Alaska Administrative Code
Title 7 - Health and Social Services
Part 8 - Medicaid Coverage and Payment
Chapter 160 - Medicaid Program; General Provisions
Article 1 - Program Integrity and Quality Assurance
7 AAC 160.120 - Use of statistical sampling
Universal Citation: 7 AK Admin Code 160.120
Current through November 28, 2024
The department its designee, or a provider may use statistically valid sampling methodologies to
(1) select Medicaid claims for review or audit; and
(2) calculate overpayment amounts to providers that are subject to a provider self-review or self-audit under AS 47.05.235 and 7 AAC 160.115, a fiscal audit under 7 AAC 160.110 or a quality assurance program review under 7 AAC 160.140.
Authority:AS 47.05.010
AS 47.05.235
AS 47.07.030
AS 47.07.040
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