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Department of Health, Medicaid Program Integrity, P.O. Box 240249, Anchorage, AK 99524; or by electronic mail to QAPIProgramIntegrity@alaska.gov. Effective July 1, 2022, Executive Order 121 split the former Department of Health and Social Services into the Department of Health and the Department of Family and Community Services. As of Register 242 (July 2022), the regulations attorney made conforming technical revisions under sec. 138, E.O. 121 and AS 44.62.125(b)(6), to 7 AAC 160.115, to change “Department of Health and Social Services” to “Department of Health”. 7 AAC 160.120. Use of statistical sampling. The department, its designee, or a provider may use statistically valid sampling methodologies to

(1) select Medicaid claims for review or audit; and

(2) calculate overpayment amounts to providers that are subject to a provider self-review or self-audit under AS 47.05.235 and 7 AAC 160.115, a fiscal audit under 7 AAC 160.110, or a quality assurance program review under 7 AAC 160.140. (Eff. 2/1/2010, Register 193; am 6/7/2018, Register 226) Statutory Authority: Authority: AS 47.05.010 AS 47.07.030

AS 47.05.235 AS 47.07.040 7 AAC 160.130. Appeal. (a) A provider may appeal the findings of a final audit conducted under 7 AAC 160.110 and determinations of overpayment amount under the audit. A provider may request reconsideration of the audit findings before a formal appeal. If a provider requests reconsideration, the provider may still request a formal appeal under this section by requesting the appeal not later than 30 days after the date of the notice of decision on reconsideration. (b) An appeal under this section must

(1) be made in writing and submitted to the Commissioner’s Office, Department of Health, P.O. Box 110601, Juneau, Alaska 99811-0601;