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(a) Based on consideration of the documents submitted by the facility, audit or review of the facility and the facility's responses to audit or review testimony at the public hearing, and the requirements of AS 47.07 and this chapter, the department staff that oversees Medicaid payment rates shall establish the prospective payment rate in a written determination and shall send a copy of the written determination to the facility. The written determination must be accompanied by a certificate showing the date of mailing to the facility.
(b) The department staff that oversees Medicaid payment rates may reconsider a prospective payment rate upon the department staff's own motion or at the facility's request. A facility seeking reconsideration must file a request for reconsideration within 30 days after the date of mailing the written determination to the facility. The department staff shall deny a request for reconsideration as untimely if the request was not filed within 30 days after the date of mailing the written determination to the facility. The notice of denial of reconsideration or the decision on reconsideration must be accompanied by a certificate showing the date of mailing to the facility.
(c) A request for reconsideration under (b) of this section must be filed at the Anchorage office of the department staff that oversees Medicaid payment rates.
History: Eff. 3/13/89, Register 110; am 8/11/95, Register 135; readopt 8/7/96, Register 139; am 9/5/97, Register 143; am 12/30/2000, Register 156; am 1/1/2004, Register 168
Authority: AS 47.05.010
Editor's note: Effective 8/7/96, Register 139, the Department of Health and Social Services readopted 7 AAC 43.701 in its entirety, without change, under AS 47.07. Executive Order No. 72 transferred certain rate-setting authority to the department.
The address for filing requests for reconsideration under 7 AAC 43.701 is Department of Health and Social Services, Office of Rate Review, 4710 Business Park Boulevard, Suite 44, Anchorage, Alaska 99503-7100.
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Last modified 7/05/2006