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Authority: AS 47.05.010 AS 47.07.030 AS 47.07.040 7 AAC 145.260. Psychologist services payment rates. The department will pay for psychologist services in accordance with 7 AAC 145.020, not to exceed 100 percent of the amount determined under 7 AAC 145.050. The department will pay for neuropsychological testing in accordance with 7 AAC 145.020, not to exceed 150 percent of the amount determined under 7 AAC 145.050. (Eff. 2/1/2010, Register 193) Statutory Authority: Authority: AS 47.05.010 AS 47.07.030 AS 47.07.040 7 AAC 145.265. Targeted case management payment rates. (a) Before billing the department for targeted case management services, a provider of those services shall bill the recipient’s alternate resources under 7 AAC 160.200. After it receives notification from each third party of the amount, if any, that the third party will pay, the provider of targeted case management services may seek payment from Medicaid for the remaining cost of service. (b) The department will base payment for targeted case management services on a prospective monthly encounter rate, computed with data from base year 2004, as follows:
(1) using the base year’s reported units of contact for the specified service categories identified by the department, the department will determine the average annual proportion of time participating grantees spent providing case management services;
(2) the department will compute the annual portion of case manager salaries and benefits attributed to case management, using the base year’s reported expenditures for each individual providing case management services, and then, using the proportion determined in (1) of this subsection, the department will compute the average portion of salaries and benefits attributed to