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(8) when a licensed behavior analyst, licensed assistant behavior analyst, or autism behavior technician acts as a different kind of paid treatment provider or caregiver at the same time;

(9) claims by a licensed behavior analyst, licensed assistant behavior analyst, or autism behavior technician that include time spent

(A) assisting a recipient with school work for the sole purpose of education in the home, school, or community;

(B) providing leisure or social activities solely for the purpose of entertainment, play, or recreation; or

(C) providing autism services to a patient in an outpatient hospital, general acute care hospital, inpatient psychiatric hospital, residential psychiatric treatment center, intermediate care facility, skilled nursing facility, or intermediate care facility for individuals with an intellectual disability or related condition, except for services for which the department gives prior authorization to specifically assist the recipient with discharge planning from these care facilities. (l) Notwithstanding any other provision of this section, the department will pay for authorized behavioral health clinic services under 7 AAC 135.010(b), any service listed in 7 AAC 110.210(b), or any required medical service on the same day a recipient receives approved autism services under this chapter. (m) To avoid a break in treatment, a provider of autism services shall submit a request for additional authorized periods of autism services 14 days before the end of the previously authorized period of treatment. The prior authorization request must include a behavior identification reassessment under (c) of this section, and an updated treatment plan under (g) and (h) of this section. (n) The department will pay for the following autism services provided during the same 15-minute time increment as a Medicaid covered service under this section:

(1) adaptive behavioral health treatment by protocol;

(2) adaptive behavioral health treatment by protocol modification. (Eff. 7/1/2018, Register 226; am 5/25/2022, Register 242; am 7/1/2025, Register 254) Statutory Authority: Authority: AS 47.05.010 AS 47.07.030