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Repealed. (Eff. 2/1/2010, Register 193; am 1/1/2011, Register 196; repealed 6/2/2019, Register 230) 7 AAC 120.300. Enrollment of a prosthetics and orthotics provider; general provisions; covered items and services. (a) To be eligible for payment under 7 AAC 105 — 7 AAC 160 for providing prosthetics, orthotics, and related items and supplies, a provider must

(1) have and maintain a valid business license issued under AS 43.70 and 12 AAC 12;

(2) be enrolled under 7 AAC 105.210 as a prosthetics and orthotics provider, if the provider provides prosthetics and customized orthotic devices and services;

(3) maintain continuous accreditation or certification by the American Board for Certification in Orthotics, Prosthetics, and Pedorthics, the Board for Orthotist/Prosthetist Certification, the National Examining Board of Ocularists, Inc., or other similar certifying or accrediting agency approved by the department demonstrating applicable professional standards and qualifications;

(4) continuously employ at least one individual who maintains the credentials of Certified Orthotist, Certified Prosthetist, Certified Prosthetist/Orthotist, or Certified Pedorthist and who is in-charge; in this paragraph, “in-charge” means that the individual has the authority and responsibility for the facility’s compliance with practice standards at the enrolled provider location;

(5) provide to the department evidence at initial enrollment and upon request that the provider is enrolled as a Medicare provider and Medicare enrollment is maintained concurrent with Medicaid enrollment; and

(6) notify the department in writing not later than 30 days after a change in status of any of the requirements of this subsection; the department may sanction or disenroll under 7 AAC 105.400 — 7 AAC 105.490 a provider for failing to continuously meet the requirements of enrollment under this section. (b) Subject to the applicable provisions of 7 AAC 120.300 — 7 AAC 120.399, a provider enrolled under 7 AAC 105.210 as a prosthetics and orthotics provider may request payment for prosthetic or orthotic devices and services furnished to a recipient, if the item or service is

(1) prescribed by a physician, physician assistant, or advanced practice registered nurse who is enrolled in accordance with 7 AAC 105.210 and acting within the scope of that person’s license;

(2) appropriate for use in the recipient’s home or community;