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(f) In accordance with the relevant fee schedule established under 7 AAC 145.050, the department will separately pay a health clinic eligible under 7 AAC 140.205(a)(1), (2), or (3) for labor and delivery services provided by a physician, a physician assistant, or an advanced practice registered nurse, including a nurse midwife, who has separately enrolled under 7 AAC 105 - 7 AAC 160. The department will pay a health clinic eligible under 7 AAC 140.205(a)(4) in accordance with 7 AAC 155.010. (g) The department will separately pay a health clinic for pharmacy services and for prescription drugs provided by the health clinic under 7 AAC 120.110 if the health clinic is enrolled as a dispensing provider in accordance with 7 AAC 120.100. The department will pay a provider under this subsection in accordance with the rates established in 7 AAC 145.400 and 7 AAC 145.410. (h) The department will not pay a health clinic eligible under 7 AAC 140.205(a)(1), (2), or (3) for

(1) services or supplies that a health clinic routinely provides to individuals other than Medicaid-eligible recipients;

(2) services or supplies that the health clinic routinely furnishes for free or without regard to the recipient’s ability to pay; or

(3) services provided off-site of the health clinic, except as provided in 7 AAC 140.220; this paragraph does not apply to a federally qualified health center. (Eff. 2/1/2010, Register 193; am 10/1/2011, Register 199; am 4/24/2020, Register 234; am 11/1/2021, Register 240; am 12/1/2022, Register 244; am 4/16/2023, Register 246) Statutory Authority: Authority: AS 47.05.010 AS 47.07.040 AS 47.07.073

AS 47.07.030 AS 47.07.070 7 AAC 140.220. Health clinic services provided off-site. (a) The department will not pay a health clinic for services provided off-site unless

(1) the health clinic patient is homebound as determined under (b) of this section and if all of the following conditions are met:

(A) the United States Department of Health and Human Services has determined