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(a) The department will process facilities' annual year-end reports required by 7 AAC 43.679(c) in the manner set out in (a)-(e) of this section, unless the facility is a rural health clinic or outpatient surgical clinic. Each annual year-end report will be date-stamped upon receipt by the department. The department will acknowledge the date of receipt in a written notice.
(b) Within 20 days after receipt of an annual year-end report, the department will review the report to determine whether all required forms are complete.
(c) Written notice will be provided by mail to the facility within the 20-day review period if the department determines that the annual year-end report does not contain all required and completed forms. If the department does not provide written notice within the 20-day period, the department will treat the year end report as complete. In the notice, the department will clearly identify the deficiencies and the time by which the corrected or modified annual year-end report must be received by the department. The department will give the facility at least seven days following receipt of the notice to return to the department the corrected or modified annual year-end report.
(d) If the data requested under (c) of this section is returned to the department within the specified period, the department will make reasonable efforts to continue the processing of the annual year-end report as if a delay had not occurred.
(e) If the department determines under (b) of this section that the annual year-end report is complete, the department will begin processing and verifying the data contained in the report and prepare findings and recommendations as needed.
(f) A copy of the department's findings and recommendations will be mailed to the facility not less than 30 days before the date set for the public hearing to consider the facility's proposed prospective payment rate.
(g) A facility may submit a response to the department's findings and recommendations. The response must be received by the department not less than five days before the date set for the public hearing to consider the facility's proposed prospective payment rate.
(h) Repealed 1/1/2004.
(i) If a facility is an outpatient surgical clinic, the department will prepare findings and recommendations in the manner set out in (f) and (g) of this section.
History: Eff. 8/9/86, Register 99; am 7/20/88, Register 107; am 8/6/92, Register 123; readopt 8/7/96, Register 139; am 12/27/96, Register 140; am 12/30/2000, Register 156; am 7/11/2002, Register 163; am 1/1/2004, Register 168
Authority: AS 47.05.010
Editor's note: Editor's note: Effective 8/7/96, Register 139, the Department of Health and Social Services readopted 7 AAC 43.680 in its entirety, without change, under AS 47.07. Executive Order No. 72 transferred certain rate-setting authority to the department.
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Last modified 7/05/2006