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(j) If a provider defaults on a repayment under (i) of this section, the department may require immediate payment of the total amount due. If a provider defaults on paying the total amount, the provider is subject to sanctions under 7 AAC 105.400 — 7 AAC 105.490. Sanctions may include termination from the Medicaid program in accordance with 7 AAC 105.410. (k) Under this section, an overpayment is identified when the provider has, through the exercise of reasonable diligence, determined that the provider has received an overpayment and quantified the amount of the overpayment. (l) The department may review the results of a provider-conducted self-review for accuracy. If the provider does not provide an opportunity for department review under this subsection or obstructs the review, or if the department determines that the provider’s self-review is inaccurate, the department may impose sanctions under 7 AAC 105.400 — 7 AAC 105.490. (m) For purposes of this section,
(1) “default” means any default that results in written notice from the department;
(2) “immediate repayment” means a payment that is made not later than 30 days after written notice is provided under (m)(1) of this section. (Eff. 6/7/2018, Register 226; am 2/6/2020, Register 233) Statutory Authority: Authority: AS 47.05.010 AS 47.05.235 AS 47.07.040
AS 47.05.200 AS 47.07.030 AS 47.07.074 Editor’s note: For information regarding the conduct of a self-audit, please refer to the CMS self-audit toolkit, Conducting a Self-Audit: A Guide for Physicians and Other Health Care Professionals, February 2016. The toolkit may be obtained at the following website: https://www.cms.gov/Medicare-Medicaid-Coordination-Fraud-Prevention/Medicaid-Integrity-Education/au dit-toolkit.html. The address of the Department of Health, Office of the Commissioner, Medicaid Program Integrity is 3601 C Street, Anchorage, Alaska 99503. The attestation form referenced in 7 AAC 160.115(e) may be obtained at the following website: http://dhss.alaska.gov/Commissioner/Pages/ProgramIntegrity/default.aspx. The address for sending a report or attestation, if required under 7 AAC 160.115(e), is