Alaska Administrative Code
Title 7 - Health and Social Services
Part 9 - Medicaid Electronic Health Record Incentive Program; Electronic Health Care Information Exchanges
Chapter 165 - Alaska Medicaid Electronic Health Record Incentive Program
7 AAC 165.010 - Participation in the Alaska Medicaid electronic health record incentive program
Universal Citation: 7 AK Admin Code 7 AAC 165.010
Current through August 30, 2024
(a) To participate in the Alaska Medicaid electronic health record incentive program a provider
(1) must be enrolled in and in compliance
with the Medicaid program under 7 AAC 105 - 7 AAC 160 as one of the following
types of providers:
(A) a hospital
provider;
(B) a
physician;
(C) a dentist;
(D) an advanced nurse practitioner, including
an advanced nurse practitioner certified to perform nurse midwife
services;
(E) a physician assistant
who practices predominantly in a
(i)
federally qualified health center led by a physician assistant; or
(ii) rural health clinic led by a physician
assistant;
(2) may not be subject to a provider sanction
under 7 AAC 105.400 -
7 AAC 105.490;
(3) must complete the registration and
attestation requirements of
7 AAC 165.020; and
(4) must meet the applicable Medicaid patient
volume or needy individual volume requirements in (b) of this
section.
(b) To participate in the Alaska Medicaid electronic health record incentive program,
(1) a hospital provider must serve at least
the minimum Medicaid patient volume calculated under
42 C.F.R.
495.302 -
495.306, revised as of September
4, 2012, and adopted by reference;
(2) a nonhospital-based physician,
nonhospital-based pediatrician, nonhospital-based dentist, or nonhospital-based
advanced nurse practitioner must serve at least the minimum Medicaid patient
volume calculated under 42
C.F.R. 495.302 -
495.306, adopted by reference in
(1) of this subsection;
(3) if the
provider practices predominantly in a federally qualified health center or a
rural health clinic, a physician, a pediatrician, a dentist, or an advanced
nurse practitioner must serve at least the minimum needy patient volume
calculated under 42 C.F.R.
495.302 -
495.306, adopted by reference in
(1) of this subsection;
(4) a
physician assistant described in (a)(1)(E) of this section must serve at least
the minimum needy individual patient volume calculated under
42 C.F.R.
495.302 -
495.306, adopted by reference in
(1) of this subsection.
(c) For purposes of this section,
(1) a physician, a pediatrician, a dentist,
or an advanced nurse practitioner is nonhospital-based if that provider would
not be considered hospital-based under the definition of "hospital-based EP" in
42 C.F.R.
495.4; for purposes of this paragraph, the
definition of "hospital-based EP" in
42 C.F.R.
495.4, revised as of November 5, 2012, is
adopted by reference; and
(2) the
requirement that a physician, a pediatrician, a dentist, or an advanced nurse
practitioner be nonhospital-based does not apply if the provider may
participate under (b)(3) of this section.
(d) For purposes of this section, a provider practices predominantly at a federally qualified health center or rural health clinic if more than 50 percent of the provider's total patient encounters over a period of six months in the most recent calendar year occur at a federally qualified health center or rural health clinic.
(e) In this section,
(1) "federally qualified health center" has
the meaning given in
7 AAC 160.990(b);
(2) "pediatrician" means a physician
certified by the American Board of Pediatrics or the American Osteopathic Board
of Pediatrics;
(3) "rural health
clinic" has the meaning given in
7 AAC 160.990(b).
Authority:AS 47.05.010
AS 47.07.030
AS 47.07.040
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.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
