1. (a) Substance use disorder 1115 waiver services rates are established in the department's Chart of 1115 Waiver Services, adopted by reference in 7 AAC 160.900.
2. (b) The department will not pay for substance use disorder 1115 waiver services beyond the limits listed in the Alaska Behavioral Health Provider Service Standards & Administrative Procedures for SUD Provider Services, adopted by reference in 7 AAC 160.900, without prior authorization from the department.

3. (c) A provider of substance use disorder 1115 waiver services must file a request for prior authorization of an extension of a substance use disorder 1115 waiver service beyond service limitations using a form approved by the department. The request must

   1. (1) be documented in the clinical record;
   2. (2) include the expected duration of the service; and
   3. (3) include an explanation for the need to extend the service.
4. (d) A provider that meets the requirements of 7 AAC 136.020 may provide any substance use disorder 1115 waiver service without prior authorization from the department.
5. (e) The department may review a provider's clinical record to confirm the need for an extension of substance use disorder 1115 waiver services.

(Eff. 7/1/2019, Register 231; am 11/10/2019, Register 232; am 5/21/2020, Register 234; am 10/4/2020, Register 236)