Alaska Administrative Code
Title 7 - Health and Social Services
Part 8 - Medicaid Coverage and Payment
Chapter 125 - Medicaid Coverage; Personal Care Services and Home Health Care Services
Article 1 - Personal Care Services
7 AAC 125.070 - Electronic visit verification

Universal Citation: 7 AK Admin Code 125.070

Current through November 28, 2024

(a) A provider of personal care services shall use an electronic visit verification (EW) system that is either provided or approved by the department. If a provider decides to use its own EVV system or vendor, that system must include at the time of service delivery, and report to the state's EVV system, the following data:

(1) the name of the agency;

(2) the identity of the rendering provider;

(3) the identity of the recipient;

(4) the location of the service;

(5) the date of the service;

(6) the start and stop times of the service; and

(7) the type of service provided.

(b) A provider of personal care services

(1) may not submit a claim for payment under 7 AAC 125.010 - 7 AAC 125.199 (personal care services) without also submitting the EVV data to support the claim;

(2) must affirm the accuracy of each EVV submission, and must review and resolve, at least every calendar quarter, any exceptions in the EVV system that the provider uses;

(3) must repay to the department any identified overpayment within 90 days; and

(4) must coordinate and upload all aggregate data into the department's EVV system on a daily basis or at another frequency specified by the department, if the provider is not using the department's EW system.

(c) In this section, "EVV" means electronic visit verification.

Authority:AS 47.05.010

AS 47.07.030

AS 47.07.040

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