7 Alaska Admin. Code § 105.450

Current through May 31, 2024

Section 7 AAC 105.450 - Provider education

(a) Unless the department has terminated a provider's participation in the Medicaid program under 7 AAC 105.420, a provider who has received a sanction must participate in a provider education program as a condition of continued participation in the Medicaid program.

(b) For each provider who has received a sanction, the department will determine the topics of the provider education program, including

(1) claims form completion;

(2) the use and format of provider manuals;

(3) the use of procedure codes;

(4) key provisions of the Medicaid program;

(5) payment rates; and

(6) how to inquire about coding or billing problems.

(c) In addition to the requirements of (a) and (b) of this section, the department may require a provider or employee of a provider to

(1) complete a course of study identified by the department;

(2) serve a probationary period determined by the department; and

(3) reapply for enrollment in the Medicaid program under 7 AAC 105.210.

7 AAC 105.450

Eff. 2/1/2010, Register 193

Authority:AS 47.05.010

AS 47.07.040