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The Bright Futures/American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care, adopted by reference in 7 AAC 160.900, is available for examination at the Department of Health, Division of Health Care Services, 4501 Business Park Boulevard, Suite 24, Anchorage, AK 99503-7167. The Addresses for Second Level Provider Appeals list, adopted by reference in 7 AAC 160.900, may be obtained from the Department of Health, Division of Health Care Services, 4501 Business Park Boulevard, Suite 24, Anchorage, Alaska 99503-7167. Sections of the Alaska Provider Billing Manual, adopted by reference in 7 AAC 160.900(d), may be obtained at the following Xerox Business Services, LLC Internet site: http://manuals.medicaidalaska.com/, or may be obtained by contacting the Department of Health, Division of Health Care Services, 4501 Business Park Boulevard, Suite 24, Anchorage, Alaska 99503-7167. The Specialized Medical Equipment Fee Schedule, adopted by reference in 7 AAC 160.900, may be obtained by contacting the Department of Health, Division of Senior and Disabilities Services, 3601 C Street, Suite 310, Anchorage, Alaska 99503-5684. The Medicaid Hospital and Long-Term Care Facility Reporting Manual, and the relevant pages from the Chart of Accounts for Hospitals, adopted by reference in 7 AAC 160.900, are available from the Office of Rate Review, Department of Health, 3601 C Street, Ste 978, Anchorage, Alaska 99503. The Medicaid Log of Uninsured Care Reporting Form, adopted by reference in 7 AAC 160.900, is available from the Department of Health, DSH Program, P.O. Box 110660, Juneau, Alaska 99811-0660. The department fee schedules, adopted by reference in 7 AAC 160.900(e), may be obtained by contacting the Department of Health, Division of Health Care Services, 4501 Business Park Boulevard, Suite 24, Anchorage, Alaska 99503-7167, or may be obtained at the following Xerox Business Services, LLC’s Internet site http://manuals.medicaidalaska.com/. The department’s Orthodontic Referral Oral Health and Hygiene Assessment, adopted by reference in

7 AAC 160.900, may be obtained from the department’s Internet website at: http://health.alaska.gov/dhcs/Pages/default.aspx or at the Department of Health, Division of Health Care Services, 4501 Business Park Boulevard, Suite 24, Anchorage, AK 99503-7167. On December 7, 2010, as required by AS 44.62.245 and AS 47.05.012, the department gave notice that the following amended versions of material, previously adopted by reference in 7 AAC 160.900(a), would be in effect on January 1, 2011: the Current Procedural Terminology, 4th edition as revised for 2011 (“CPT 2011”), and the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services’ (CMS) Healthcare Common Procedure Coding System (HCPCS) 2011. The amended versions may be reviewed at the Department of Health, Division of Health Care Services, 4501 Business Park Boulevard, Suite 24, Building L, Anchorage, Alaska 99503-7167. The Chart of Personal Care Services and Community First Choice Services Rates, Chart of Long-Term Services and Supports Targeted Case Management Services Rates, and Chart of Waiver Services Rates, adopted by reference in 7 AAC 160.900, may be obtained by contacting the Department of Health, Division of Senior and Disabilities Services, P.O. Box 110680, Juneau, Alaska 99811-0680. The Chart of Personal Care Services and Community First Choice Services Rates, Chart of Long-Term Services and Supports Targeted Case Management Services Rates, and Chart of Waiver Services Rates are also posted on the Department of Health, Division of Senior and Disabilities Services’ website at https://health.alaska.gov/dsds/Pages/info/costsurvey.aspx. The Cost Survey and Cost Survey Instructions, adopted by reference in 7 AAC 160.900, may be obtained by contacting the Department of Health, Division of Senior and Disabilities Services, P.O. Box 110680, Juneau, Alaska 99811-0680. The materials are also posted on the Department of Health, Division of Senior and Disabilities Services’ website at