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period. (d) A reasonable per diem amount for a home infusion therapy service under (c) of this section is determined by the department based upon the specific circumstances of the service being offered. To determine a reasonable per diem amount, the department will

(1) add the total amount for the following costs, direct or indirect, that are associated with providing services to the recipient:

(A) administrative costs;

(B) professional pharmacy services, including drug compounding;

(C) care coordination;

(D) clinical monitoring of the recipient;

(E) purchase or lease of infusion-related equipment and supplies necessary to provide infusion in the recipient’s home; and

(F) delivery and pickup of infusion-related equipment, supplies, and medications;

(2) subtract the cost of drugs and skilled nursing services; and

(3) if necessary, add an amount to provide a fair return to the home infusion therapy provider to ensure that home infusion therapy services continue to be available to that recipient. (e) For drugs covered under 7 AAC 120.110 and used in home infusion therapy, the department will pay the rate determined under 7 AAC 145.400. A provider may not include compounding and dispensing fees paid under (a) of this section on the claim for drugs, unless the drugs are dispensed to a recipient in a long-term care facility. (f) A home infusion therapy period begins the day home infusion therapy services are initiated and ends the day home infusion therapy services are discontinued and not anticipated to begin again. If home infusion therapy services resume after a therapy period has stopped, those services are considered to be a part of a new therapy period. The number of per diem payments made for a therapy period may not exceed the number of days authorized on the order or plan of care. (Eff. 7/7/2010, Register 195) Statutory Authority: Authority: AS 47.05.010 AS 47.07.030 AS 47.07.040