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7 AAC 110.410. Physician services in a nursing facility. (a) For a physician visit to a recipient living in a nursing facility, the department will not pay for more than

(1) one initial evaluation and management visit per recipient stay; and

(2) one subsequent or established care visit per recipient per 30-day period. (b) In addition to a visit covered under (a) of this section, the department will pay for a physician visit if the physician submits supporting documentation substantiating the medical need for the additional visit. (c) The 30-day limit established in (a)(2) of this section does not apply to a physician service provided in response to a medical emergency. (Eff. 2/1/2010, Register 193) Statutory Authority: Authority: AS 47.05.010 AS 47.07.030 AS 47.07.040 7 AAC 110.415. Sterilization by a physician. (a) The department will pay for a sterilization performed by a physician only if

(1) the recipient is 21 years of age or older;

(2) the procedure is for family planning purposes;

(3) the recipient has, by signature, given informed consent using the form provided by the department;

(4) except as provided in (b) of this section, the procedure was performed no sooner than 30 days, and no later than 180 days, after the date the recipient signed the consent form;

(5) the provider signs the consent form before the procedure; and

(6) the consent form is attached to the provider claim.