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(4) the qualifying student loan debt level or direct incentive option for a health care professional; and

(5) the number of qualified employment hours that a health care professional worked in a calendar quarter. (b) The department will use a quarterly work report to monitor the health care professional’s contractual compliance with the service obligation and to prorate quarterly employer and benefit payments based on the number of qualified employment hours worked. A quarterly work report

(1) must be submitted by the employer and approved by the health care professional to document that the service was actually provided at the specified location, for the specified population, and for the duration of the health care professional’s service;

(2) must be submitted on a form approved by the department;

(3) may not contain any information that identifies patients or discloses protected health information in violation of federal or state law; and

(4) must be received by the department not later than 30 days after the end of each calendar quarter. (c) The department will provide a quarterly invoice to the employer. The department will include in the invoice the charges under AS 18.29.110, 7 AAC 24.061, and this section for all participating health care professionals employed by the employer. The invoice is

(1) payable to the department; and

(2) due not later than 30 days after receipt. (d) The department will not make payments to, or on behalf of, the health care professional until the department receives the employer payment for the invoiced amount. (e) To request an adjustment under AS 18.29.110(2) based on the employer’s ability to pay, the employer must make a written request to the department. Not later than 30 days after receiving the request, the department will send the employer a written response. An adjustment is subject to the availability of funds. (f) An employer that makes more than three late payments or fails to pay breaches the contract with the department. The department will classify that employer as ineligible for program participation, and the employer may incur civil penalties. (Eff. 12/25/2020, Register 236) Statutory Authority: Authority: AS 18.29.105 AS 18.29.115