Page 2758

(b) The department will not pay for a behavioral health 1115 waiver service beyond the limits listed in the Alaska Behavioral Health Providers Services Standards & Administrative Procedures for Behavioral Health Provider Services, adopted by reference in 7 AAC 160.900, without prior authorization from the department. (c) A provider of behavioral health 1115 waiver services must file a request for prior authorization of an extension for a behavioral health 1115 waiver service beyond service limits under (b) of this section using a form approved by the department. The request must

(1) be documented in the clinical record;

(2) include the expected duration of the service; and

(3) include an explanation for the need to extend the service. (d) Except as provided in (b) of this section, a provider that meets the requirements of 7 AAC 136.020 may provide any behavioral health 1115 waiver service without prior authorization from the department. (e) The department may review a provider’s clinical record to confirm the need for an extension of a behavioral health 1115 waiver service. (Eff. 5/21/2020, Register 234; am 10/4/2020, Register 236) Statutory Authority: Authority: AS 47.05.010 AS 47.07.030

AS 47.05.270 AS 47.07.036 Article 2. Medicaid Behavioral Health 1115 Waiver Services. Rule 7 AAC 139.100. Assessment and treatment plan services 7 AAC 139.150. Home-based family treatment services 7 AAC 139.200. Community-based care management services 7 AAC 139.250. Structured treatment services 7 AAC 139.300. Adult mental health residential services 7 AAC 139.325. Children’s residential treatment 7 AAC 139.350. Crisis response services 7 AAC 139.400. Therapeutic treatment home services