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Authority: AS 47.05.010 AS 47.07.040
AS 47.07.030 AS 47.07.070 7 AAC 140.565. Payment for nursing facility transfers. (a) If the department determines that a nursing facility is deficient in areas related to recipient care and the facility transfers a recipient to another facility at the same level-of-care certification to avoid decertification or any other enforcement penalty, the department will recover from the facility the costs of transferring that recipient to the other facility. (b) If the department determines that a recipient needs a higher or lower level of care than the facility is certified to provide, the department will pay the cost of moving the recipient to a facility certified to provide a higher or lower level of care. (Eff. 2/1/2010, Register 193) Statutory Authority: Authority: AS 47.05.010 AS 47.07.040
AS 47.07.030 AS 47.07.070 7 AAC 140.570. Other payments. Payment by the department is payment in full for those services authorized under Medicaid. If the nursing facility obtains from another source any additional payment for the care provided to a recipient for services that have been paid for by Medicaid, the nursing facility shall refund or credit the additional payments to the department. (Eff. 2/1/2010, Register 193) Statutory Authority: Authority: AS 47.05.010 AS 47.07.040