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Title 7 . Health and Social Services
Chapter 81 . Electronic and Other Records Containing Behavioral Health Information
Section 40. Eligibility

7 AAC 81.040. Eligibility

(a) A provider may receive payment from the department for services provided under a provider agreement if

(1) the services are eligible for payment under the grant program;

(2) the department has determined that the individual on whose behalf payment is being requested is eligible for the services, based on the eligibility criteria for the grant program from which payment will be made;

(3) the department has authorized the amount of payment the provider can receive for services provided based on

(A) an individualized service plan;

(B) a schedule of fees specific to the grant program; or

(C) a periodic rate per individual;

(4) the provider meets applicable eligibility requirements for service providers under the grant program from which payment will be made;

(5) the provider has on file with the department a fully executed provider agreement for the grant program under which the provider wishes to provide services; and

(6) the commissioner determines that use of a provider agreement

(A) is in the best interest of the target population of the grant program;

(B) may increase the accessibility of services to the target population of the grant program; or

(C) may reduce the cost of services to the department.

(b) A provider may not request payment for services under this section if the provider has a grant under 7 AAC 78 to provide the same service.

History: Eff. 7/21/2002, Register 163;; am 6/24/2004, Register 170

Authority: AS 18.05.040

AS 18.08.010

AS 18.08.080

AS 18.25.100

AS 18.28.010

AS 18.28.050

AS 29.60.600

AS 44.29.020

AS 47.05.010

AS 47.20.075

AS 47.20.110

AS 47.27.005

AS 47.27.050

AS 47.30.477

AS 47.30.530

AS 47.37.030

AS 47.37.045

AS 47.40.041

AS 47.40.120

AS 47.80.130


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Last modified 7/05/2006