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The analysis of any legal or medical billing is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

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Alaska Medicaid Group Enrollment

Members of a health professional group must bill their services under the group, except when performing services outside the group as part of another practice or job.

Each member of a health professional group must enroll individually with the Alaska Medical Assistance Program.

The following providers may enroll as part of a health professional group and bill directly for services:

    • Physician
    • Chiropractor
    • Advanced Nurse Practitioner
    • Podiatrist
    • Audiologist
    • Direct-entry midwife
    • Occupational Therapist
    • Psychologist
    • Optician
    • Optometrist
    • Physical Therapist
    • Speech-Language Pathologist
    • Certified registered nurse anesthetist

Other providers may enroll as part of a health professional group as a rendering provider but may not bill directly for services.  Payment for services will be made through the professional group.

    • Physician assistant
    • Occupational therapy assistant
    • Physical therapy assistant
    • Speech-language pathology assistant

A supervising provider of the same discipline must be enrolled as part of a group before an OTA, PTA, or SLPA may enroll with the group.

Reference

Alaska Department of Health and Social Services

Section I: Therapy Services, Polices and Procedures

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