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(3) the provider’s name appears on any state or federal exclusion list related to health care services;
(4) the department has documentation that indicates the provider is unable or unwilling to meet the certification requirements of this section or any other Medicaid requirement under 7 AAC 105 — 7 AAC 160;
(5) the department has evidence that the owner or administrator of a provider agency does not operate honestly, responsibly, and in accordance with applicable laws in order to maintain the integrity and fiscal viability of the medical assistance program;
(6) based upon evidence from an audit, provider review, or investigation, the department has probable cause to believe that a provider’s noncompliance with the Medicaid program or this chapter causes immediate risk to the health, safety, or welfare of a recipient or would be considered to be fraud, abuse, or waste; or (g) If the department denies an initial application or an application to renew certification or suspends certification of a provider, the department will send, not later than 14 business days after the date of the decision, written notice of the action and information regarding the provider’s right to appeal the decision under AS 44.64. (h) Instead of decertification or suspension, the department may
(1) establish a corrective action plan that includes the method by which the provider will verify compliance and the date that compliance is required; and
(2) monitor the provider’s progress toward meeting the requirements of the corrective action plan; if the department finds that the provider has not met the requirements of the corrective action plan on or before the date compliance is required, the department may decertify or suspend the provider as provided in (g) of this section. (i) Notwithstanding the provisions of this section, if the department has reasonable cause to believe that the health, safety, or welfare of a recipient is at risk, the department may immediately suspend or revoke a provider’s certification. If the department immediately suspends or revokes certification under this subsection, the department will
(1) give the provider initial notice, oral or written, of the suspension or revocation of certification, including information regarding the right to appeal; if no one is present to receive the notice, the department will post the notice on the main entrance to the building in which the provider agency is located; and
(2) not later than 14 business days after the date of the suspension or revocation of certification issue a formal report that includes information related to the action taken, the reason for the action, and the right to appeal. (j) The department will grant an exception to a provider agency under (a) of this section if
(1) the availability of care coordination services in a non-urban geographic area of the