The department will pay for substance use disorder 1115 waiver services if the

1. (1) recipient is eligible under 7 AAC 138.010;
2. (2) provider meets the requirements in 7 AAC 136.020;
3. (3) repealed 11/10/2019;
4. (4) provider meets, in addition to the requirements of this chapter, the requirements in 7 AAC 70.125 if providing opioid use disorder treatment services;

5. (5) provider provides a recipient substance use disorder 1115 waiver services listed in 7 AAC 138.250 - 7 AAC 138.400 based on an assessment under 7 AAC 135.110 and according to the assessment criteria outlined in the ASAM Criteria: Treatment Criteria for Addictive, Substance-Related, and Co-Occurring Conditions, adopted by reference in 7 AAC 70.910, and that results in a diagnosis according to the

   1. (A) Diagnostic and Statistical Manual of Mental Disorders, adopted by reference in 7 AAC 70.910; or
   2. (B) International Classification of Diseases, adopted by reference in 7 AAC 70.910; and
6. (6) substance use disorder 1115 waiver services listed in 7 AAC 138.250 - 7 AAC 138.350 are provided according to the treatment criteria listed in the ASAM Criteria: Treatment Criteria for Addictive, Substance-Related, and Co-Occurring Conditions, adopted by reference in 7 AAC 70.910.

(Eff. 7/1/2019, Register 231; am 11/10/2019, Register 232)