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must be handled in accordance with 7 AAC 105.250. (f) The department will deny a claim for payment if the provider fails to submit the claim in the form or format required by the department for claim submission. If a payment is denied under this section, the provider may appeal under 7 AAC 105.270. (g) By providing a service to a Medicaid recipient and billing the department for that service, a provider agrees to comply with applicable department regulations. (h) A provider may not charge

(1) for any administrative cost related to participation in the Medicaid program; or

(2) a higher rate for any unit of service provided to a Medicaid recipient than the provider charges others, except for an amount billed Medicare. (i) If a provider receives a payment from a recipient, relative, recipient’s estate, health insurance, or other source for a service provided, and the provider intends to submit a claim to the department for the same service, the provider must report that payment and must enter it as a credit against the charge to the department. (Eff. 2/1/2010, Register 193; am 5/1/2016, Register 218; am 8/1/2020, Register 235) Statutory Authority: Authority: AS 47.05.010 AS 47.07.040 AS 47.07.042 7 AAC 145.010. Prohibition against reassignment. (a) The department will not make payment on a claim known by a provider to be covered by Medicaid if the claim has been assigned, sold, or transferred, including transfers through the use of power of attorney, to a collection agency, service bureau, or individual who advances money to a provider for the provider’s accounts receivable. (b) The use of a billing agent or accounting firm that bills and receives payment in the name of the provider is permitted if payment for this service is not related on a percentage or other basis to the amount to be billed or collected. (Eff. 2/1/2010, Register 193) Statutory Authority: