Alaska Administrative Code › Title 7 - Health and Social Services › Part 8 - Medicaid Coverage and Payment › Chapter 150 - Prospective Payment System; Other Payment › 7 AAC 150.130 - Establishment of uniform accounting, budgeting, and financial reporting

Current through May 31, 2024
(a) The department
				adopts a uniform system of accounting, financial reporting, budgeting, cost
				allocation, and prospective rate setting for facilities. The financial
				reporting, budgeting, and cost allocation requirements are described in the
Medicaid Hospital and Long-Term Care Facility Reporting
				Manual
, adopted by reference in
				7 AAC 160.900. Each facility shall use the manual when
				submitting information required by the department pertaining to prospective
				payment rates of the Medicaid program. Each facility shall maintain accounting
				records at the level of detail established by the "Overview of the Chart of
				Accounts" in the publication entitled
Chart of Accounts for
				Hospitals
, adopted by reference in
				7 AAC 160.900. Upon receipt of a facility's request that
				is described in detail satisfactory to the department, the department may
				approve an alternate reporting system for information required by this
				section.
(b) If a facility
				reimbursed by the department under the prospective per-day payment rate
				methodology set out under
				7 AAC 150.160 requests inclusion of certificate of need
				capital, the facility shall submit its budget information to the department not
				less than 60 days before the beginning of the facility's fiscal year. The
				budget information must contain that information specified in the department's
				manual and must be submitted in the form and manner specified in the manual. If
				more than one facility is operated by the reporting organization, the
				information required by this subsection must be reported for each facility
				separately. The chief executive officer and chairperson of the governing board
				of the facility shall attest that the information submitted under this
				subsection, including any subsequent modifications, has been examined by that
				person and to the best of that person's knowledge the information is correct.
				This subsection does not apply to a facility reimbursed by the department under
				the prospective per-stay or Diagnosis Related Groups (DRG) payment rate
				methodology under
				7 AAC 150.250.
(c) Each facility shall submit its year-end
				report to the department staff that oversees Medicaid payment rates no more
				than 150 days after the close of the facility's fiscal year, in a form and
				manner as specified in the manual, including the Medicare cost reports and
				audited financial statements specific to the facility and matching the same
				time period as the Medicare cost report. If more than one facility is operated
				by the reporting organization, the information required by this subsection must
				be reported separately for each facility. The year-end report submitted under
				this subsection, including any subsequent modification of it, must be certified
				by the facility's chief administrative or fiscal officer, who, under oath,
				indicates that, to the best of the officer's knowledge, all reports have been
				prepared in accordance with (a) of this section.
(d) The department will consider facility
				requests to amend a report submitted under this section if, no more than 30
				days after it has filed its year-end report, a facility submits a written
				request that the department include specific audit adjustments in the desk
				review audit report issued under
				7 AAC 150.200, and if the facility has timely filed its
				year-end report in accordance with (c) of this section. The department will
				consider a request to amend a Medicare cost report only if the facility
				demonstrates that the same request is on file with the facility's fiscal
				intermediary to the United States Department of Health and Human Services,
				Centers for Medicare and Medicaid Services. The department will review a
				facility's request, together with documentation provided in support of that
				request, and determine appropriate adjustments, if any, to include in the audit
				report.
(e) Rural health clinics
				and federally qualified health centers are subject to the reporting
				requirements set out in
				7 AAC 140.200.
(f) Ambulatory surgical centers are exempt
				from the reporting requirements of (b) of this section.
Authority:
AS
					 47.05.010
AS 47.07.040
AS 47.07.070
AS 47.07.071
AS 47.07.073
AS
					 47.07.074