Page 2375

(1) elective surgery that is not medically necessary;

(2) infertility services;

(3) case management services;

(4) plastic or cosmetic services for enhancement purposes;

(5) repealed 7/25/2021;

(6) services provided in the operating room on behalf of the physician by a licensed practical nurse, a registered nurse, an intern, or a resident in training used in the operating room;

(7) medical testimony;

(8) travel services;

(9) educational services and supplies;

(10) interpreter services;

(11) experimental or investigative services;

(12) swimming therapy;

(13) programs to improve overall fitness;

(14) impotence treatment or services;

(15) vaccine products that are available free to the provider;

(16) physical examinations, except if

(A) given as a screening under the EPSDT program;

(B) the department requests one for the purpose of determining eligibility based upon disability, blindness, or pregnancy; or

(C) for recipients 21 years of age and older under 7 AAC 110.800;

(17) selected special services and report codes. (Eff. 2/1/2010, Register 193; am 6/13/2010, Register 194; am 8/25/2010, Register 195; am 5/1/2016, Register 218; am 1/10/2021, Register 237; am 7/25/2021, Register 239; am 3/3/2023, Register 245) Statutory Authority: Authority: AS 47.05.010 AS 47.07.030 AS 47.07.040