Alaska PT, OT and SLP guide

For OT, PT and SLP clinics in Alaska: a board and a department license the disciplines, the licensing law defines physical therapy by its examination and treatment scope, Alaska Medicaid covers children’s therapy under EPSDT and adults within its own rules, and telehealth follows the patient’s location. Every rule here is quoted from its source.⁠^{1,2,3,4,5,6,7,8}

Who licenses OTs, PTs and SLPs in Alaska?

A board and a department license the three disciplines in Alaska, and each publishes its own licensing law, rules and renewal cycle.⁠^1,9,10 A clinic that employs more than one discipline keeps three registers, not one.

Physical therapists, occupational therapists and their assistants answer to the Alaska State Physical Therapy and Occupational Therapy Board.⁠^{1,9,49,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64,65,66,67,68,69,70,71,72,73,74} Speech-language pathologists answer to the Alaska Department of Commerce, Community, and Economic Development.⁠^{10,75,76,77,78,79,80,81,82,83,84,85,86} Physical therapists and physical therapist assistants are licensed by the State Physical Therapy and Occupational Therapy Board, a seven-member board of three physical therapists (or two and an assistant), three occupational therapists (or two and an assistant) and one lay member, which controls all matters pertaining to the licensing of both professions and their assistants. The Department of Commerce, Community, and Economic Development issues the licenses the board authorizes and maintains the register.⁠^{1,49,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64} No one may practice physical therapy in Alaska without a license, apart from students, foreign graduates in a supervised internship, limited-permit holders and compact privilege holders.⁠^{1,49,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64} Occupational therapists and occupational therapy assistants are licensed by the same State Physical Therapy and Occupational Therapy Board, under the occupational therapy sections of the same chapter and rules.⁠^{9,65,66,67,68,69,70,71,72,73,74} No one may provide services described as occupational therapy in Alaska without a license, apart from students, foreign graduates in a supervised internship, federal employees on duty, limited-permit holders, other licensed professions using occupational therapy skills within their own practice, and teachers working under a program a licensed occupational therapist developed.⁠^{9,65,66,67,68,69,70,71,72,73,74} Speech-language pathologists are licensed directly by the Department of Commerce, Community, and Economic Development, with no board: the department issues the license to an applicant who holds ASHA’s Certificate of Clinical Competence or its equivalent, and registers speech-language pathologist assistants.⁠^{10,75,76,77,78,79,80,81,82,83,84,85,86} No one may practice speech-language pathology, use the title or advertise the clinic without a license or a compact privilege; the chapter does not apply to a physician, to an employee or contractor of a school district practicing for the district, or to a supervised student, intern or resident.⁠^{10,75,76,77,78,79,80,81,82,83,84,85,86} A license is a state authorization; a national certification (NBCOT for occupational therapy, the ASHA certificate for speech-language pathology, the NPTE for physical therapy) is a different thing and does not replace it. Compact privileges for practitioners licensed elsewhere are covered under telehealth below.

What does an Alaska license renewal require?

Each regulator sets its own cycle and any continuing-education hours, listed in the table above, and the register template at the end of this page tracks them per clinician.⁠^1,9,10 A renewal missed is a lapse, and the regulator’s own rules say what a lapsed licensee may and may not do; the clinic reads those rules before a clinician’s renewal date passes, not after.

Can a patient see an Alaska PT, OT or SLP without a referral?

State law answers this discipline by discipline, and a payer may still require a referral the law does not. For physical therapy, the licensing law defines physical therapy as the examination, treatment and instruction of human beings to detect, assess, prevent, correct, alleviate and limit physical disability, bodily malfunction and pain, and the board’s rules make the licensed physical therapist solely responsible for the treatment and management of all aspects of a patient’s physical therapy care.⁠^{2,11,12,13,14} Alaska Medicaid, as a payer, pays for physical, occupational and speech-language therapy other than the initial evaluation only on a prescription from a physician, an advanced practice registered nurse or a physician assistant (for physical and occupational therapy, also another licensed health care professional within that practitioner’s scope), and the written treatment plan must be signed by an enrolled physician, APRN or PA within 14 days.⁠^{2,11,12,13,14} For occupational therapy, the licensing law requires a license and defines occupational therapy as the use of purposeful activity, evaluation, treatment and consultation to maximize independence, prevent disability and maintain health, including developing daily living, play and developmental skills and facilitating perceptual-motor and sensory integrative functioning.⁠^87,88 For speech-language pathology, the licensing law requires a license and defines the practice of speech-language pathology as screening for, identifying, assessing, interpreting, diagnosing, rehabilitating and preventing disorders of speech and language, oral-pharyngeal function or dysphagia, and cognitive and communication disorders.⁠^89,90

The payer’s rule is separate. Medicare pays for outpatient therapy under a plan of care certified by a physician or nonphysician practitioner, and the regulation’s 2025 text lets a signed order or referral on file, with the plan delivered within 30 days of the initial evaluation, stand in for that signature on an initial plan.⁠³⁴ Alaska Medicaid’s referral and prior-authorization rules are in the next section. A commercial plan’s rule is in its member contract and provider manual, and the clinic keeps a copy of each.

How does Alaska Medicaid pay for pediatric and adult therapy?

Alaska Medicaid is run by the Alaska Department of Health, through its Division of Health Care Services, and a clinic enrolls through its provider enrollment route before it bills.⁠⁹¹ For children, the federal EPSDT benefit requires the state to cover services that correct or ameliorate a condition found at a screening, whether or not the state plan covers them for adults.⁠⁹² For members under 21, Alaska Medicaid’s EPSDT rules pay for physical, occupational and speech therapy a screening identifies a need for, and the therapy rules pay for maintenance physical and occupational therapy for conditions caused by developmental disabilities or developmental delay when it prevents a condition from worsening or an additional health problem. The adult unit limits apply to members 21 and older.⁠^3,4,5,6,7,8

For members 21 and older, Alaska Medicaid pays for no more than two physical and occupational therapy evaluation units and 30 combined physical and occupational therapy units each state fiscal year, and eight speech-language evaluation units and 15 speech-language therapy units each state fiscal year, with additional units when the department gives prior authorization on the provider’s medical justification. It does not pay adults for maintenance of bodily function, swimming therapy, physical fitness, habilitation or weight loss.⁠^{15,16,17,18,19,20} Alaska Medicaid requires prior authorization for therapy that exceeds the adult unit limits, based on the provider’s medical justification, and the therapy manual says the fee schedules show which codes need service authorization or medical justification. In the state fiscal year 2027 therapy fee schedule (revised October 28, 2026), the Service Auth Required column is blank for every code and the Medical Justification Required column is marked for codes 92626 and L3740.⁠^{93,94,95,96,97} Alaska Medicaid’s claims are received, processed and paid by its fiscal agent, and its provider manual describes a Care Management Program that, after a utilization review, assigns a member to one primary care provider and one pharmacy. A clinic treating a member in that program is paid only with a written referral from the assigned primary care provider submitted with the claim.⁠^98,99,100 The fee schedule is published by the agency, and a clinic reads the current file rather than a remembered rate.⁠¹⁰¹

How does Alaska Medicaid want OT, PT and SLP claims coded?

Alaska Medicaid pays therapy on a resource-based relative value scale, with therapists reimbursed at 85 percent of the physician rate, on the CMS-1500 claim form. An assistant enrolls as a rendering provider affiliated with a group or therapy center, which bills with the assistant as the rendering provider, and progress notes must record start and stop times for time-based codes, with units counted on the department’s minute table.⁠^{102,103,104,105,106,107,108} The codes, modifiers and authorization forms are the manual’s and change with it, so the clinic reads the current therapy sections before its first claim and records the manual’s page-updated date in the payer register.

Does Alaska Medicaid pay for therapy in schools?

Alaska Medicaid pays an enrolled school district for school-based services, physical, occupational and speech-language therapy among them, that the child’s individualized education plan specifies, under an agreement in which the district reimburses the state share. The district bills under its own provider number, and the therapists providing the services are not required to enroll individually.⁠^{109,110,111,112,113} A school’s billing is the district’s, under its own program; an outpatient clinic’s claim for the same child is a separate matter with its own eligibility and authorization.

Does Alaska Medicaid cover therapy by telehealth?

Alaska Medicaid pays for covered services provided through telehealth in the same manner as in person, by synchronous audio-video or audio-only technology or asynchronous store-and-forward, under the same prior authorization requirements and service limits as in-person care. The rendering provider annotates the record with the method, the member’s location and the member’s consent.⁠^{114,115,116,117} The telehealth section below covers the state’s own rules for the session itself.

What are Alaska’s telehealth rules for therapy?

A therapist treating a patient by video needs authority to practice where the patient is located at the time of the session, and the federal telehealth site says so plainly: licensure follows the patient’s location, and a compact privilege is one route to it.⁠²¹ Alaska’s board rules set standards for telerehabilitation by an Alaska-licensed physical therapist or occupational therapist to patients located in the state, by an interactive two-way audio-video system (not email, fax or telephone), including one-on-one consultations and initial evaluations with HIPAA-compliant secure connections. The department’s rules let a licensed or registered speech-language pathologist or assistant provide telemedicine services of the same scope, nature and quality as in person. A business performing telemedicine services registers on the department’s telemedicine business registry. For speech-language pathology telemedicine, the licensee documents efforts to obtain the client’s consent to send records to the client’s primary care provider, in writing signed by the client or guardian. Alaska Medicaid requires the clinical record of a synchronous telehealth service to confirm the member’s consent to telehealth delivery.⁠^{118,119,120,121,122,123,124}

A compact privilege is not a national license: it is a privilege to practice in the specific member state that issued it, under that state’s licensing law, and a state that has enacted the compact may not yet be issuing privileges, which is why the table names the commission’s current status.⁠^22,23,24,25 Alaska requires group and individual health insurance plans to cover benefits provided through telehealth by an Alaska-licensed provider, and bars a plan from requiring prior in-person contact before paying for covered services.⁠¹²⁵

Which business steps are specific to Alaska?

The entity is registered with the Alaska Department of Commerce, Community, and Economic Development, and the choice of entity is shaped by the state’s rule on who may own a therapy business.⁠³⁹ Under the Professional Corporation Act, licensed persons may incorporate a professional corporation, which renders professional services only through persons licensed in Alaska for that type of service and issues its shares only to persons licensed by a state regulatory board to render the service named in its articles.⁠^40,41,42 State tax registration is with the Alaska Department of Labor and Workforce Development, Employment Security Tax section.⁠^126,127 Alaska requires a state business license before engaging in business, and a license issued to a firm covers all its operations in the state regardless of the number of establishments. The department may set it to expire with the firm’s professional license, and knowingly operating without one carries a civil fine of up to $300.⁠^128,129,130 Alaska has no state sales and use tax; some local jurisdictions impose local sales taxes, listed each year in the Department of Commerce, Community, and Economic Development’s Alaska Taxable.⁠^131,132 Alaska’s Workers’ Compensation Act makes an employer liable for and requires it to secure payment of compensation to its employees, payable regardless of fault; a person is an independent contractor only if the person meets the Act’s listed conditions.⁠^133,134,135 A city or county business license is a local question, answered by the city hall of the clinic’s address. The startup-costs guide carries the budget worksheet these registrations go into.

What record and privacy rules apply in Alaska?

As an Alaska Medicaid requirement, a provider keeps the clinical and financial records that support billed services for at least seven years from the date of service, even after the business is sold or closes. The board’s rules require a physical therapist to keep PTA supervision records at the assistant’s place of employment and continuing-education records for three years.⁠^35,36,37,38 Two federal periods sit beside it and are often confused with it: Medicare requires 7 years for documentation of orders, certifications, referrals and payment requests, and HIPAA requires 6 years for its own compliance documentation, and neither sets the retention period for the clinical chart.⁠^136,137

Alaska requires a person or business that owns or licenses personal information on a state resident to disclose a breach of its information system to each affected resident in the most expeditious time possible and without unreasonable delay, unless after an investigation and written notice to the attorney general it determines there is no reasonable likelihood of harm, a determination it documents for five years.⁠^138,139 Alaska requires practitioners of the healing arts who, in their occupational duties, have reasonable cause to suspect a child has suffered harm from abuse or neglect to report it immediately to the nearest office of the Department of Family and Community Services, and to law enforcement when a sex offense is suspected. A licensed health care provider who has reasonable cause to believe a vulnerable adult suffers from abuse, neglect, exploitation or self-neglect reports it to the department’s vulnerable adult centralized intake office within 24 hours.⁠^140,141,142

Which Alaska rules shape a pediatric clinic?

The Alaska Early Intervention/Infant Learning Program, in the Department of Health’s Senior and Disabilities Services, applies for the federal Part C funds and coordinates community-based early intervention for families with infants and toddlers from birth to age three with developmental concerns, through a network of local programs in nonprofits, health corporations and school districts. Services can include physical, occupational and speech therapy, and a provider refers a child to the local program with the parent’s awareness.⁠^{43,44,45,46,47,48} A child who turns three moves from early intervention to the school district’s evaluation, and a private clinic’s services run beside both systems rather than inside them. Alaska requires health insurers to cover the diagnosis and treatment of autism spectrum disorders, including therapeutic care by a licensed speech-language pathologist, occupational therapist or physical therapist, for individuals under 21, with no limit on the number of visits to an autism service provider. An insurer need not provide it to a small employer with 20 or fewer employees, and the director may waive it for an employer with 21 to 25 employees on a showing of a premium increase of three percent or more.⁠^143,144,145 The autism insurance mandates guide covers how such a mandate meets a plan’s own terms.

Which Alaska rules shape an adult clinic?

Medicare claims from Alaska go to Noridian Healthcare Solutions, the Medicare Administrative Contractor for Jurisdiction F, Parts A and B (Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington and Wyoming), whose local coverage articles for therapy are the ones an Alaska clinic reads.⁠¹⁴⁶ Alaska Medicaid’s adult therapy rules are in the Medicaid section above. Alaska’s workers’ compensation fees may not exceed the lowest of the community’s usual, customary and reasonable fees, the fee schedules the Medical Services Review Committee establishes and the Workers’ Compensation Board adopts by regulation (a physician fee schedule based on the CMS resource-based relative value scale among them), the provider’s charge to the general public, or a negotiated fee. The Alaska Workers’ Compensation Medical Fee Schedule in effect is the one effective April 1, 2026.⁠^147,148

Which associations and directory pages serve Alaska?

The state chapters are APTA Alaska (the Alaska Physical Therapy Association) for physical therapy, the Alaska Occupational Therapy Association (AKOTA) for occupational therapy and the Alaska Speech-Language-Hearing Association (AKSHA) for speech-language pathology.⁠^149,150,151 On DrSensory, families browse Alaska clinics by discipline on the occupational therapy, physical therapy and speech therapy pages for the state, which the directory builds from the clinic addresses it holds; a clinic appears on the pages of its own address.⁠¹⁵²

Which Alaska cities have DrSensory city pages?

Beyond its three Alaska pages, the directory publishes city pages for one Alaska city, Anchorage, three pages across the three disciplines, each listing the clinics whose address is in that city; a clinic appears on the city page of its address without any action of its own, and a city or discipline without a page is reached through the state page.⁠¹⁵²

How many Alaska PT, OT and SLP clinics does DrSensory list?

DrSensory lists 31 PT, OT and SLP clinics in Alaska, on its occupational therapy, physical therapy and speech therapy pages for the state.⁠¹⁵²

Where does each requirement come from, and what does the clinic do?

Which templates does an Alaska launch need?

How might two Alaska clinics plan a launch?

Sources

1. Alaska State Legislature. Alaska Statutes 2025, AS 08.84.010, Creation and membership of board (State Physical Therapy and Occupational Therapy Board). Checked October 31, 2026.
2. Alaska State Legislature. Alaska Statutes 2025, AS 08.84.190, Definitions. Checked October 31, 2026.
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   “(7) “physical therapy” means the examination, treatment and instruction of human beings to detect, assess, prevent, correct, alleviate and limit physical disability, bodily malfunction, pain from injury, disease and other bodily or mental conditions and includes the administration, interpretation and evaluation of tests and measurements of bodily functions and structures; the planning, administration, evaluation and modification of treatment and instruction including the use of physical measures, activities and devices for preventive and therapeutic purposes; the provision of consultative, educational and other advisory services for the purpose of reducing the incidence and severity of physical disability, bodily malfunction and pain ...”
3. Alaska State Legislature (Alaska Administrative Code). 7 AAC 110.210, EPSDT covered services. Checked October 31, 2026.
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   “(b) The department will pay for the following additional services for children under 21 years of age if the screening identifies a need for that service: ... (7) physical therapy under 7 AAC 115.300 - 7 AAC 115.320; (8) occupational therapy under 7 AAC 115.100 - 7 AAC 115.120; (9) speech therapy under 7 AAC 115.400 - 7 AAC 115.420 ...”
4. Alaska State Legislature (Alaska Administrative Code). 7 AAC 110.200, Purpose of EPSDT services. Checked October 31, 2026.
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   “The department will pay for early and periodic screening, diagnosis, and treatment (EPSDT) services provided to a recipient under 21 years of age or to a justice-involved youth described in 7 AAC 105.110(6)(B). ... EPSDT services include (1) screening for physical, behavioral, vision, dental, and hearing needs that meet the requirements of 7 AAC 110.205; (2) any necessary health care, diagnostic services, treatment, or other services that meet the requirements of 7 AAC 110.210; and (3) additional services if (A) a provider identified in 7 AAC 110.205(a) determines them to be medically necessary; and (B) they receive prior authorization from the department.”
5. Alaska State Legislature (Alaska Administrative Code). 7 AAC 115.310, Physical therapy services. “(c) Maintenance physical therapy services related to conditions caused by developmental disabilities or developmental delay to a recipient under 21 years of age will be paid if the services prevent a condition from worsening or the development of an additional health problem.” Checked October 31, 2026.
6. Alaska State Legislature (Alaska Administrative Code). 7 AAC 115.110, Occupational therapy services. Checked October 31, 2026.
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   “(d) The department will pay for maintenance occupational therapy services related to conditions caused by developmental disabilities or developmental delay provided to a recipient under 21 years of age if the services prevent a condition from worsening or the development of an additional health problem.”
7. Alaska Department of Health, Division of Health Care Services. Alaska Medical Assistance Provider Billing Manual, Section I: Therapy Services, Policies and Procedures (published March 28, 2019, marked Under Review). Checked October 31, 2026.
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   “Alaska Medicaid covers maintenance occupational therapy services provided to recipients under 21 years of age when services directly relate to conditions caused by developmental disabilities or developmental delay. The services must be provided in order to: Prevent worsening of a condition Avoid development of an additional health problem ...”
8. Alaska Department of Health. Early & Periodic Screening, Diagnostic & Treatment (EPSDT) Program. “The goal of the EPSDT program, also known as the Alaska Well Child Program, is to ensure that all Medicaid and Denali KidCare-eligible children receive the health care they need, when they need it.” Checked October 31, 2026.
9. Alaska State Legislature. Alaska Statutes 2025, AS 08.84.010, Creation and membership of board (State Physical Therapy and Occupational Therapy Board). Checked October 31, 2026.
10. Alaska State Legislature. Alaska Statutes 2025, AS 08.11.015, Qualifications for speech-language pathologist license. Checked October 31, 2026.
11. Alaska State Legislature (Alaska Administrative Code). 12 AAC 54.520, Supervision of non-licensed personnel. “(a) Regardless of the practice setting, a licensed physical therapist is solely responsible for the treatment and management of all aspects of physical therapy care of the patient.” Checked October 31, 2026.
12. Alaska State Legislature. Alaska Statutes 2025, AS 08.84.160, Scope of authorized practice. “This chapter does not authorize a person to practice medicine, osteopathy, chiropractic, or other method of healing, but only to practice physical therapy or occupational therapy.” Checked October 31, 2026.
13. Alaska State Legislature (Alaska Administrative Code). 7 AAC 115.310, Physical therapy services. Checked October 31, 2026.
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    “(b) The department will pay for physical therapy services and supplies (1) that are identified in the Fee Schedule for Therapy Services, adopted by reference in 7 AAC 160.900; and (2) if those services, except the initial evaluation, are (A) prescribed by a physician, an advanced practice registered nurse, a physician assistant, or another licensed health care professional, within the scope of the practitioner’s license ...”
14. Alaska State Legislature (Alaska Administrative Code). 7 AAC 115.320, Physical therapy evaluation and treatment plan. Checked October 31, 2026.
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    “(b) After conducting the initial evaluation of a recipient, the physical therapist must establish a written treatment plan. The plan must specify the diagnosis, the anticipated treatment goals, and the type, amount, frequency, and duration of each service. No more than 14 days after the plan is developed or changes are made to service levels, the treatment plan must be signed by a physician, advanced practice registered nurse (APRN), or physician assistant (PA) enrolled under 7 AAC 105 - 7 AAC 160. The department will not pay for services provided more than 14 days after the treatment plan is developed or changes are made to service levels if the treatment plan has not been signed.”
15. Alaska State Legislature (Alaska Administrative Code). 7 AAC 115.310, Physical therapy services. Checked October 31, 2026.
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    “(g) For an individual 21 years of age or older, the department will pay for no more than (1) two units of physical and occupational therapy evaluation services combined each state fiscal year; (2) 30 combined units of physical and occupational therapy services combined each state fiscal year; and (3) additional units of physical therapy services if the department gives prior authorization based upon medical justification submitted by the provider.”
16. Alaska State Legislature (Alaska Administrative Code). 7 AAC 115.410, Speech-language pathology services. Checked October 31, 2026.
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    “(3) for an individual 21 years of age or older, the department will pay for (A) eight units of speech-language therapy evaluation services each state fiscal year; (B) 15 units of speech-language therapy services each state fiscal year; and (C) additional units of occupational therapy services if the department gives prior authorization based on medical justification submitted by the provider.”
17. Alaska State Legislature (Alaska Administrative Code). 7 AAC 115.110, Occupational therapy services. Checked October 31, 2026.
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    “(f) For an individual 21 years of age or older, the department will pay for (1) two units of physical and occupational therapy evaluation services combined each state fiscal year; (2) 30 units of physical and occupational therapy services combined each state fiscal year; and (3) additional units of occupational therapy services if the department gives prior authorization based upon medical justification submitted by the provider.”
18. Alaska State Legislature (Alaska Administrative Code). 7 AAC 115.310, Physical therapy services. “(d) The department will not pay for physical therapy services that are for maintenance of bodily function, swimming therapy, physical fitness, or weight loss. (e) The department will not pay for the services provided by a physical therapist aide.” Checked October 31, 2026.
19. Alaska Department of Health, Division of Health Care Services. Alaska Medical Assistance Provider Billing Manual, Section I: Therapy Services, Policies and Procedures (published March 28, 2019, marked Under Review). Checked October 31, 2026.
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    “Alaska Medicaid does not cover the following occupational therapy services for recipients 21 years of age or older: Maintenance of bodily function Swimming therapy Habilitation Weight loss ...”
20. Alaska Department of Health. Alaska Medicaid Provider Billing Manual, General Program Information (2025_V1; revision history last entry November 24, 2025). “Occupational therapy ... Physical therapy ... Speech-language therapy ...” Checked October 31, 2026.
21. U.S. Department of Health and Human Services. Getting started with licensure (Telehealth.HHS.gov, last updated February 21, 2024). Checked October 26, 2026.
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    “Health professionals must meet the licensure requirements of the state where they are located and be licensed or legally permitted to practice in the state where the patient is located”. Its companion page, Licensing across state lines (last updated April 30, 2025): “The ability to deliver health care services across state lines varies based on state regulations”; “Prior to an appointment, providers should verify patient location and obtain consent”; “Compacts allow participating health care providers to practice in participating states”.
22. PT Compact Commission. PT Compact Map. “Member States (38) Alabama Alaska ... 38 Member States Actively Issuing and Accepting Compact Privileges ...” Checked October 31, 2026.
23. Alaska State Legislature. Alaska Statutes 2025, AS 08.84.188, Compact enacted. “The Interstate Physical Therapy Licensure Compact as contained in this section is enacted into law and entered into on behalf of the state with all other states and jurisdictions legally joining it in a form substantially as follows ...” Checked October 31, 2026.
24. Alaska State Legislature. Alaska Statutes 2025, AS 08.84.010, Creation and membership of board. “(7) implement the Interstate Physical Therapy Licensure Compact under AS 08.84.188.” Checked October 31, 2026.
25. Alaska State Legislature (Alaska Administrative Code). 12 AAC 02.320, State Physical Therapy and Occupational Therapy Board (fees). “(2) license or compact privilege fee for a physical or occupational therapist for all or part of the initial biennial license period, $200 ...” Checked October 31, 2026.
26. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. “States not listed below are not a member of the Occupational Therapy Compact. ... Alaska Not Yet not required AK OT Statutes & Regulations ...” Checked October 31, 2026.
27. Occupational Therapy Compact Commission. OT Compact Map data (the Datawrapper map embedded on otcompact.gov/compact-map/). “Alaska,Enacted,HB 173,https://www.akleg.gov/basis/Bill/Detail/34?Root=HB%20173,SB 172,https://www.akleg.gov/basis/Bill/Text/34?Hsid=SB0172A,AK ...” Checked October 31, 2026.
28. Alaska State Legislature. HB 173, 34th Legislature (2025-2026): bill detail and history. Checked October 31, 2026.
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    “"An Act relating to occupational therapist licensure; relating to occupational therapy assistant licensure; relating to an occupational therapist licensure compact; relating to an executive administrator for the State Physical Therapy and Occupational Therapy Board; relating to physical therapist licensure; relating to physical therapist assistant licensure; relating to audiologist licensure; relating to speech-language pathologist licensure; and relating to national criminal history record checks." ... 7/3/2026 3159 (H) LAW W/O GOVERNOR SIGNATURE 6/30 CHAPTER 41 SLA 26 7/3/2026 3159 (H) EFFECTIVE DATE(S) OF LAW 9/30/26 ...”
29. Audiology and Speech-Language Pathology Interstate Compact Commission. Compact Map (Alaska’s entry, shown on selecting the state). “Alaska SB 75 (2024)” Checked October 31, 2026.
30. Audiology and Speech-Language Pathology Interstate Compact Commission. Compact Map (legend). “Legislation Enacted - Not Yet Issuing Privileges: 33 Legislation Enacted - Issuing Privileges: 4 ...” Checked October 31, 2026.
31. Audiology and Speech-Language Pathology Interstate Compact Commission. ASLP-IC Home. “Registration is open for licensed practitioners in Louisiana, Ohio, Tennessee, and West Virginia ...” Checked October 31, 2026.
32. Alaska State Legislature. Alaska Statutes 2025, AS 08.11.300, Audiology and speech-language interstate compact enacted. “The Department of Commerce, Community, and Economic Development shall implement the audiology and speech-language interstate compact enacted under this section.” Checked October 31, 2026.
33. Alaska State Legislature. Alaska Statutes 2025, AS 08.11.100, Prohibited acts. “(b) Unless a person is licensed or granted a compact privilege as a speech-language pathologist under this chapter, the person may not (1) practice speech-language pathology ...” Checked October 31, 2026.
34. Code of Federal Regulations. 42 CFR 424.24, Requirements for medical and other health services furnished by providers under Medicare Part B (eCFR, up to date as of October 22, 2026; paragraph (c), outpatient physical therapy, occupational therapy and speech-language pathology services). Checked October 26, 2026.
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    “The individual needs, or needed, physical therapy, occupational therapy, or speech-language pathology services.”; “The services were furnished while the individual was under the care of a physician, nurse practitioner, clinical nurse specialist, or physician assistant.”; “The initial certification must be obtained as soon as possible after the plan is established.”; “Recertification is required at least every 90 days.”; “When it is recertified, the plan or other documentation in the patient’s record must indicate the continuing need for physical therapy, occupational therapy or speech-language pathology services.”; “the therapist has documented evidence that the plan of treatment has been delivered to the physician, NP, PA, or CNS within 30 days of completion of the initial evaluation, the certification does not need to be signed by a physician, NP, CNS, or PA who has knowledge of the case.”; “No references to an order or referral in this subsection shall be construed to require an order or referral for outpatient physical therapy, occupational therapy, or speech-language pathology services.”.
35. Alaska State Legislature (Alaska Administrative Code). 7 AAC 105.230, Requirements for provider records. Checked October 31, 2026.
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    “(e) A provider shall retain a recipient’s records described in (b) - (d) of this section for which services have been billed to the department for at least seven years from the date the service is provided. The duty of the provider set out in this subsection applies to a provider even if the provider’s business is sold or transferred, or is no longer operating. If a provider ceases business, the provider shall notify the department how the department can access Medicaid recipient records in the future.”
36. Alaska Department of Health. Alaska Medicaid Provider Billing Manual, General Program Information (2025_V1; revision history last entry November 24, 2025). “... must maintain records necessary to support the care and services for which payment is requested, and to retain those records for at least seven years from the date services were provided.” Checked October 31, 2026.
37. Alaska State Legislature (Alaska Administrative Code). 12 AAC 54.510, Supervision of physical therapist assistants. Checked October 31, 2026.
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    “(2) fully document the supervision provided, including a record of all consultations provided, and maintain those records at the physical therapist assistant’s place of employment; and (3) countersign the patient treatment record each time the supervising physical therapist is physically present and directly supervises or supervises by video or teleconference the treatment of a patient by the physical therapist assistant being supervised.”
38. Alaska State Legislature (Alaska Administrative Code). 7 AAC 105.230, Requirements for provider records. Checked October 31, 2026.
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    “(f) A provider who maintains all or part of the provider’s records in an electronic format shall ensure that the data required to be maintained by this section is available and accessible under this chapter or if requested under 7 AAC 105.240(a). ... A provider’s electronic data storage system must (1) comply with P.L. 104-191 (Health Insurance Portability and Accountability Act); (2) protect against unauthorized modification; and (3) identify the creator and date of initial data entry and any modification.”
39. Alaska State Legislature. Alaska Statutes 2025, AS 10.45.010, Incorporation. “(a) One or more persons each of whom is licensed to render a professional service in this state may incorporate a professional corporation by filing articles of incorporation with the Department of Commerce, Community, and Economic Development.” Checked October 31, 2026.
40. Alaska State Legislature. Alaska Statutes 2025, AS 10.45.030, Who may render professional service. Checked October 31, 2026.
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    “A professional corporation incorporated under this chapter may not render professional services except through the persons who are licensed within the state to render the same type of professional services as the corporation and who are its shareholders, directors, officers, employees, or agents.”
41. Alaska State Legislature. Alaska Statutes 2025, AS 10.45.050, Issuance of shares. “A professional corporation may issue shares of its capital stock to persons licensed by a regulatory board of the state to render the professional service specified in the articles of incorporation ...” Checked October 31, 2026.
42. Alaska State Legislature. Alaska Statutes 2025, AS 10.45.010, Incorporation. “(b) A certificate from the regulatory board of the profession involved certifying that each of the incorporators, directors, and shareholders is licensed to practice the profession shall be filed with the articles of incorporation.” Checked October 31, 2026.
43. Alaska Department of Health. Early Intervention/Infant Learning Program. “The goal of the Alaska Early Intervention/Infant Learning Program (EI/ILP) is to assure that coordinated, community-based early intervention services are available for families with infants and toddlers (birth to age three) with developmental concerns.” Checked October 31, 2026.
44. Alaska Department of Health. Early Intervention/Infant Learning Program. “The Infant Learning Program is seeking public comment on the FFY2026 Federal Application for Part C Funds.” Checked October 31, 2026.
45. Alaska Department of Health. Early Intervention/Infant Learning Program. Checked October 31, 2026.
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    “Services for eligible families may include: Developmental screening and evaluation Coordination of medical, therapeutic, and other related services Home visits to help the family better understand their child’s developmental strengths and needs and guide their children in learning new skills Physical, occupational, speech and/or developmental therapy, to help families support their child’s development and participation in daily routines and activities ...”
46. Alaska Department of Health. ILP Developmental Screening and Referrals. “Infant Learning Program services are available in all communities in the State of Alaska, through a network of providers located in non-profits, health corporations and school districts.” Checked October 31, 2026.
47. Alaska Department of Health. ILP Developmental Screening and Referrals. Checked October 31, 2026.
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    “If you know of a child with a disability, or are concerned that a child may have a developmental delay, please refer the child to the Early Intervention/Infant Learning Program in your area. When making a referral, please let the program know if the parent(s) are aware the referral is being made.”
48. Alaska Department of Health. ILP Developmental Screening and Referrals. “If you have a concern about your child’s development or would like to have a developmental screening, please reach out to your local ILP program or call our state office at 1-877-HSS-FMLY (477-3659).” Checked October 31, 2026.
49. Alaska State Legislature. Alaska Statutes 2025, AS 08.84.010, Creation and membership of board. Checked October 31, 2026.
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    “(a) There is created the State Physical Therapy and Occupational Therapy Board, which consists of seven members. The membership consists of three physical therapists licensed in the state or two physical therapists and one physical therapist assistant licensed in the state, three occupational therapists licensed in the state or two occupational therapists and one occupational therapy assistant licensed in the state, and one lay person with no direct financial interest in the health care industry. ... (b) The board shall control all matters pertaining to the licensing of physical therapists, physical therapist assistants, occupational therapists, and occupational therapy assistants and the practice of physical therapy and the practice of occupational therapy.”
50. Alaska State Legislature. Alaska Statutes 2025, AS 08.01.050, Administrative duties of department. Checked October 31, 2026.
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    “(9) issue licenses or temporary licenses as authorized by the board or, for occupations or activities listed in AS 08.01.010 that are regulated directly by the department, as authorized by the department under applicable law; ... (12) compile and maintain a current register of licensees ...”
51. Alaska State Legislature. Alaska Statutes 2025, AS 08.01.010, Applicability of chapter. “(35) State Physical Therapy and Occupational Therapy Board (AS 08.84.010) ...” Checked October 31, 2026.
52. Alaska State Legislature. Alaska Statutes 2025, AS 08.84.150, License required; exceptions. Checked October 31, 2026.
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    “(a) It is unlawful for a person to practice physical therapy without being licensed under this chapter unless the person is (1) a student in an accredited physical therapy program; (2) a graduate of a foreign school of physical therapy fulfilling the internship requirement of AS 08.84.032, and then only unless under the continuous direction and immediate supervision of a physical therapist; (3) issued a limited permit under AS 08.84.075; or (4) granted a compact privilege under AS 08.84.188.”
53. Alaska State Legislature (Alaska Administrative Code). 12 AAC 54.500, Physical therapy standards. “(a) Services may not be stated or implied as being physical therapy unless performed by a licensed physical therapist or under the supervision of a licensed physical therapist.” Checked October 31, 2026.
54. Alaska State Legislature. Alaska Statutes 2025, AS 08.01.100, License renewal, lapse, and reinstatement. Checked October 31, 2026.
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    “(a) Licenses shall be renewed biennially on the dates set by the department with the approval of the respective board. (b) A license subject to renewal shall be renewed on or before the date set by the department. If the license is not renewed by the date set by the department, the license lapses.”
55. Alaska State Legislature. Alaska Statutes 2025, AS 08.84.100, Renewal of license. “(c) A license may not be renewed unless the applicant submits proof of continued competence to practice physical therapy or occupational therapy in a manner established by the board in regulations adopted under AS 08.84.010(b).” Checked October 31, 2026.
56. Alaska State Legislature (Alaska Administrative Code). 12 AAC 54.400, Physical therapy license renewal requirements. Checked October 31, 2026.
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    “An applicant for renewal of a physical therapist or physical therapist assistant license shall (1) complete the renewal application on a form prescribed by the board; (2) pay the license renewal fee established in 12 AAC 02.320; and (3) document continuing competency by submitting proof of having completed (A) the continuing professional practice requirements or an alternative under 12 AAC 54.405; and (B) the continuing education contact hours required under 12 AAC 54.410.”
57. Alaska State Legislature (Alaska Administrative Code). 12 AAC 02.320, State Physical Therapy and Occupational Therapy Board (fees). “(3) biennial license renewal or compact privilege renewal fee for a physical or occupational therapist, $200 ...” Checked October 31, 2026.
58. Alaska State Legislature (Alaska Administrative Code). 12 AAC 54.410, Physical therapy continuing education requirements. Checked October 31, 2026.
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    “(a) Except as provided in 12 AAC 54.435, an applicant for renewal of a physical therapist or physical therapist assistant license who has been licensed for 12 months or more of the concluding licensing period shall have completed 24 contact hours of continuing education during that period. ... (b) An applicant shall complete at least one-half of the required contact hours in courses or programs offered by an accredited academic institution or a professional organization approved by the board under 12 AAC 54.420(a).”
59. Alaska State Legislature (Alaska Administrative Code). 12 AAC 54.405, Physical therapy continuing professional practice requirements and alternatives to those requirements. Checked October 31, 2026.
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    “(a) An applicant for renewal of a physical therapist or physical therapist assistant license shall document completion of the jurisprudence questionnaire prepared by the board, covering the provisions of AS 08.84 and this chapter, and shall also document (1) having provided physical therapy services for at least 60 hours during the concluding licensing period; or (2) successful completion during the concluding licensing period of at least one of the following ...”
60. Alaska State Legislature (Alaska Administrative Code). 12 AAC 54.410, Physical therapy continuing education requirements. Checked October 31, 2026.
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    “(d) An applicant for renewal is responsible for maintaining adequate and detailed records of all continuing education contact hours claimed and shall make the records available to the board upon request under 12 AAC 54.430. Records must be retained for three years from the date the contact hours were obtained.”
61. Alaska State Legislature (Alaska Administrative Code). 12 AAC 54.510, Supervision of physical therapist assistants. Checked October 31, 2026.
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    “(a) A physical therapist assistant shall work under the supervision of a licensed physical therapist. (b) A licensed physical therapist is responsible for and shall participate in a patient’s care. (c) Except as specified in 12 AAC 54.500(e), a physical therapist may supervise a maximum of three physical therapist assistants. (d) A licensed physical therapist assistant shall have written treatment plans formulated by the licensed physical therapist in possession for each patient under the care of the physical therapist assistant. ... (e) At least once a month, a supervising physical therapist shall provide periodic supervision to a physical therapist assistant while the physical therapist assistant being supervised implements a treatment plan with a patient. Supervision shall be conducted on site or by video or teleconference when in-person supervision is not reasonably practicable.”
62. Alaska State Legislature. Alaska Statutes 2025, AS 08.84.190, Definitions. “(6) “physical therapist assistant” means a person who assists in the practice of physical therapy or an aspect of physical therapy as initiated, supervised, and terminated by a licensed physical therapist; the responsibilities of a physical therapist assistant do not include evaluation.” Checked October 31, 2026.
63. Alaska State Legislature (Alaska Administrative Code). 12 AAC 54.500, Physical therapy standards. “(e) A physical therapist may not supervise more than three aides, assistants, students, foreign-educated candidates, or permittees in any combination at the same time.” Checked October 31, 2026.
64. Alaska State Legislature (Alaska Administrative Code). 12 AAC 54.520, Supervision of non-licensed personnel. “(d) A supervising physical therapist or physical therapist assistant shall provide continual on-site supervision of non-licensed personnel who are performing patient-related duties.” Checked October 31, 2026.
65. Alaska State Legislature. Alaska Statutes 2025, AS 08.84.010, Creation and membership of board. “(b) The board shall control all matters pertaining to the licensing of physical therapists, physical therapist assistants, occupational therapists, and occupational therapy assistants and the practice of physical therapy and the practice of occupational therapy.” Checked October 31, 2026.
66. Alaska State Legislature. Alaska Statutes 2025, AS 08.84.150, License required; exceptions. Checked October 31, 2026.
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    “(b) A person may not provide services that the person describes as occupational therapy without being licensed under this chapter unless the person is (1) a student in an accredited occupational therapy program or in a supervised field work program; (2) a graduate of a foreign school of occupational therapy fulfilling the internship requirement of AS 08.84.032, and then only unless under the continuous direction and immediate supervision of an occupational therapist; (3) an occupational therapist or occupational therapy assistant employed by the United States government while in the discharge of official duties; (4) granted a limited permit under AS 08.84.075; (5) licensed under this title and uses occupational therapy skills in the practice of the profession for which the license is issued ...”
67. Alaska State Legislature. Alaska Statutes 2025, AS 08.01.100, License renewal, lapse, and reinstatement. Checked October 31, 2026.
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    “(a) Licenses shall be renewed biennially on the dates set by the department with the approval of the respective board. (b) A license subject to renewal shall be renewed on or before the date set by the department. If the license is not renewed by the date set by the department, the license lapses.”
68. Alaska State Legislature (Alaska Administrative Code). 12 AAC 54.700, Occupational therapy license renewal requirements. Checked October 31, 2026.
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    “An applicant for renewal of an occupational therapist license or an occupational therapy assistant license shall submit (1) a complete renewal application on a form prescribed by the board; (2) the license renewal fee established in 12 AAC 02.320; (3) proof of continuing competency by submitting documentation verifying that the applicant has completed (A) the continuing occupational therapy professional practice requirements or an alternative under 12 AAC 54.705; and (B) the continuing education contact hours required under 12 AAC 54.710; and (4) a completed jurisprudence questionnaire prepared by the board covering the provisions of AS 08.84 and this chapter.”
69. Alaska State Legislature (Alaska Administrative Code). 12 AAC 54.710, Occupational therapy continuing education requirements. Checked October 31, 2026.
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    “(a) Except as provided in 12 AAC 54.725, an applicant for renewal of an occupational therapist or an occupational therapy assistant license who has been licensed for 12 months or more of the concluding licensing period shall have (1) completed, during that period, 24 contact hours of continuing education; or (2) evidence of current certification bv the National Board for Certification in Occupational Therapy (NBCOT).”
70. Alaska State Legislature (Alaska Administrative Code). 12 AAC 54.705, Required continuing occupational therapy professional practice and alternatives. Checked October 31, 2026.
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    “(a) An applicant for renewal of an occupational therapist or occupational therapy assistant license shall document (1) having provided occupational therapy services for at least 60 hours during the concluding licensing period; or (2) successful completion during the concluding licensing period of one of the following ...”
71. Alaska State Legislature (Alaska Administrative Code). 12 AAC 54.810, Supervision of occupational therapy assistants. Checked October 31, 2026.
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    “(a) An occupational therapy assistant shall work under the supervision of a licensed occupational therapist. To meet this supervision requirement, (1) at least once every month, while the occupational therapy assistant being supervised implements a treatment plan for a patient, the occupational therapist supervising the licensed occupational therapy assistant shall be physically present, or shall be present by video or teleconference when in-person supervision is not reasonable or practicable; and (2) the occupational therapist supervising the occupational therapy assistant shall be available for consultation with the occupational therapy assistant being supervised, through telephone consultations, written reports, or in-person conferences.”
72. Alaska State Legislature. Alaska Statutes 2025, AS 08.84.190, Definitions. “(4) “occupational therapy assistant” means a person who assists in the practice of occupational therapy under the supervision of an occupational therapist ...” Checked October 31, 2026.
73. Alaska State Legislature (Alaska Administrative Code). 12 AAC 54.800, Occupational therapy standards. “(b) An occupational therapist may not supervise more than three aides, assistants, students, foreign-educated candidates, or permittees at the same time, in any combination.” Checked October 31, 2026.
74. Alaska State Legislature (Alaska Administrative Code). 12 AAC 54.815, Supervision of non-licensed personnel. “(d) The supervising occupational therapist or occupational therapy assistant shall provide continual on-site supervision of non-licensed personnel who are performing patient-related duties.” Checked October 31, 2026.
75. Alaska State Legislature. Alaska Statutes 2025, AS 08.11.015, Qualifications for speech-language pathologist license. Checked October 31, 2026.
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    “The department shall issue a license to practice speech-language pathology to an individual who (1) is 18 years of age or older; (2) applies on a form provided by the department; (3) pays the fee required under AS 08.11.050; (4) has not engaged in conduct that is a ground for imposing disciplinary sanctions under AS 08.11.085; (5) furnishes evidence satisfactory to the department that the person holds a Certificate of Clinical Competence in speech-language pathology from the American Speech-Language-Hearing Association or the equivalent of the certificate ...”
76. Alaska State Legislature. Alaska Statutes 2025, AS 08.11.200, Definitions. “(3) “department” means the Department of Commerce, Community, and Economic Development ...” Checked October 31, 2026.
77. Alaska State Legislature. Alaska Statutes 2025, AS 08.01.010, Applicability of chapter. “(6) regulation of audiologists and speech-language pathologists under AS 08.11 ...” Checked October 31, 2026.
78. Alaska State Legislature. Alaska Statutes 2025, AS 08.11.100, Prohibited acts. Checked October 31, 2026.
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    “(b) Unless a person is licensed or granted a compact privilege as a speech-language pathologist under this chapter, the person may not (1) practice speech-language pathology; (2) use a title indicating or representing that the person practices as a speech-language pathologist; (3) advertise that the person practices speech-language pathology.”
79. Alaska State Legislature. Alaska Statutes 2025, AS 08.11.125, Speech-language pathology exemptions. Checked October 31, 2026.
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    “(a) Except as otherwise specifically provided in this section, this chapter does not apply to an individual who practices speech-language pathology as part of the individual’s duties as (1) a physician licensed under AS 08.64; (2) an employee of, or contractor with, a school district while practicing speech-language pathology for the school district ...”
80. Alaska State Legislature. Alaska Statutes 2025, AS 08.01.100, License renewal, lapse, and reinstatement. Checked October 31, 2026.
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    “(a) Licenses shall be renewed biennially on the dates set by the department with the approval of the respective board. (b) A license subject to renewal shall be renewed on or before the date set by the department. If the license is not renewed by the date set by the department, the license lapses.”
81. Alaska State Legislature (Alaska Administrative Code). 12 AAC 02.130, Audiologists, hearing aid dealers, speech-language pathologists, and speech-language pathologist assistants (fees). “(4) biennial audiologist or speech-language pathologist license renewal or compact privilege renewal fee, $70 ...” Checked October 31, 2026.
82. Alaska State Legislature. Alaska Statutes 2025, AS 08.11.043, Qualifications for speech-language pathologist assistant registration. Checked October 31, 2026.
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    “(c) The department shall maintain a registry of individuals registered under this section and shall notify an applicant in writing of a decision to approve or deny an application under this section. An approval is valid for two years, except as provided under AS 08.11.083. (d) The department shall renew a valid registration issued under this chapter if the speech-language pathologist assistant submits a timely application on a form approved by the department accompanied by a sworn statement that the applicant has available documentation of approved continuing education consisting of 15 clock hours for the preceding two years.”
83. Alaska State Legislature. Alaska Statutes 2025, AS 08.11.042, Activities of speech-language pathologist assistant. Checked October 31, 2026.
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    “(a) A person may not practice as a speech-language pathologist assistant in the state without registration under this chapter. (b) Except as provided in (e) of this section, a person registered under this chapter and who is under the immediate supervision of a person licensed as a speech-language pathologist in the state may perform treatment of a person who is medically fragile, as determined by the licensed speech-language pathologist, or who otherwise demonstrates a need for assistance with feeding or swallowing. (c) Except as provided in (b) and (e) of this section, a person registered under this chapter and who is under the direct supervision of a person licensed as a speech-language pathologist in the state may perform screening and treatment techniques or activities and assist the speech-language pathologist during assessments, research, in-service training, and public relations activities.”
84. Alaska State Legislature. Alaska Statutes 2025, AS 08.11.045, Supervision of speech-language pathologist assistant. Checked October 31, 2026.
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    “A plan for supervision must provide for direct supervision of the speech-language pathologist assistant for at least 50 percent of the speech-language pathologist assistant services during the first 90 days of employment of the speech-language pathologist assistant and, after the first 90 days of employment, for at least 20 percent of the speech-language pathologist assistant services.”
85. Alaska State Legislature. Alaska Statutes 2025, AS 08.11.045, Supervision of speech-language pathologist assistant. “(d) A speech-language pathologist may not supervise more than two individuals ...” Checked October 31, 2026.
86. Alaska State Legislature. Alaska Statutes 2025, AS 08.11.200, Definitions. “(4) “direct supervision” means supervision that is on-site or available by visual or real-time electronic means through which a supervising speech-language pathologist observes and guides a speech-language pathologist assistant while the assistant performs a clinical activity ...” Checked October 31, 2026.
87. Alaska State Legislature. Alaska Statutes 2025, AS 08.84.190, Definitions. Checked October 31, 2026.
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    “(3) “occupational therapy” means, for compensation, the use of purposeful activity, evaluation, treatment, and consultation with human beings whose ability to cope with the tasks of daily living are threatened with, or impaired by developmental deficits, learning disabilities, aging, poverty, cultural differences, physical injury or illness, or psychological and social disabilities to maximize independence, prevent disability, and maintain health; “occupational therapy” includes (A) developing daily living, play, leisure, social, and developmental skills; (B) facilitating perceptual-motor and sensory intergrative functioning ...”
88. Alaska State Legislature (Alaska Administrative Code). 7 AAC 115.110, Occupational therapy services. Checked October 31, 2026.
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    “(a) The department will pay for occupational therapy services and supplies (1) that are identified in the Fee Schedule for Therapy Services, adopted by reference in 7 AAC 160.900; and (2) if those services, except the initial evaluation, are (A) prescribed by a physician, an advanced practice registered nurse, a physician assistant, or another licensed health care professional, within the scope of the practitioner’s license ...”
89. Alaska State Legislature. Alaska Statutes 2025, AS 08.11.200, Definitions. Checked October 31, 2026.
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    “(9) “practice of speech-language pathology” means the application of principles, methods, and procedures related to the development and disorders of human communication, including (A) screening for, identifying, assessing, interpreting, diagnosing, rehabilitating, and preventing disorders of speech, such as disorders related to articulation, fluency, voice, and language; (B) screening for, identifying, assessing, interpreting, diagnosing, and rehabilitating disorders of oral-pharyngeal function or dysphagia or related disorders ...”
90. Alaska State Legislature (Alaska Administrative Code). 7 AAC 115.410, Speech-language pathology services. Checked October 31, 2026.
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    “The department will pay for speech-language pathology services and supplies (1) that are identified in the Fee Schedule for Therapy Services, adopted by reference in 7 AAC 160.900; and (2) if those services and supplies, except the initial evaluation, are (A) prescribed by a physician, advanced practice registered nurse (APRN), or physician assistant {PA) enrolled under 7 AAC 105 - 7 AAC 160 and the services and supplies prescribed are within the scope of the practitioner’s license ...”
91. Alaska Medicaid (Alaska Department of Health, Division of Health Care Services). Provider Enrollment Resources (Alaska Medicaid Health Enterprise). Checked October 31, 2026.
92. Medicaid.gov (Centers for Medicare & Medicaid Services). Early and Periodic Screening, Diagnostic, and Treatment (Medicaid benefit page). Checked October 26, 2026.
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    “The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit provides comprehensive and preventive health care services for children under age 21 who are enrolled in Medicaid.”; “It is the responsibility of states to determine medical necessity on a case-by-case basis.”.
93. Alaska State Legislature (Alaska Administrative Code). 7 AAC 105.130, Services requiring prior authorization. Checked October 31, 2026.
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    “(a) Except as otherwise provided in 7 AAC 105 - 7 AAC 160, the department will not pay for the following services unless the department has given prior authorization for the service: ... (3) a service that exceeds an annual or periodic service limitation established in 7 AAC 105 - 7 AAC 160; ... (22) therapy services identified in 7 AAC 115.110, 7 AAC 115.210, 7 AAC 115.310, and 7 AAC 115.410 as requiring prior authorization.”
94. Alaska Department of Health, Division of Health Care Services. Alaska Medical Assistance Provider Billing Manual, Section I: Therapy Services, Policies and Procedures (published March 28, 2019, marked Under Review). Checked October 31, 2026.
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    “Certain services, procedures, and medications covered by Alaska Medicaid require service authorization (SA) or medical justification attached to the submitted claim. To determine which covered services require an SA, medical justification, or both, refer to Alaska Medicaid Fee Schedules The appropriate service article under Therapy Services ...”
95. Alaska Department of Health, Division of Health Care Services. Alaska Medical Assistance State Fiscal Year 2027 Fee Schedule: Physical Therapy, Occupational Therapy, Speech/Language Pathology, and Outpatient Therapy Services (effective July 1, 2026 to June 30, 2027; revised October 28, 2026). Checked October 31, 2026.
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    “ALASKA MEDICAL ASSISTANCE: STATE FISCAL YEAR 2027 FEE SCHEDULE Physical Therapy, Occupational Therapy, Speech/Language Pathology, and Outpatient Therapy Services Effective 7/1/2026 - 6/30/2027 ...”
96. Alaska Department of Health, Division of Health Care Services. Alaska Medical Assistance State Fiscal Year 2027 Fee Schedule: Physical Therapy, Occupational Therapy, Speech/Language Pathology, and Outpatient Therapy Services (effective July 1, 2026 to June 30, 2027; revised October 28, 2026) (Excel workbook, sheet Therapies FY 2027). Checked October 31, 2026.
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    “MEDICAL JUSTIFICATION REQUIRED | SERVICE AUTH REQUIRED | RATE | ADDITIONAL BILLING NOTES ...”
97. Alaska Department of Health. Alaska Medicaid Provider Billing Manual, General Program Information (2025_V1; revision history last entry November 24, 2025). Checked October 31, 2026.
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    “Service Authorizations (SAs) are approvals from Alaska Medicaid or one of it contractors that verify the service is medically necessary, covered and allowable before it is delivered. Many, but not all, SAs are required to be submitted prior to the service being delivered.”
98. Alaska Department of Health. Alaska Medicaid Provider Billing Manual, General Program Information (2025_V1; revision history last entry November 24, 2025). Checked October 31, 2026.
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    “The Care Management Program (CMP) was established to control harmful and costly inappropriate use of Medicaid-covered services. The CMP assigns a member to one primary care provider and one pharmacy, which encourages continuity of care and promotes communication between the member’s primary care provider and pharmacy. ... For a provider, other than the primary care provider (PCP), to be reimbursed by Alaska Medicaid, a written referral must be submitted with the claim and must include: Date of referral Condition to be treated Duration of the referral ...”
99. Alaska Department of Health. Alaska Medicaid Provider Billing Manual, General Program Information (2025_V1; revision history last entry November 24, 2025). Checked October 31, 2026.
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    “The State of Alaska contracts with HMS, a Gainwell Technologies Company, to serve as its fiscal agent. Utilizing Alaska’s Medicaid Management Information System (MMIS), the fiscal agent is responsible for: Receiving, processing and payment of claims ...”
100. Alaska Department of Health. Alaska Medicaid Provider Billing Manual, General Program Information (2025_V1; revision history last entry November 24, 2025). Checked October 31, 2026.
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     “If after a utilization review DOH determines the individual meets criteria for CMP, the member is notified of: The reason for placement, The begin date and length of placement into the program, and The names of the primary care and pharmacy providers assigned to the member for the duration of their CMP placement.”
101. Alaska Medicaid (Alaska Department of Health, Division of Health Care Services). Alaska Medicaid Fee Schedules and Covered Codes. Checked October 31, 2026.
102. Alaska Department of Health, Division of Health Care Services. Alaska Medical Assistance Provider Billing Manual, Section I: Therapy Services, Policies and Procedures (published March 28, 2019, marked Under Review). Checked October 31, 2026.
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     “Alaska Medical Assistance reimburses occupational therapy, physical therapy, and speech-language pathology services based on the resource-based relative value scale (RBRVS) methodology. Occupational therapists, physical therapists, and speech-language pathologists are reimbursed at 85 percent of the established rate for physicians.”
103. Alaska State Legislature (Alaska Administrative Code). 7 AAC 145.050, Resource-based relative value scale rate-setting methodology. Checked October 31, 2026.
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     “(a) Except as otherwise provided in 7 AAC 105 - 7 AAC 160 for certain types of providers or services, the department will establish fees for use in payment for each type of provider and service subject to 7 AAC 105 - 7 AAC 160 using the resource-based relative value scale (RBRVS) methodology described in this section.”
104. Alaska Department of Health, Division of Health Care Services. Alaska Medical Assistance Provider Billing Manual, Section I: Therapy Services, Policies and Procedures (published March 28, 2019, marked Under Review). “Refer to Section II: Professional Claims Management for claim submission instructions and to the CMS-1500 Claim Form instructions for claim form completion instructions.” Checked October 31, 2026.
105. Alaska Department of Health, Division of Health Care Services. Alaska Medical Assistance Provider Billing Manual, Section I: Therapy Services, Policies and Procedures (published March 28, 2019, marked Under Review). Checked October 31, 2026.
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     “Services rendered by an enrolled occupational therapy assistant must be billed by the group identifying the occupational therapy assistant as the rendering provider; occupational therapy assistants may not bill directly for services.”
106. Alaska State Legislature (Alaska Administrative Code). 7 AAC 115.300, Physical therapy provider enrollment requirements. Checked October 31, 2026.
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     “(b) The department will pay a physical therapist for services provided in the state by a physical therapy assistant if the physical therapy assistant has (1) an active license to practice as a physical therapy assistant under AS 08.84; and (2) enrolled separately with the department as a rendering provider under 7 AAC 105.210.”
107. Alaska State Legislature (Alaska Administrative Code). 7 AAC 105.230, Requirements for provider records. Checked October 31, 2026.
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     “(5) start and stop times for time-based billing codes; (A) a provider may only bill for a unit of service if the actual direct service time spent is in excess of 50 percent of the time value of the procedure code billed ...”
108. Alaska Department of Health, Division of Health Care Services. Alaska Medical Assistance Provider Billing Manual, Section I: Therapy Services, Policies and Procedures (published March 28, 2019, marked Under Review). “Alaska Medicaid does not reimburse for services provided by physical therapy aides, interns, and other non-licensed individuals.” Checked October 31, 2026.
109. Alaska State Legislature (Alaska Administrative Code). 7 AAC 115.600, School-based services. Checked October 31, 2026.
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     “(d) The department will pay for school-based services for a Medicaid-eligible child if the individualized education plan developed for the child under AS 14.30.278 specifies the services that the school district is seeking payment for, each health condition to be addressed, the anticipated treatment goals, and the type, amount, frequency, and duration of each service to be offered.”
110. Alaska State Legislature. Alaska Statutes 2025, AS 47.07.063, Payment for certain services furnished or paid for by a school district. Checked October 31, 2026.
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     “(a) The department may pay medical assistance under this chapter to a school district on behalf of an eligible child, including a child with a disability, for rehabilitative and other mandatory and optional services covered under this chapter that are furnished or paid for by the school district if (1) the school district and the department have entered into an agreement requiring the school district to reimburse the department for any state financial share required by the federal government ...”
111. Alaska Department of Health, Division of Health Care Services. Alaska Medical Assistance Provider Billing Manual, Section I: School-Based Services, Policies and Procedures (published January 3, 2017, marked Under Review). “Alaska Medicaid covers certain school-based audiology, behavioral health, nursing, occupational therapy, physical therapy, and speech-language therapy services.” Checked October 31, 2026.
112. Alaska Department of Health, Division of Health Care Services. Alaska Medical Assistance Provider Billing Manual, Section I: School-Based Services, Policies and Procedures (published January 3, 2017, marked Under Review). “Physical therapists and physical therapy assistants providing school-based services are not required to enroll individually with Alaska Medical Assistance.” Checked October 31, 2026.
113. Alaska Department of Health, Division of Health Care Services. Alaska Medical Assistance Provider Billing Manual, Section I: School-Based Services, Policies and Procedures (published January 3, 2017, marked Under Review). Checked October 31, 2026.
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     “Claims for services provided by a school district must be submitted using the school district’s Alaska Medical Assistance Provider ID, and not that of the individual who performed the services.”
114. Alaska State Legislature. Alaska Statutes 2025, AS 47.07.069, Payment for telehealth. “(a) [See conditional amendment note.] The department shall pay for all services covered by the medical assistance program provided through telehealth in the same manner as if the services had been provided in person ...” Checked October 31, 2026.
115. Alaska State Legislature (Alaska Administrative Code). 7 AAC 110.620, Scope of telehealth. Checked October 31, 2026.
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     “Subject to the requirements of 7 AAC 110.620 - 7 AAC 110.639, the department will pay for a service delivered by means of a telehealth modality if the service (1) would be covered under 7 AAC 105 - 7 AAC 160 if delivered in person; and (2) is delivered in compliance with (A) the same requirements of 7 AAC 105 - 7 AAC 160, including prior authorization requirements and service limitations, as if the service was delivered in person ...”
116. Alaska State Legislature (Alaska Administrative Code). 7 AAC 110.625, Telehealth modalities. Checked October 31, 2026.
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     “(1) synchronous: live or interactive, through a real-time, interactive (A) two-way audio-video technology that includes, at a minimum, an operational camera, microphone, speaker or headphones, and capability to view video feed; (B) two-way audio-only technology that allows for oral communication between the provider and the recipient; (2) asynchronous: a store-and-forward, through the transfer from one location to another, of recorded digital images, data, video, or sounds to allow a consulting provider to obtain information, analyze it, and report back to the rendering provider.”
117. Alaska State Legislature (Alaska Administrative Code). 7 AAC 110.630, Telehealth provider requirements and conditions for payment. Checked October 31, 2026.
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     “(9) the rendering provider and consulting provider, when delivering a service by means of a synchronous telehealth modality, must annotate the patient’s clinical record with the method of delivery, the recipient’s location during the delivery of the service, and confirmation that the recipient has consented to a telehealth method of delivery.”
118. Alaska State Legislature (Alaska Administrative Code). 12 AAC 54.530, Standards for practice of telerehabilitation by physical therapist. Checked October 31, 2026.
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     “(b) A physical therapist licensed under AS 08.84 and this chapter conducting telerehabilitation by means of an interactive telecommunication system (1) repealed 9/29/2019; (2) must interact with the patient maintaining the same ethical conduct and integrity required under 12 AAC 54.500(c) and (d); (3) must comply with the requirements of 12 AAC 54.510 for any licensed physical therapist assistant providing services under this section; (4) may conduct one-on-one consultations, including initial evaluation, under this section; and (5) must provide and ensure appropriate client confidentiality and HIPAA compliance, establish secure connections, activate firewalls, and encrypt confidential information.”
119. Alaska State Legislature (Alaska Administrative Code). 12 AAC 54.825, Standards for practice of telerehabilitation by occupational therapy. Checked October 31, 2026.
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     “(b) An occupational therapist licensed under AS 08.84 and this chapter conducting telerehabilitation by means of an interactive telecommunication system (1) repealed 9/29/2019, (2) must interact with the patient maintaining the same ethical conduct and integrity required under 12 AAC 54.800; (3) must comply with the requirements of 12 AAC 54.810 for any licensed occupational therapist assistant providing services under this section; (4) may conduct one-on-one consultations, including initial evaluation, under this section ...”
120. Alaska State Legislature (Alaska Administrative Code). 12 AAC 54.990, Definitions. Checked October 31, 2026.
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     “(6) "interactive telecommunication system" (A) means audio and video equipment that permits a two-way, real time communication between a therapist licensed under AS 08.84 and this chapter and a patient who is located at a distant site in the state which is not in close proximity of the therapist; (B) does not include (i) electronic mail; (ii) facsimile machine; or (iii) telephone; (7) "telerehabilitation" means the practice of therapy by a person licensed as a therapist under AS 08.84 and this chapter using an interactive telecommunication system.”
121. Alaska State Legislature (Alaska Administrative Code). 12 AAC 07.020, Telemedicine. Checked October 31, 2026.
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     “(a) A person who is licensed or registered under AS 08.11 may provide telemedicine services to a client in the state if (1) the telemedicine services are of the same scope, nature, and quality as those services provided in person; (2) the quality of electronic transmissions used to provide telemedicine services allow the licensee or registrant to provide services equivalent to those provided in person ...”
122. Alaska State Legislature. Alaska Statutes 2025, AS 44.33.381, Telemedicine business registry. “(b) The department shall maintain the registry of businesses performing telemedicine services in the state. The registry must include the name, address, and contact information of businesses performing telemedicine services in the state.” Checked October 31, 2026.
123. Alaska State Legislature (Alaska Administrative Code). 12 AAC 07.030, Consent to send records. Checked October 31, 2026.
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     “(a) A licensee or registrant who provides telemedicine services under 12 ACC 07.020 shall document the efforts to obtain the client’s consent to send all records to the client’s primary care provider, if the licensee or registrant is not the client’s primary care provider. (b) If a client provides consent under (a) of this section, the licensee or registrant who provides telemedicine services shall obtain that consent in writing signed by the client or the client’s legal guardian.”
124. Alaska State Legislature (Alaska Administrative Code). 7 AAC 110.630, Telehealth provider requirements and conditions for payment. Checked October 31, 2026.
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     “(9) the rendering provider and consulting provider, when delivering a service by means of a synchronous telehealth modality, must annotate the patient’s clinical record with the method of delivery, the recipient’s location during the delivery of the service, and confirmation that the recipient has consented to a telehealth method of delivery.”
125. Alaska State Legislature. Alaska Statutes 2025, AS 21.42.422, Coverage for telehealth. Checked October 31, 2026.
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     “(a) A health care insurer that offers, issues for delivery, or renews in the state a health care insurance plan in the group or individual market shall provide coverage for benefits provided through telehealth by a health care provider licensed in this state and may not require that prior in-person contact occur between a health care provider and a patient before payment is made for covered services.”
126. Alaska Department of Labor and Workforce Development. Employment Security Tax. “The Employment Security Tax section is responsible for providing assistance and information to employers concerning the Unemployment Insurance (UI) contributions program and for the collection of UI contributions.” Checked October 31, 2026.
127. Alaska Department of Revenue, Tax Division. Personal Income. “The State of Alaska currently does not have an individual income tax, therefore no employee withholding for state income tax is required.” Checked October 31, 2026.
128. Alaska State Legislature. Alaska Statutes 2025, AS 43.70.020, License required; application. Checked October 31, 2026.
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     “(a) For the privilege of engaging in a business in the state, a person shall first apply, on forms prescribed by the commissioner, and obtain a license, and pay the license fee provided for in AS 43.70.030. A license issued to a firm for a particular line of business covers all its operations in the state regardless of the number of its establishments.”
129. Alaska State Legislature. Alaska Statutes 2025, AS 43.70.020, License required; application. Checked October 31, 2026.
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     “The department may establish that a license that is issued under this section expires at the same time as a license, certificate, permit, registration, or similar document issued under AS 08. (e) If a person knowingly engages in a business in the state without having a current license issued under (a) of this section, the department may impose a civil fine of up to $300.”
130. Alaska State Legislature. Alaska Statutes 2025, AS 08.01.050, Administrative duties of department. “(21) issue business licenses under AS 43.70.” Checked October 31, 2026.
131. Alaska Department of Revenue, Tax Division. Sales and Use Tax. “The State of Alaska currently does not have a sales and use tax; however, some local jurisdictions impose local sales taxes.” Checked October 31, 2026.
132. Alaska Department of Revenue, Tax Division. Sales and Use Tax. “For more information on local taxes, each year the Alaska Department of Commerce, Community and Economic Development publishes Alaska Taxable, an overview of each community, whether it collects taxes, and if it does, its tax rates.” Checked October 31, 2026.
133. Alaska State Legislature. Alaska Statutes 2025, AS 23.30.045, Employer’s liability for compensation. “(a) An employer is liable for and shall secure the payment to employees of the compensation payable under AS 23.30.041, 23.30.050, 23.30.095, 23.30.145, and 23.30.180 — 23.30.215. ... (b) Compensation is payable irrespective of fault as a cause for the injury.” Checked October 31, 2026.
134. Alaska Department of Labor and Workforce Development. Workers’ Compensation. “Workers’ Compensation is a system which requires an employer to pay an injured employee’s work-related medical and disability benefits. Workers’ Compensation also requires the payment of benefits to dependents in the case of work-related death.” Checked October 31, 2026.
135. Alaska State Legislature. Alaska Statutes 2025, AS 23.30.230, Persons not covered. Checked October 31, 2026.
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     “(12) a person employed as an independent contractor; a person is an independent contractor for the purposes of this section only if the person (A) has an express contract to perform the services; (B) is free from direction and control over the means and manner of providing services ...”
136. Code of Federal Regulations. 42 CFR 424.516, Additional provider and supplier requirements for enrolling and maintaining active enrollment status in the Medicare program (eCFR, up to date as of October 22, 2026; paragraph (f), Maintaining and providing access to documentation). Checked October 26, 2026.
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     “A provider or a supplier that furnishes covered ordered, certified, referred, or prescribed Part A or B services, items or drugs is required to—”; “Maintain documentation (as described in paragraph (f)(1)(ii) of this section) for 7 years from the date of service; and”; “Upon the request of CMS or a Medicare contractor, to provide access to that documentation”; “The documentation includes written and electronic documents (including the NPI of the physician or, when permitted, other eligible professional who ordered, certified, referred, or prescribed the Part A or B service, item, or drug) relating to written orders, certifications, referrals, prescriptions, and requests for payments for Part A or B services, items or drugs.”.
137. Code of Federal Regulations. 45 CFR 164.316, Policies and procedures and documentation requirements (eCFR, up to date as of October 22, 2026; HIPAA Security Rule; paragraph (b)). Checked October 26, 2026.
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     “Maintain the policies and procedures implemented to comply with this subpart in written (which may be electronic) form; and”; “If an action, activity or assessment is required by this subpart to be documented, maintain a written (which may be electronic) record of the action, activity, or assessment.”; “Retain the documentation required by paragraph (b)(1) of this section for 6 years from the date of its creation or the date when it last was in effect, whichever is later.”.
138. Alaska State Legislature. Alaska Statutes 2025, AS 45.48.010, Disclosure of breach of security. Checked October 31, 2026.
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     “(a) If a covered person owns or licenses personal information in any form that includes personal information on a state resident, and a breach of the security of the information system that contains personal information occurs, the covered person shall, after discovering or being notified of the breach, disclose the breach to each state resident whose personal information was subject to the breach. (b) An information collector shall make the disclosure required by (a) of this section in the most expeditious time possible and without unreasonable delay, except as provided in AS 45.48.020 and as necessary to determine the scope of the breach and restore the reasonable integrity of the information system.”
139. Alaska State Legislature. Alaska Statutes 2025, AS 45.48.010, Disclosure of breach of security. Checked October 31, 2026.
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     “(c) Notwithstanding (a) of this section, disclosure is not required if, after an appropriate investigation and after written notification to the attorney general of this state, the covered person determines that there is not a reasonable likelihood that harm to the consumers whose personal information has been acquired has resulted or will result from the breach. The determination shall be documented in writing, and the documentation shall be maintained for five years.”
140. Alaska State Legislature. Alaska Statutes 2025, AS 47.17.020, Persons required to report. Checked October 31, 2026.
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     “(a) The following persons who, in the performance of their occupational duties, their appointed duties under (8) of this subsection, or their volunteer duties under (9) of this subsection, have reasonable cause to suspect that a child has suffered harm as a result of child abuse or neglect shall immediately report the harm to the nearest office of the department and, if the harm appears to be a result of a suspected sex offense, shall immediately report the harm to the nearest law enforcement agency: (1) practitioners of the healing arts ...”
141. Alaska State Legislature. Alaska Statutes 2025, AS 47.17.290, Definitions. “(6) “department” means the Department of Family and Community Services ...” Checked October 31, 2026.
142. Alaska State Legislature. Alaska Statutes 2025, AS 47.24.010, Persons required to report; reports of harm. Checked October 31, 2026.
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     “(a) Except as provided in (e) of this section, the following persons who, in the performance of their professional duties, have reasonable cause to believe that a vulnerable adult suffers from undue influence, abandonment, exploitation, abuse, neglect, or self-neglect shall, not later than 24 hours after first having cause for the belief, report the belief to the department’s vulnerable adult centralized intake office: (1) a physician or other licensed health care provider ...”
143. Alaska State Legislature. Alaska Statutes 2025, AS 21.42.397, Coverage for autism spectrum disorders. Checked October 31, 2026.
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     “(a) Except for a fraternal benefit society, a health care insurer that offers, issues for delivery, delivers, or renews a health care insurance plan in this state shall provide coverage for the costs of the diagnosis and treatment of autism spectrum disorders. ... Covered treatment includes medically necessary pharmacy care, psychiatric care, psychological care, habilitative or rehabilitative care, and therapeutic care. ... (2) “therapeutic care” means services provided by or under the supervision of a speech-language pathologist licensed under AS 08.11 or an occupational therapist or physical therapist licensed under AS 08.84.”
144. Alaska State Legislature. Alaska Statutes 2025, AS 21.42.397, Coverage for autism spectrum disorders. Checked October 31, 2026.
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     “(b) Coverage under this section (1) is required to be provided only to individuals under 21 years of age; (2) may not limit the number of visits to an autism service provider for treatment; (3) is subject to copayment, deductible, and coinsurance provisions, and other general exclusions or limitations included in a health insurance policy to the same extent as other health care services covered by the policy ...”
145. Alaska State Legislature. Alaska Statutes 2025, AS 21.42.397, Coverage for autism spectrum disorders. Checked October 31, 2026.
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     “(c) An insurer providing health care insurance to a small employer in the group market with 20 or fewer employees is not required to provide insurance coverage to the small employer that includes the coverage required under (a) of this section. (d) The director may waive the coverage required in this section for an insurer providing health care insurance to a small employer in the group market with 21 — 25 employees if the small employer demonstrates to the director by actual claims experience over any consecutive 12-month period that compliance with this section has increased the premium cost of the small employer’s health insurance policy by three percent or more during the consecutive 12-month period.”
146. Centers for Medicare & Medicaid Services. Who are the MACs: A/B MAC Jurisdiction F (JF). Checked October 31, 2026.
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     “Contract Awardee: Noridian Healthcare Solutions, LLC, Contract Number 75FCMC25CJ010 ... A/B States Impacted: Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington, and Wyoming ... JF processes FFS Medicare Part A and Part B claims for Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington, and Wyoming ...”
147. Alaska State Legislature. Alaska Statutes 2025, AS 23.30.097, Fees for medical treatment and services. Checked October 31, 2026.
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     “(a) All fees and other charges for medical treatment or service are subject to regulation by the board consistent with this section. A fee or other charge for medical treatment or service (1) rendered in the state may not exceed the lowest of (A) the usual, customary, and reasonable fees for the treatment or service in the community in which it is rendered, for treatment or service provided on or after December 31, 2010, not to exceed the fees or other charges as specified in the fee schedules established by the medical services review committee and adopted by the board in regulation; the fee schedules must include (i) a physician fee schedule based on the federal Centers for Medicare and Medicaid Services’ resource-based relative value scale ...”
148. Alaska Department of Labor and Workforce Development. Alaska Medical Fee Schedule (Division of Workers’ Compensation). “Alaska Workers’ Compensation Medical Fee Schedule, Effective April 1, 2026 ...” Checked October 31, 2026.
149. APTA Alaska (the Alaska Physical Therapy Association). APTA Alaska (the Alaska Physical Therapy Association) (the state association's site). Checked October 31, 2026.
150. the Alaska Occupational Therapy Association (AKOTA). the Alaska Occupational Therapy Association (AKOTA) (the state association's site). Checked October 31, 2026.
151. the Alaska Speech-Language-Hearing Association (AKSHA). the Alaska Speech-Language-Hearing Association (AKSHA) (the state association's site). Checked October 31, 2026.
152. DrSensory. Occupational therapy clinics in Alaska, with the physical therapy and speech therapy pages for the state (the directory's state pages, built from the addresses it holds). Checked October 31, 2026.
153. DrSensory. Clinic Directory Pricing. “Claiming your listing is free. The subscription is $349.99 a year or $29.99 a month for your first location, and $99.99 a year or $9.99 a month for each additional location, not per therapist.” Checked October 30, 2026.

Medical disclaimer. This page is for general educational purposes and does not constitute medical advice, diagnosis, or treatment. It is general guidance on running a therapy clinic in Alaska, not legal, compliance, billing or financial advice. Rules change; the clinic confirms each with its source before acting on it.