1. (a) To be eligible for payment under 7 AAC 105 - 7 AAC 160 for providing advanced practice registered nurse services, including nurse midwife services, a provider must be an independent practicing advanced practice registered nurse who

   1. (1) is enrolled as an advanced practice registered nurse in accordance with 7 AAC 105.210;
   2. (2) has an active license to practice as an advanced practice registered nurse issued by the jurisdiction in which the individual provides services; if services are provided in this state, the individual must hold an active license under AS 08.68;
   3. (3) has a current advanced practice registered nurse certification in a specialty area of nursing granted by a national certification body recognized by the licensing authority for advanced practice registered nurses in the jurisdiction in which the advanced practice registered nurse provides services; and
   4. (4) if the advanced practice registered nurse prescribes legend drugs, has a valid license endorsement issued by the jurisdiction in which the individual provides services authorizing the advanced practice registered nurse to prescribe legend drugs; if legend drugs are prescribed in this state, the advanced practice registered nurse must be authorized to prescribe drugs by the Board of Nursing under 12 AAC 44.440.
2. (b) In addition to meeting the requirements of (a) of this section, to be eligible for payment for laboratory services performed in the advanced practice registered nurse's own laboratory, an advanced practice registered nurse must have a CMS Clinical Laboratory Improvement Amendments (CLIA) certificate of waiver under 42 C.F.R. 493.35 - 493.37 or a registration certificate under 42 C.F.R. 493.43 - 493.45. A copy of the CLIA certificate of waiver or registration certificate must be submitted with the application for enrollment under 7 AAC 105.210.
3. (c) In addition to meeting the requirements of (a) of this section, to be eligible for payment for dispensing legend drugs, an advanced practice registered nurse must also be enrolled as a dispensing provider under 7 AAC 120.100.
4. (d) The department will not pay an advanced practice registered nurse enrolled under 7 AAC 105.210 and this section for services the advanced practice registered nurse provided as a salaried employee of a hospital or services for which the advanced practice registered nurse, through an agreement with a hospital, received compensation in cash or in-kind from the hospital.

(Eff. 2/1/2010, Register 193; am 4/24/2020, Register 234)

Authority: AS 47.05.010, AS 47.07.030, AS 47.07.040