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(2) recipient requires a general acute care hospital level of care or meets the requirements for administrative-wait bed or swing-bed status; and

(3) department gives prior authorization for admission as required under 7 AAC 105 — 7 AAC 160. (Eff. 2/1/2010, Register 193) Statutory Authority: Authority: AS 47.05.010 AS 47.07.030 AS 47.07.040 7 AAC 140.310. Covered hospital services. (a) The department will pay for those hospital services for which a revenue code is listed in Section I of the Inpatient/Outpatient Hospital Services section of the Alaska Provider Billing Manual, adopted by reference in 7 AAC 160.900, and in the Covered Revenue Codes for Outpatient Hospitals and the Covered Revenue Codes for Inpatient Hospitals of the Indian Health Service (IHS)/Tribal Facility Services section of the Alaska Provider Billing Manual, adopted by reference in 7 AAC 160.900. Some revenue codes are for services that are limited based on recipient age, gender, and eligibility category as otherwise provided in AS 47.07, 7 AAC 100, or 7 AAC 105 — 7 AAC 160. (b) The department will pay for the standard daily hospital service, which includes room, linen service, meals, special diets, general nursing service, medical records and admitting service, use of ordinary hospital equipment and instruments, routine treatments, routine drugs, and routine supplies. (c) The department will pay for the central hospital service, which includes supplies and preparing, handling, and storing supplies. (d) The department will pay a hospital for drugs prescribed by the attending physician or other dispensing provider only if the drugs are administered to the recipient while the patient is receiving care in the hospital. (e) The department will pay for outpatient hospital observation services, not to exceed 48 hours, only if a recipient’s condition warrants evaluation. (Eff. 2/1/2010, Register 193; am 1/28/2021, Register 237; am 1/1/2024, Register 248) Statutory Authority: