Page 2459
AS 47.05.015 AS 47.07.040 Editor’s note: The United States Food and Drug Administration, Center for Drug Evaluation and Research’s national drug code compilation referred to in 7 AAC 120.200(h) is available at the following Internet address: http://www.fda.gov/Drugs/InformationOnDrugs/ucm142438.htm. Information on how to enroll with Medicare may be obtained from the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS) at the following Internet address: https://www.cms.gov/Medicare-Medicaid-Medicaid-Coordination/Medicare-MedicaidCoordination.html. 7 AAC 120.205. Noncovered items and services. (a) Except as provided otherwise in this section or by federal law, the department will not pay separately for durable medical equipment while the recipient is
(1) in a hospital, a skilled nursing facility, or an intermediate care facility; or
(2) receiving hospice care services. (b) The department will not pay separately for home infusion therapy services
(1) while the recipient is in a hospital, a skilled nursing facility, or an intermediate care facility;
(2) if like services, including skilled nursing visits, are provided by or under arrangements made by a home health agency;
(3) if, on the same day, like services are provided by a hospital or facility during an outpatient visit; or
(4) while the recipient is receiving hospice care services and the services are
(A) related to the treatment of the terminal illness that qualifies the recipient for hospice care; or
(B) provided by or under the arrangements made by the hospice program. (c) The department will not pay for medical supplies or respiratory therapy assessment visits furnished to a recipient who is receiving hospice care services if the supplies or assessment visits are
(1) related to the treatment of the terminal illness that qualifies the recipient for hospice