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(1) that are identified in the Fee Schedule for Therapy Services, adopted by reference in 7 AAC 160.900; and

(2) if those services and supplies, except the initial evaluation, are

(A) prescribed by a physician, advanced practice registered nurse (APRN), or physician assistant {PA) enrolled under 7 AAC 105 — 7 AAC 160 and the services and supplies prescribed are within the scope of the practitioner’s license;

(B) within the scope of practice of an speech-language pathologist or speech-language pathology assistant;

(C) provided by or under the direction of a speech-language pathologist who is enrolled under 7 AAC 105 — 7 AAC 160;

(D) provided in accordance with the initial evaluation conducted under 7 AAC 115.420(a) and treatment plan developed by the speech-language pathologist under 7 AAC 115.420(b); and

(E) documented in a progress note to include start and stop times for time-based billing codes used as provided in the Healthcare Common Procedure Coding System (HCPCS), adopted by reference in 7 AAC 160.900.

(3) for an individual 21 years of age or older, the department will pay for

(A) eight units of speech-language therapy evaluation services each state fiscal year;

(B) 15 units of speech-language therapy services each state fiscal year; and

(C) additional units of occupational therapy services if the department gives prior authorization based on medical justification submitted by the provider. (Eff. 2/1/2010, Register 193; am 4/24/2020, Register 234; am 3/3/2023, Register 245) Statutory Authority: Authority: AS 47.05.010 AS 47.07.030 AS 47.07.040 7 AAC 115.420. Speech-language evaluation and treatment plan. (a) Before initiating treatment, the speech-language pathologist shall conduct an initial evaluation of the recipient that includes an assessment of the