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(b) A provider shall retain records necessary to disclose fully to the department the extent of services provided to beneficiaries. The provider shall make information regarding any payment available to the department upon request. (c) A facility that provides services or supplies under the program for children with disabilities shall allow on-site inspection by authorized representatives of the department. (d) A provider is responsible for claims submitted or certified by the provider’s authorized representative. (e) A provider’s endorsement of a check received from the department, or the endorsement of the provider’s agent, certifies that the claim for which the check is payment is true and accurate, unless written notice of an error is sent by the provider to the department within 30 days after the date that the check is negotiated. (f) The department will not pay a cost of service under the program for children with disabilities unless the provider of the service submits a bill for the service to the department in a timely manner. A provider may not charge a child or the child’s parent or guardian for a service authorized by the program for children with disabilities unless the charge is for the family participation amount set by the department under 7 AAC 23.180. For the purposes of this subsection, a bill is submitted in a timely manner if
(1) the provider submits it to the department within six months after the service was terminated; or
(2) the provider submits it to the department within one year after provision of the service was terminated and the bill was first submitted to and rejected by an insurance company or a responsible person other than the program for children with disabilities, the child, the child’s relative, or the child’s guardian. (g) A provider may charge, and the department will pay, no more than the following amounts for any supplies or services provided to a child under the program for children with disabilities:
(1) for services other than physician services, the rate set for the supply or service by the Medicaid Rate Commission or, if the Medicaid Rate Commission has not set a rate, the usual and customary charge by the provider to the general public for furnishing comparable supplies or services under comparable circumstances; or
(2) for physician services, the reasonable charge for covered services as described at 7 AAC 43.040, as amended from time to time, and adopted by reference. (h) If payment is received by the provider from a child, a child’s relative, a health insurance company, or any other source, for an authorized service that has been or will be paid for by the department, the provider shall refund or credit to the department all or part of the amount received up to the limit of the department’s liability. (i) Providers shall retain all fiscal, patient care, and related records for patients referred by the department under the program for children with disabilities for seven years following the