Sec. 47.07.070. Payment rates for health facilities.
(a) The department shall, by regulation, set rates of payment for health facilities under this chapter and AS 47.25.120 – 47.25.300 in accordance with 42 U.S.C. 1396 (Title XIX, Social Security Act, Medical Assistance) and this section. A rate established under this section takes effect under AS 44.62 (Administrative Procedure Act) but not until approved […]
Sec. 47.07.071. Reports by health facilities.
After the end of each fiscal year of a health facility, the facility shall submit to the department a report on the facility’s financial performance during the fiscal year. The commissioner shall, by regulation, establish the date by which this financial report is due.
Sec. 47.07.073. Uniform accounting, budgeting, and reporting.
(a) The department by regulation shall require a uniform system of accounting, budgeting, and reporting for health facilities receiving payments under this chapter. The regulations must provide for reporting revenues, expenses, assets, liabilities, units of service, and other items considered necessary by the department to implement this chapter. (b) [Repealed, § 6 ch 28 SLA […]
Sec. 47.07.074. Audits and inspections.
(a) As a condition of obtaining payment under AS 47.07.070, a health facility shall allow (1) the department reasonable access to the records of medical assistance recipients and providers; and (2) audit and inspection of the records by state and federal agencies. (b) The department may establish the scope and timing of audits under this […]
Sec. 47.07.075. Administrative procedure.
(a) Actions of the department regarding health facility payment rates under this chapter and AS 47.25.120 – 47.25.300 are subject to provisions of AS 44.62 (Administrative Procedure Act) except as provided in (b) of this section, and the hearing for an appeal must be conducted by the office of administrative hearings (AS 44.64.010). (b) The […]
Sec. 47.07.042. Recipient cost-sharing.
(a) Except as provided in (b) – (d) of this section, the state plan developed under AS 47.07.040 shall impose deductible, coinsurance, and copayment requirements on persons eligible for assistance under this chapter to the maximum extent allowed under federal law and regulations. The plan must provide that health care providers shall collect the allowable […]
Sec. 47.07.045. Home and community-based services.
(a) The department may provide home and community-based services under a waiver in accordance with 42 U.S.C. 1396 – 1396p (Title XIX, Social Security Act), this chapter, and regulations adopted under this chapter, if the department has received approval from the federal government and the department has appropriations allocated for the purpose. To supplement the […]
Sec. 47.07.046. Traumatic or acquired brain injury services.
(a) The department shall provide traumatic or acquired brain injury services under a waiver in accordance with 42 U.S.C. 1396 – 1396p (Title XIX, Social Security Act), this chapter, and regulations adopted under this chapter, if the department has received approval from the federal government and the department has appropriations allocated for the purpose. In […]
Sec. 47.07.050. Implementation of the medical assistance program.
The department shall take the steps necessary to adopt those regulations, prepare necessary documentation for the state and providers, and undertake the systems design that may be necessary to implement the provisions of this chapter on or before November 1, 1972. Implementation of the medical assistance program shall include appropriate controls and reporting capabilities as […]
Sec. 47.07.010. Purpose.
It is declared by the legislature as a matter of public concern that the needy persons of this state who are eligible for medical care at public expense under this chapter should seek only uniform and high quality care that is appropriate to their condition and cost-effective to the state and receive that care, regardless […]