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Statutory Authority: Authority: AS 47.05.010 AS 47.07.030 AS 47.07.040 Chapter 160. Medicaid Program; General Provisions. Article 1. Program Integrity and Quality Assurance (7 AAC 160.100 — 7 AAC 160.140) 2. Third-Party Liability; Estate Recovery (7 AAC 160.200 — 7 AAC 160.250) 3. General Provisions (7 AAC 160.900 — 7 AAC 160.990) Article 1. Program Integrity and Quality Assurance. Rule 7 AAC 160.100. Program integrity 7 AAC 160.110. Fiscal audit 7 AAC 160.115. Duty of a provider to identify and repay self-identified overpayments 7 AAC 160.120. Use of statistical sampling 7 AAC 160.130. Appeal 7 AAC 160.140. Quality assurance program 7 AAC 160.100. Program integrity. The department or its designee shall provide for and operate program integrity activities designed to promote the economical and effective administration of the department’s Medicaid program. These activities may include the following:

(1) operation of a surveillance, utilization, and review subsystem within the department’s system to manage Medicaid information;

(2) audit activities designed to investigate fraud, abuse, over-utilization or Medicaid program compliance by providers;

(3) utilization review under 7 AAC 160.140;

(4) coordination with the Department of Law, the United States Department of Justice, and the United States Office of Inspector General. (Eff. 2/1/2010, Register 193) Statutory Authority: