Alaska Administrative Code
Title 7 - Health and Social Services
Part 6 - Miscellaneous
Chapter 81 - Grant Services for Individuals
7 AAC 81.070 - Provider agreements
Universal Citation: 7 AK Admin Code 7 AAC 81.070
Current through November 28, 2024
(a) In addition to any requirements specific to a grant program, the department will address the following in a provider agreement:
(1) the services for which payment
will be made;
(2) that failure to
meet the terms of the agreement, at any time, may result in termination of the
agreement by the department;
(3)
provider eligibility requirements;
(4) recipient eligibility
requirements;
(5) terms and
conditions of payment, including
(A) the basis
for payment, as described in
7
AAC 81.040(a) (3);
(B) that the provider must exercise
reasonable efforts to obtain payment for the services provided to a recipient
from other available sources of payment; and
(C) that the provider shall credit back to
the department any other-source payments received by the provider for services
for which the department has paid the provider;
(6) that the provider's provision of services
to eligible recipients and billing the department for those services
constitutes the provider's agreement
(A) to
cooperate in reports, surveys, or audits conducted by the department;
and
(B) to comply with applicable
statutes and regulations applicable to the grant program from which the
provider will be paid;
(7) retention by the provider of records
necessary to disclose fully to the department the extent of services provided
to recipient, with information regarding any specific payment to be made
available to the department upon request;
(8) on-site inspection by authorized
representatives of the department of facilities used to provide services under
the agreement;
(9) that endorsement
of a warrant received from the department by a provider or the provider's agent
constitutes certification that the claim for which the warrant is issued is
true and accurate, unless written notice of an error is sent by the provider to
the department within 30 days after the date that the warrant is
cashed;
(10) that, except for good
cause shown for the delay, the department will not pay a cost of service unless
the provider of the service submits a bill for the service to the department
within 30 days after the service was provided;
(11) immediate notification by the provider
to the department and automatic termination of the agreement if the provider is
no longer eligible to provide services based on applicable provider eligibility
requirements;
(12) termination of
the agreement by the department without prior notice if the provider fails to
comply with the terms of the agreement;
(13) except as otherwise provided in the
agreement, termination of the agreement by the department at any time on 30
days prior notice;
(14) termination
of the agreement by the provider at any time upon 30 days prior notice under
7
AAC 81.185 and assistance by the provider to the
department in making arrangements for transfer of the recipients of services
under the agreement to other providers, if appropriate; and
(15) the effective date of the
agreement.
(b) A provider agreement remains in force until the provider or the department terminates the agreement or a material term of the agreement is changed. If a material term of a provider agreement is changed, a new agreement must be executed.
Authority:AS 18.05.040
AS 18.08.010
AS 18.08.080
AS 18.25.100
AS 18.28.010
AS 18.28.050
AS 29.60.600
AS 44.29.020
AS 47.05.010
AS 47.20.075
AS 47.20.110
AS 47.27.005
AS 47.27.050
AS 47.30.477
AS 47.30.530
AS 47.37.030
AS 47.37.045
AS 47.40.041
AS 47.40.120
AS 47.80.130
Disclaimer: These regulations may not be the most recent version. Alaska may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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