Alaska Administrative Code › Title 7 - Health and Social Services › Part 6 - Miscellaneous › Chapter 81 - Grant Services for Individuals › 7 AAC 81.070 - Provider agreements

Current through May 31, 2024
(a) In addition to any requirements specific
				to a grant program, the department will address the following in a provider
				agreement:
(1) the services for which payment
				will be made;
(2) that failure to
				meet the terms of the agreement, at any time, may result in termination of the
				agreement by the department;
(3)
				provider eligibility requirements;
(4) recipient eligibility
				requirements;
(5) terms and
				conditions of payment, including
(A) the basis
				for payment, as described in
				7 AAC 81.040(a) (3);
(B) that the provider must exercise
				reasonable efforts to obtain payment for the services provided to a recipient
				from other available sources of payment; and
(C) that the provider shall credit back to
				the department any other-source payments received by the provider for services
				for which the department has paid the provider;
(6) that the provider's provision of services
				to eligible recipients and billing the department for those services
				constitutes the provider's agreement
(A) to
				cooperate in reports, surveys, or audits conducted by the department;
				and
(B) to comply with applicable
				statutes and regulations applicable to the grant program from which the
				provider will be paid;
(7) retention by the provider of records
				necessary to disclose fully to the department the extent of services provided
				to recipient, with information regarding any specific payment to be made
				available to the department upon request;
(8) on-site inspection by authorized
				representatives of the department of facilities used to provide services under
				the agreement;
(9) that endorsement
				of a warrant received from the department by a provider or the provider's agent
				constitutes certification that the claim for which the warrant is issued is
				true and accurate, unless written notice of an error is sent by the provider to
				the department within 30 days after the date that the warrant is
				cashed;
(10) that, except for good
				cause shown for the delay, the department will not pay a cost of service unless
				the provider of the service submits a bill for the service to the department
				within 30 days after the service was provided;
(11) immediate notification by the provider
				to the department and automatic termination of the agreement if the provider is
				no longer eligible to provide services based on applicable provider eligibility
				requirements;
(12) termination of
				the agreement by the department without prior notice if the provider fails to
				comply with the terms of the agreement;
(13) except as otherwise provided in the
				agreement, termination of the agreement by the department at any time on 30
				days prior notice;
(14) termination
				of the agreement by the provider at any time upon 30 days prior notice under
				7 AAC 81.185 and assistance by the provider to the
				department in making arrangements for transfer of the recipients of services
				under the agreement to other providers, if appropriate; and
(15) the effective date of the
				agreement.