Alaska Administrative Code
Title 7 - Health and Social Services
Part 8 - Medicaid Coverage and Payment
Chapter 150 - Prospective Payment System; Other Payment
7 AAC 150.210 - Procedure for establishment of rates

(a) Based on consideration of the documents submitted by the facility, audit or review of the facility the facility's responses to audit or review testimony at the public hearing, and the requirements of AS 47.07 and 7 AAC 105 - 7 AAC 160, the department staff that oversees Medicaid payment rates shall establish the prospective payment rate in a written determination. The department shall send a copy of the written determination and a certificate showing the date the determination was mailed or etectronically delivered to the facility.

(b) The department staff that oversees Medicaid payment rates may reconsider a prospective payment rate upon the department staffs own motion or at the facility's request. A facility seeking reconsideration shall file a request for reconsideration not later than 30 days after the date the written determination was mailed or electronically delivered to the facility. The department staff shall deny a request for reconsideration as untimely if the request was filed later than 30 days after the date the written determination was mailed or electronically delivered to the facility. The notice of denial of reconsideration or the decision on reconsideration must be accompanied by a certificate showing the date the written determination was mailed or electronically delivered.

(c) A request for reconsideration under (b) of this section must be filed at the Anchorage office of the department with the staff that oversees Medicaid payment rates.