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Register 231; am 10/25/2019, Register 232; am 4/24/2020, Register 234; am 6/30/2021, Register 238; am 5/25/2022, Register 242; am 2/2/2024, Register 249; am 1/5/2025, Register 253) Statutory Authority: Authority: AS 47.05.010 AS 47.07.030 AS 47.07.040 Article 9. Payment Rates; Facility and Facility-Based Services. Rule 7 AAC 145.600. General acute care hospital payment rates 7 AAC 145.605. (Repealed) 7 AAC 145.607. End-stage renal disease facility payment rate 7 AAC 145.610. Inpatient psychiatric hospital payment rates 7 AAC 145.620. Residential psychiatric treatment center payment rate 7 AAC 145.630. Ambulatory surgical center payment rates 7 AAC 145.640. Nursing facility payment rates 7 AAC 145.650. ICF and SNF all-inclusive rates 7 AAC 145.660. ICF/IID all-inclusive rate 7 AAC 145.670. Recipient cost-of-care liability 7 AAC 145.680. Free-standing birth center payment rates 7 AAC 145.690. Hospice care payment rates 7 AAC 145.695. Abortion payment conditions 7 AAC 145.600. General acute care hospital payment rates. (a) The department will pay an in-state general acute care hospital for services rendered in the state at the rate determined in accordance with 7 AAC 150. (b) The department will pay an out-of-state general acute care hospital for

(1) outpatient care services at the Medicaid rate used by the jurisdiction where the hospital is located, or if no Medicaid rate has been established, the hospital’s Medicare rate;

(2) inpatient care services at the All Patient Refined (APR) Diagnosis Related Groups (DRG) rates established in 7 AAC 150.250. (c) Except in emergency situations, payment will not be made for out-of-state hospital services that are available in this state unless the out-of-state hospitalization has been specifically approved by the department.