1. (a) Subject to the requirements of admission and prior authorization requirements of 7 AAC 140.405 and plan-of-care requirements of 7 AAC 140.410, the department will pay for therapeutically appropriate, medically necessary diagnostic and treatment services for a child experiencing a severe emotional disturbance as described in 7 AAC 135.065, including the following services:

   1. (1) individual psychotherapy;
   2. (2) group psychotherapy;
   3. (3) family psychotherapy;
   4. (4) group skill development services;
   5. (5) individual skill development services;
   6. (6) family skill development services;
   7. (7) pharmacologic management and medication administration;
   8. (8) crisis intervention;
   9. (9) intake assessment.

2. (b) RPTC services must be provided under the direction of a physician. Psychiatric services provided by an RPTC must be provided

   1. (1) under the direct supervision of a psychiatrist licensed under AS 08.64; and
   2. (2) in a manner consistent with an individual plan of care that meets the requirements of 7 AAC 140.410 and is signed by the supervising psychiatrist.
3. (c) Payment for RPTC services is limited to services provided to an individual under 21 years of age.

4. (d) The department will not pay a residential psychiatric treatment center under this section if the department determines that noncovered services were provided. Noncovered services include

   1. (1) holding or rage therapy;
   2. (2) verbal abuse and shaming;
   3. (3) rebirthing;
   4. (4) punitive approaches to behavior management, including militaristic-style boot camp and "scared straight" programs;
   5. (5) corporal punishment, including slapping, punching, kicking, pinching, shaking, or striking with an object; and
   6. (6) therapeutic interventions not specifically directed toward the psychosocial risks and functional impairments of the child.

(Eff. 2/1/2010, Register 193; am 10/1/2011, Register 199; am 6/16/2016, Register 218)

Authority: AS 47.05.010, AS 47.07.030, AS 47.07.040