Title 7 . Health and Social Services

Chapter 43 . Hearings

Section 729. Rates

7 AAC 43.729. Rates

(a) The division will reimburse a provider for mental health clinic services and certain mental health rehabilitation services at the following rates:

(1) for individual psychotherapy, the lesser of the fee normally charged the general public or $80 per hour;

(2) for family psychotherapy, the lesser of the fee normally charged the general public or $80 per hour;

(3) for group psychotherapy, the lesser of the fee normally charged the general public or $45 per session for each recipient eligible for payments under this chapter;

(4) for individual skill development services provided as mental health rehabilitation services, $50 per hour;

(5) for an intake assessment, $85 per hour, for a maximum of three hours per assessment;

(6) for a psychiatric assessment, $230 per assessment, not to exceed four assessments in any calendar year;

(7) for an initial functional assessment provided as a mental health rehabilitation service, $50 per hour for a maximum of four hours;

(8) for a semi-annual functional assessment update provided as a mental health rehabilitation service, $50 per hour for a maximum of one hour;

(9) for psychological testing and evaluation, the lesser of the fee normally charged the general public or $85 per hour;

(10) for services provided out-of-state, reimbursement to providers at the Medicaid rate in the state where the service was provided;

(11) for crisis intervention, $75 per hour for a maximum of two hours per day;

(12) repealed 11/1/2000;

(13) for case management provided as mental health rehabilitation services, $50 per hour;

(14) for medication administration services provided

(A) on the premises of the community mental health clinic, $20 per day per recipient; or

(B) in the recipient's home, or in any other appropriate location within the community that is necessary to ensure continuity of care, $30 per day per recipient;

(15) for group skill development services, $30 per hour per recipient;

(16) for family skill development services, $50 per hour;

(17) for day treatment services provided as mental health rehabilitation services

(A) $150 per day, for a minimum of six hours; or

(B) $100 per half-day, for a minimum of three hours;

(18) for recipient support services provided as mental health rehabilitation services, $20 per hour;

(19) for pharmacologic management, $75 per visit.

(b) When, in compliance with licensing requirements established under 7 AAC 50.005 - 7 AAC 50.790, a community mental health clinic provides mental health rehabilitation services in a foster home or residential setting and the recipient's needs are defined in accordance with 7 AAC 53.060, the department will pay the community mental health clinic for the mental health rehabilitation services at the daily rate of $171 unless the recipient is in need of services requiring 24-hour supervision to alleviate maladaptive behavior or serious functional impairment. If the recipient is in need of services requiring 24-hour supervision to alleviate maladaptive behavior or serious functional impairment and prior approval has been obtained from the department, payment to the community mental health clinic will be made at the rates established in 7 AAC 43.729(a) .

(c) The daily rates identified for behavioral rehabilitation services in the department's Behavioral Rehabilitation Services Handbook , 2005 edition, are adopted by reference. The department will pay for behavioral rehabilitation services at those daily rates, not to include room and board.

History: Eff. 5/5/93, Register 126; am 12/31/94, Register 132; am 3/13/96, Register 137; readopt 8/7/96, Register 139; am 11/1/2000, Register 156; am 7/1/2004, Register 170; am 12/16/2005, Register 176

Authority: AS 47.05.010

AS 47.07.030

Editor's note: The Behavioral Rehabilitation Services Handbook , adopted by reference in 7 AAC 43.729, may be obtained from the Department of Health and Social Services, Division of Behavioral Health, P.O. Box 110620, Juneau, Alaska 99811-0620, or on the department's website at the following Internet address: http://www.hss.state.ak.us/dbh.

Effective 8/7/96, Register 139, the Department of Health and Social Services readopted 7 AAC 43.729 in its entirety, without change, under AS 47.05 and AS 47.07. Executive Order No. 72 transferred certain rate-setting authority to the department.