1. (a) The department will pay for family planning services authorized under this section if those services are provided by one of the following enrolled providers:

   1. (1) a family planning clinic of the department;
   2. (2) a family planning clinic of a local governmental health department;
   3. (3) a student health service operated by an educational institution;
   4. (4) a private family planning clinic;
   5. (5) a physician, advanced practice registered nurse, or physician assistant;
   6. (6) a federally qualified health center or rural health clinic.
2. (b) A family planning service provider that operates its own laboratory 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.

3. (c) An out-of-state family planning services provider must

   1. (1) meet the definition of a family planning services provider in the jurisdiction in which services are provided;
   2. (2) be enrolled in the jurisdiction in which it provides services; and
   3. (3) enroll as a family planning services provider in this state.

4. (d) The department will pay for the following family planning services provided by a family planning services provider authorized under this section:

   1. (1) office visits for counseling services identified by one of the procedure codes in the range of 99201 to 99215 in Current Procedural Terminology (CPT), adopted by reference in 7 AAC 160.900;
   2. (2) laboratory services performed by a family planning services provider that meets the certificate requirements of (b) of this section; and
   3. (3) prescription drugs prescribed in accordance with 7 AAC 120.100 - 7 AAC 120.140.

5. (e) The department will not pay separately for

   1. (1) office supplies and services associated with office visits and procedures identified in (d) of this section; or
   2. (2) handling or conveyance of a specimen from one provider to another under procedure codes 99000 and 99001 in Current Procedural Terminology (CPT), adopted by reference in 7 AAC 160.900.

6. (f) In this section, "family planning services"

   1. (1) means services and materials provided with the purpose of postponing, avoiding, or terminating pregnancy;
   2. (2) includes the dispensing of birth control drugs and devices for males and females, and the performance of vasectomies, sterilizations, and abortions for the purpose of avoiding or terminating pregnancy.

(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