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7 AAC 135.040. Service authorization and limitation. (a) Except as provided in (b) and (c) of this section and 7 AAC 105.130(d), the department will not pay for behavioral health services unless the department has given prior authorization for those services. (b) A community behavioral health services provider or mental health physician clinic may provide the following behavioral health clinic services without prior authorization from the department:

(1) any combination of individual, group, and family psychotherapy under 7 AAC 135.150;

(2) psychiatric assessments under 7 AAC 135.110(e);

(3) psychological and neuropsychological testing and evaluation under 7 AAC 135.110(g);

(4) pharmacologic management services under 7 AAC 135.140;

(5) an integrated mental health and substance use intake assessment under 7 AAC 135.110, or a combination of a mental health intake assessment and a substance use intake assessment under 7 AAC 135.110; the assessment or combination of assessments must consist of

(A) one or more face-to-face sessions; and

(B) a review of collaterally connected information;

(6) repealed 7/1/2025;

(7) short-term crisis intervention services under 7 AAC 135.160, or a combination of behavioral health clinic service, rehabilitation service, and intervention service under 7 AAC 135.010 that are included in the crisis plan that do not exceed 22 consecutive hours in a single encounter;

(8) screening and brief intervention services under 7 AAC 135.240. (c) A community behavioral health services provider may provide the following behavioral health rehabilitation services without prior authorization by the department:

(1) case management services under 7 AAC 135.180; a directing clinician may bill not more than one hour each week for service monitoring for a recipient of case management services;

(2) individual therapeutic behavioral health services for children under 7 AAC 135.220, or a combination of individual therapeutic behavioral health services for children and peer support services under 7 AAC 135.210 and 7 AAC 135.220;

(3) group therapeutic behavioral health services for children under 7 AAC 135.220;