1. (a) To be eligible for payment under 7 AAC 105 - 7 AAC 160 for providing speech-language pathology services, a provider must be

   1. (1) a speech-language pathologist who

      1. (A) is enrolled in accordance with 7 AAC 105.210;
      2. (B) provides documentation of an active license to practice speech-language pathology in the jurisdiction in which the individual provides services; if services are provided in this state, the individual must hold an active license under AS 08.11; and
      3. (C) if providing speech-language pathology services out of state, is enrolled in the Medicaid program in the jurisdiction in which the individual provides services; or
   2. (2) an outpatient speech therapy program operated by a tribal health program.

2. (b) The department will pay a speech-language pathologist for services provided in the state by a

   1. (1) speech-language pathology assistant if the speech-language pathology assistant

      1. (A) has an active registration to practice as a speech-language pathology assistant under AS 08.11.043; and
      2. (B) has enrolled separately with the department as a rendering provider under 7 AAC 105.210; or

   2. (2) speech-language pathologist described in AS 08.11.025(b)(3), if the speech-language pathologist

      1. (A) has an active temporary license to practice as a speech-language pathologist under AS 08.11.025; and
      2. (B) has enrolled separately with the department as a rendering provider under 7 AAC 105.210.

3. (c) To be eligible for payment under 7 AAC 105 - 7 AAC 160 for providing speech-language pathology services, an out-of-state

   1. (1) speech-language pathology assistant must

      1. (A) have an active registration to practice as a speech-language pathology assistant in the jurisdiction in which services are provided;
      2. (B) provide proof of enrollment as a Medicaid provider in the jurisdiction in which services are provided or documentation from that jurisdiction that speech-language pathology assistants are not enrolled as Medicaid providers in that jurisdiction; and
      3. (C) be enrolled separately with the department as a rendering provider;

   2. (2) speech-language pathologist described in AS 08.11.025(b)(3) must

      1. (A) have an active temporary license to practice as a speech-language pathologist in the jurisdiction in which services are provided;
      2. (B) provide proof of enrollment as a Medicaid provider in the jurisdiction in which services are provided or documentation from that jurisdiction that speech-language pathologists holding a temporary license are not enrolled as Medicaid providers in that jurisdiction; and
      3. (C) be enrolled separately with the department as a rendering provider under 7 AAC 105.210.

(Eff. 2/1/2010, Register 193)

Authority: AS 47.05.010, AS 47.07.030, AS 47.07.040