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(3) a conversion factor (CF), that is a dollar amount used to convert new and existing CPT and HCPCS codes adopted by reference in 7 AAC 160.900(a) into a fee amount; this conversion factor as of July 1, 2019, is $39.781; on the later date of August 1, 2019, or a 30 day notice to providers, the conversion factor will be $40.974; the CF will be adjusted annually thereafter on July 1 so that an adjustment provision results in an overall average net change for all procedures described in this subsection that equals the percent change from the previous year in the most recent annual Consumer Price Index for all Urban Consumers (CPI-U), all items, for Urban Alaska published by the United States Department of Labor, Bureau of Labor Statistics, adopted by reference in 7 AAC 160.900.

(4) repealed 7/1/2019; (c) The fee for each procedure subject to RBRVS-based payment is determined using the following calculation: X (CF). For state fiscal year 2020, starting on the later date of August 1, 2019, or after a 30 day notice to the providers, providers who do not meet the Medicaid Management Information System (MMIS) enrolled provider type, or provider specialty designations in this subsection, and who are identified as the rendering provider on the claims submitted to the MMIS will have a conversion factor (CF) of $37.792:

(1) provider type 046 direct entry midwife, 050 school based services, 054 family planning clinic, or 080 independent laboratory; or

(2) providers who are any provider type but have a provider specialty code in the MMIS that is 001 general practice, 008 family practice, 009 gynecology, 016 obstetrics and gynecology, 049 pediatrics, 054 obstetrics, 125 adult health, 126 nurse midwife, 127 women’s health/OB-GYN, 128 family health, 129 pediatric, and 130 gerontological; in this subsection, “provider specialty” means the provider’s specialty identified in the provider enrollment file as of July 1, 2019. (d) The department will pay for anesthesiology services in accordance with the following calculation: ($42.90 X the number of base units for anesthesiology services) + ($36 X the number of time units), where the number of base units is determined in accordance with the Relative Value Guide, adopted by reference in 7 AAC 160.900, and the value of one time unit is 10 minutes. The department will not make an additional payment for a physical status modifier as set out in Current Procedural Terminology, adopted by reference in 7 AAC 160.900. For state fiscal year 2020, starting on the later date of August 1, 2019, or after a 30 day notice to the providers, the providers who are not enrolled in the MMIS as the provider types or provider specialties identified in (c) of this section, and who are identified as the rendering provider on the claims submitted to the MMIS, will receive 95 percent of the $42.90 and $36 values referenced in this subsection. (e) Except as provided in (f) of this section, and subject to 7 AAC 145.020, if a procedure does not have an RVU established for Medicare by CMS, and is not subject to another payment methodology or fee under this chapter, the department’s payment for a covered procedure will not exceed 80 percent of billed charges for the first nine billings that reflect a charge for the service that complies with the applicable standards in 7 AAC 145.020. Thereafter, the fee will be