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(a) A provider may appeal the following decisions under 7 AAC 81.210:
(1) ineligibility decision under 7 AAC 81.060(c) ;
(2) disapproval of a provider agreement under 7 AAC 81.060(d) ;
(3) a decision to terminate an agreement under the provisions of the provider agreement.
(b) The provider must submit, within 15 days after receipt of notification of the decision, a written request for appeal to the commissioner. The request must contain the reasons for the appeal and must cite the statute, regulation, or terms of the provider agreement upon which the appeal is based.
(c) The commissioner will review the request for appeal and, within 15 days after receipt of the request, will advise the appellant of acceptance or rejection of the appeal and, if the appeal is rejected, inform the provider of the reason for the rejection.
(d) If the appeal is accepted, the commissioner will
(1) find that the appeal has merit and remedy the problem by whatever means within the commissioner's authority; or
(2) appoint a hearing officer to hear the appeal under 7 AAC 81.210.
History: Eff. 7/21/2002, Register 163; am 6/24/2004, Register 170
Authority: AS 18.05.040
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Last modified 7/05/2006