Section 7 AAC 165.010 - Participation in the Alaska Medicaid electronic health record incentive program(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: (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).Eff. 6/1/2011, Register 198; am 1/20/2013, Register 205Authority:AS 47.05.010
AS 47.07.030
AS 47.07.040