(a) For a physician visit to a recipient living in a nursing facility, the department will not pay for more than
- (1) one initial evaluation and management visit per recipient stay; and
- (2) one subsequent or established care visit per recipient per 30-day period.
- (b) In addition to a visit covered under (a) of this section, the department will pay for a physician visit if the physician submits supporting documentation substantiating the medical need for the additional visit.
- (c) The 30-day limit established in (a)(2) of this section does not apply to a physician service provided in response to a medical emergency.
(Eff. 2/1/2010, Register 193)
Authority: AS 47.05.010, AS 47.07.030, AS 47.07.040