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(a) Based on consideration of the documents submitted by the facility, audit or review of the facility, the facility’s responses to audit or review testimony at the public hearing, and the requirements of AS 47.07 and 7 AAC 105 — 7 AAC 160, the department staff that oversees Medicaid payment rates shall establish the prospective payment rate in a written determination. The department shall send a copy of the written determination and a certificate showing the date the determination was mailed or electronically delivered to the facility. (b) The department staff that oversees Medicaid payment rates may reconsider a prospective payment rate upon the department staff’s own motion or at the facility’s request. A facility seeking reconsideration shall file a request for reconsideration not later than 30 days after the date the written determination was mailed or electronically delivered to the facility. The department staff shall deny a request for reconsideration as untimely if the request was filed later than 30 days after the date the written determination was mailed or electronically delivered to the facility. The notice of denial of reconsideration or the decision on reconsideration must be accompanied by a certificate showing the date the written determination was mailed or electronically delivered . (c) A request for reconsideration under (b) of this section must be filed at the Anchorage office of the department with the staff that oversees Medicaid payment rates. (Eff. 2/1/2010, Register 193; am 1/1/2024, Register 248) Statutory Authority: Authority: AS 47.05.010 AS 47.07.070 Editor’s note: The address for filing requests for reconsideration under 7 AAC 150.210 is Department of Health, Office of Rate Review, 3601 C Street, Suite 978, Anchorage, Alaska 99503. 7 AAC 150.220. Administrative appeal. (a) Not later than 30 days after a written determination under 7 AAC 150.210(a) is mailed or electronically delivered to a facility, a facility aggrieved by that determination may request reconsideration under 7 AAC 150.210(b) or may file a written notice of appeal with the commissioner. In the notice of appeal, the facility must
(1) set out a statement of issues;
(2) identify the basis for the facility’s contention that the written determination of the