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decision upholding the proposed sanction. A proposed immediate suspension issued under 7 AAC 160.140 of a provider’s participation in the Medicaid program is effective 10 days after the date on the notice. (c) In addition to the notice under (a) of this section, the department will notify a provider’s known professional societies, the Department of Commerce, Community, and Economic Development, and any other federal or state agency that the department is aware has an interest. In the notification, the department will include the findings made by the department, the sanction imposed, and the date the sanction will begin. (d) If a provider’s participation in the Medicaid program has been suspended or terminated, the department will send written notice of that sanction to each recipient for whom the provider has submitted a claim for a service provided in the 12 months preceding the date of the notice of sanction. The department will send the written notice to the last mailing address of the recipient known to the department. The department will also publish notice of the sanction in a newspaper of general circulation or use another method of posting or publication. (Eff. 2/1/2010, Register 193) Statutory Authority: Authority: AS 47.05.010 AS 47.07.040 7 AAC 105.450. Provider education. (a) Unless the department has terminated a provider’s participation in the Medicaid program under 7 AAC 105.420, a provider who has received a sanction must participate in a provider education program as a condition of continued participation in the Medicaid program. (b) For each provider who has received a sanction, the department will determine the topics of the provider education program, including
(1) claims form completion;
(2) the use and format of provider manuals;
(3) the use of procedure codes;
(4) key provisions of the Medicaid program;
(5) payment rates; and
(6) how to inquire about coding or billing problems.