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(a) Except as provided in (b) of this section, all transportation and accommodation services that are not required by a medical emergency must be authorized by the department before the time that the service is provided.
(b) The department will pay for non-emergency transportation and accommodation services provided without prior authorization if
(1) a recipient is forced to change authorized travel plans for reasons beyond the recipient's control, including the cancellation of an airline flight due to weather conditions or the closing of an airport for security reasons; or
(2) the medical service for which the recipient traveled reveals the need for additional services, screening, or treatment that requires the recipient to stay longer than previously approved.
(c) The department will not pay the costs allowed in (b) of this section unless the recipient's health care provider notifies the department of the change in the recipient's travel plans no later than the next business day following the change in those plans.
(d) The department will pay for non-emergency ground ambulance services if it is warranted by the recipient's medical condition. Non-emergency ground ambulance services are reimbursed at an all-inclusive rate established by the department. The department will not make an additional payment for oxygen or other basic support items associated with the travel by non-emergency ground ambulance services.
History: Eff. 6/24/2004, Register 170
Authority: AS 47.05.010
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Last modified 7/05/2006