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7 AAC 165.050. Program standards for continuing participation 7 AAC 165.080. Appeals 7 AAC 165.900. Definitions 7 AAC 165.001. Purpose. The purpose of this chapter is to encourage selected Medicaid providers to deploy and use electronic health record technology and the electronic health information exchange system created under AS 18.23.300 — 18.23.325. (Eff. 6/1/2011, Register 198) Statutory Authority: Authority: AS 47.05.010 AS 47.07.030 AS 47.07.040 7 AAC 165.020. Provider registration and attestation. (a) To participate in the Alaska Medicaid electronic health record incentive program a provider must electronically register using the

(1) Medicare and Medicaid electronic health record incentive program registration and attestation system; and

(2) Alaska Medicaid state-level registry for provider incentive payments. (b) To complete the registration, a provider must submit to the department the provider’s

(1) state Medicaid enrollment number;

(2) state professional or facility licensing information;

(3) Medicaid patient volume or needy individual patient volume that meets the minimum requirements of 7 AAC 165.010;

(4) federal taxpayer identification number that the provider is using to identify the individual or group who will receive the incentive payment;

(5) national provider identifier number under 45 C.F.R. 162.402 — 162.414 that the provider will use to participate in the Alaska Medicaid electronic health record incentive program;

(6) attestation that meets the requirements of (c) or (d) of this section; and