive state, if a complete vision examination is clinically indicated and the recipient has significant difficulties or complaints related to vision;

(9) anesthesia, if billed in accordance with the American Society of Anesthesiologists’ Relative Value Guide, adopted by reference in 7 AAC 160.900;

(10) clinical intervention counseling associated with smoking cessation for no more than 10 sessions per calendar year. (b) The department will pay a physician for vaccine products and administration, in accordance with 7 AAC 110.750. (c) The department will pay a physician for providing the following services only if those services are provided to a recipient who is under 21 years of age or who is a Medicare recipient:

(1) chiropractic manipulation;

(2) podiatry services. (d) The department will not pay for the following services provided by a physician: