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has not sought and received a service authorization under 7 AAC 120.210. (k) The department will only pay for durable medical equipment, medical supplies, prefabricated off-the-shelf orthotics, or related items and services under 7 AAC 120.200(a)(2) that require the prescriber to perform a face-to-face examination of the recipient under 42 C.F.R. 440.70 and 42 C.F.R. 410.38 if that face-to-face examination was timely performed. (l) The department will only pay for services rendered while the provider is in compliance with the provider enrollment requirements of 7 AAC 105.210. (Eff. 2/1/2010, Register 193; am 7/7/2010, Register 195; am 6/2/2019, Register 230) Statutory Authority: Authority: AS 47.05.010 AS 47.07.030 AS 47.07.040 7 AAC 120.210. Service authorization. (a) A provider seeking service authorization must make a request electronically or in writing on a certificate of medical necessity. (b) Service authorization is required for

(1) the rental of durable medical equipment, medical supplies, prefabricated off-the-shelf orthotics, or related items and services under 7 AAC 120.200(a)(2) that is indicated as requiring service authorization in the Alaska Medicaid DMEPOS Fee Schedule, Tables I-5 through I-9, adopted by reference in 7 AAC 160.900;

(2) medical supplies that exceed the maximum units or a 30-day limit set by the department;

(3) customized or optimally configured durable medical equipment, medical supplies, prefabricated off-the-shelf orthotics, or related items and services under 7 AAC 120.200(a)(2);

(4) items that are listed as requiring service authorization on the Alaska Medicaid DMEPOS Fee Schedule, Tables I-5 through I-9, adopted by reference in 7 AAC 160.900 or the Alaska Medicaid DMEPOS Interim Fee Schedule;

(5) items that are identified as miscellaneous in the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services’ (CMS) Healthcare Common Procedure Coding System (HCPCS), adopted by reference in 7 AAC 160.900;

(6) respiratory therapy assessment visits for ventilator-dependent recipients;