7 AAC 43.975. Provider education

(a) Unless termination has been imposed, each provider who has been sanctioned must participate in a provider education program as a condition of continued participation.

(b) Provider education programs include

(1) instruction in claims form completion;

(2) instruction on the use and format of provider manuals;

(3) instruction on the use of procedure codes;

(4) key provisions of the medicaid program;

(5) instruction on reimbursement rates; and

(6) instructions on how to inquire about coding or billing problems.

(c) In addition to the requirements of (a) and (b) of this section, the division will, in its discretion, require a provider or employee of a provider to

(1) complete an approved course of study as provided for in 7 AAC 43.771 or 12 AAC 44.750;

(2) serve a probationary period determined by the division; and

(3) reapply for division approval to participate in the medicaid program.

History: Eff. 8/18/79, Register 71; am 6/27/92, Register 122; readopt 8/7/96, Register 139

Authority: AS 47.05.010

AS 47.07.030

AS 47.07.050

Editor's note: Effective 8/7/96, Register 139, the Department of Health and Social Services readopted 7 AAC 43.975 in its entirety, without change, under AS 47.05 and AS 47.07. Executive Order No. 72 transferred certain rate-setting authority to the department.

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