(a) Actions of the department regarding health facility payment rates under this chapter and AS 47.25.120 - 47.25.300 are subject to provisions of AS 44.62 (Administrative Procedure Act) except as provided in (b) of this section, and the hearing for an appeal must be conducted by the office of administrative hearings (AS 44.64.010).
(b) The commissioner shall, by regulation, establish time limits applicable to the various phases of an administrative appeal process involving an appeal of the amount of a payment rate set by the department for a facility. The time limits set under the regulations supersede conflicting time limits in AS 44.62.330 - 44.62.630. The regulations must provide that
(1) a hearing for an appeal described in this subsection must be scheduled under AS 44.62.410 to occur no more than 120 days after written notice of rate appeal has been received by the department from a facility unless the facility requests a delay or good cause for the delay is demonstrated to the satisfaction of the hearing officer;
(2) the commissioner must, within 30 days after receiving the recommendation of the hearing officer, either render a decision in the case or refer the case back to a hearing officer for additional findings;
(3) if either time limit set under (1) or (2) of this subsection is not met, the department shall report the noncompliance to the legislature and the governor by the following January 20 with an explanation of the length of delay, reasons for the delay, and proposed corrective action by the department to ameliorate the causes of delay.
Structure Alaska Statutes
Title 47. Welfare, Social Services, and Institutions
Chapter 07. Medical Assistance for Needy Persons
Sec. 47.07.020. Eligible persons.
Sec. 47.07.025. Assignment of medical support rights.
Sec. 47.07.030. Medical services to be provided.
Sec. 47.07.032. Inpatient psychiatric services for persons under 21 years of age.
Sec. 47.07.036. Cost containment measures authorized.
Sec. 47.07.039. Coordinated care demonstration projects.
Sec. 47.07.040. State plan for provision of medical assistance.
Sec. 47.07.042. Recipient cost-sharing.
Sec. 47.07.045. Home and community-based services.
Sec. 47.07.046. Traumatic or acquired brain injury services.
Sec. 47.07.050. Implementation of the medical assistance program.
Sec. 47.07.055. Recovery of medical assistance from estates.
Sec. 47.07.060. Receipt of federal money.
Sec. 47.07.063. Payment for certain services furnished or paid for by a school district.
Sec. 47.07.065. Payment for prescribed drugs.
Sec. 47.07.067. Payment for adult dental services.
Sec. 47.07.068. Payment for abortions.
Sec. 47.07.069. Payment for telehealth.
Sec. 47.07.070. Payment rates for health facilities.
Sec. 47.07.071. Reports by health facilities.
Sec. 47.07.073. Uniform accounting, budgeting, and reporting.
Sec. 47.07.074. Audits and inspections.
Sec. 47.07.075. Administrative procedure.
Sec. 47.07.076. Reports to legislature.
Sec. 47.07.085. Supplemental reimbursement for emergency medical transportation services.