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(e) The adjustment factors calculated under (a) of this section will be effective 180 days after the beginning of the facility’s fiscal year if the facility’s year-end report is submitted not more than 90 days late under 7 AAC 150.130. (f) If the facility’s year-end report is submitted more than 90 days late under 7 AAC 150.130, the adjustment factors calculated under (a) of this section do not apply during the facility’s fiscal year. (g) Repealed 1/1/2024. (h) Repealed 1/1/2024. (i) This section does not apply to a hospital reimbursed under the prospective Diagnosis Related Groups (DRG) payment rate methodology set out under 7 AAC 150.250. (Eff. 2/1/2010, Register 193; am 10/1/2017, Register 223; am 7/1/2019, Register 231; am 1/1/2024, Register 248) Statutory Authority: Authority: AS 47.05.010 AS 47.07.071
AS 47.07.070 AS 47.07.073 Editor’s note: As of Register 197 (April 2011) the regulations attorney made a technical revision under AS 44.62.125(b)(6), to 7 AAC 150.150(a) and (b). 7 AAC 150.160. Methodology and criteria for approval or modification of a payment rate. (a) The department will use the following methodology and criteria in reviewing and establishing prospective payment per-day and percentage-of-charges rates for the Medicaid program:
(1) the department will consider the following with the relative importance of each criterion being a matter of department discretion:
(A) whether the costs are related to patient care and are attributable to the Medicaid program;
(B) whether the payment rate is reasonably related to costs;