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7 AAC 150.030. Establishment of prospective rates. (a) The department will establish prospective per-day payment rates in accordance with 7 AAC 150.210 for facilities not less than annually for each facility subject to the per-day reimbursement methodology. (b) The department will establish prospective per-stay Diagnosis Related Groups (DRG) payment rates in accordance with 7 AAC 150.250 for facilities not less than triennially for each facility subject to the DRG reimbursement methodology. (c) The department may establish temporary prospective per-day or per-stay payment rates. The final rate approved by the department supersedes the temporary rate, and the department will adjust payments in accordance with the final rate. (Eff. 2/1/2010, Register 193; am 1/1/2024, Register 248) Statutory Authority: Authority: AS 47.05.010 AS 47.07.070 7 AAC 150.040. Prospective rates defined. (a) Prospective payment rates are units of payment the department will pay to enrolled facilities that render services to Medicaid recipients. A facility may not charge the department an amount that exceeds the charge to the general public for the same service. (b) Prospective payment rates are per-day rates for

(1) inpatient services rendered in general acute care hospitals, except as provided in (c) of this section, specialty hospitals, and inpatient psychiatric hospitals; and

(2) long-term care facilities. (c) Prospective payment rates are per-stay rates for inpatient services rendered in general acute care hospitals subject to 7 AAC 150.250. (d) Prospective payment rates are a percentage of charges for outpatient hospital services, except for outpatient clinical laboratory services. (e) Prospective payment rates are per-procedure rates for

(1) outpatient clinical laboratory services; and