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 165.030 - Participation and payment determinations

Universal Citation: 7 AK Admin Code 7 AAC 165.030

Current through August 30, 2024

(a) If the department determines that a provider meets the requirements of 7 AAC 165.010 and 7 AAC 165.020, the department will

(1) send to the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS), an electronic request for validation, through CMS's automated national level registry, that the provider is not
(A) deceased;

(B) federally sanctioned; or

(C) paid, in the same year, an incentive payment from Medicare or another jurisdiction, unless the provider is a hospital provider; and

(2) upon receiving validation through the CMS registry, notify the provider of the approval.

(b) If the department determines that a provider does not meet the requirements of 7 AAC 165.010 and 7 AAC 165.020, or if the department does not receive validation from CMS, the department will notify the provider of the

(1) reason for denial; and

(2) the provider's right to request an appeal under 7 AAC 165.080.

(c) If a change occurs in the information that the department used to deny participation, or that previously resulted in a failure to receive CMS validation, the provider may submit a new or updated attestation at any time during that payment year.

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.
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