1. (a) Except as otherwise provided in this section, the department will pay a provider in accordance with 7 AAC 145.020 for providing initial and subsequent periodic medical screening, evaluation, diagnosis, and management of a recipient under 7 AAC 110.200, not to exceed 100 percent of the rate determined under 7 AAC 145.050, even if the provider rendering the service is normally paid at a different rate for non-EPSDT services.
2. (b) Except as provided under (c) of this section, for any dental, vision, or hearing screening or for a medically necessary treatment or required service provided in response to an EPSDT screening, the department will pay a provider in accordance with the rate established in 7 AAC 105 - 7 AAC 160 for that service and for that type of provider.
3. (c) If an EPSDT service is provided by a tribal health program, the department will pay for that service at the applicable Indian Health Service encounter rate adopted by reference in 7 AAC 160.900.
4. (d) If an EPSDT service is provided by a federally qualified health clinic or rural health clinic, the department will pay for that service at the rate determined under 7 AAC 145.700.
5. (e) If an EPSDT service is provided by a certified health provider described in 7 AAC 155.030 and employed by a tribal health program, or by a public health nurse employed by a tribal health program, the department will pay for that service in accordance with (a) of this section.
6. (f) The department will pay the United States Internal Revenue Service optional standard mileage rate for medical purposes, adopted by reference in 7 AAC 160.900, for use of a private vehicle driven for medical purposes as described in 7 AAC 110.210(d)(3).

(Eff. 2/1/2010, Register 193; am 3/30/2018, Register 225)

Authority: AS 47.05.010, AS 47.07.030, AS 47.07.040