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(Eff. 2/1/2010, Register 193) Statutory Authority: Authority: AS 47.05.010 AS 47.07.030 AS 47.07.040 7 AAC 105.260. Recouping an overpayment. (a) An overpayment occurs when the department pays a provider

(1) for a service without prior authorization when prior authorization is required under 7 AAC 105 — 7 AAC 160;

(2) an amount that exceeds the maximum dollars or units allowed under 7 AAC 105 — 7 AAC 160;

(3) for a service not covered under 7 AAC 105 — 7 AAC 160;

(4) for a service not authorized under the provider’s current provider agreement;

(5) for a service paid for by another source, or a service eligible for payment by another source;

(6) in an amount the provider or the department identifies as an overpayment;

(7) in excess of the amount due because of an error or omission of an automated claims processing system;

(8) incorrectly for services that do not meet standards established for payment of services;

(9) who is not an enrolled Medicaid provider;

(10) for a service already paid by the department;

(11) for a service provided to a recipient ineligible for Medicaid under AS 47.07 and 7 AAC 100;

(12) for a service provided to a recipient eligible for Medicaid under AS 47.07 and 7 AAC 100, but ineligible for the service billed to the department;

(13) in excess of the amount due because of the billing practices of the provider; or

(14) for a service that was not rendered.