Solicitation for Public Input – Department of Health, Medicaid Program Integrity, Regulatory Revisions.
Notice of Public Scoping Under Administrative Order 360 for possible Department of Health, Medicaid Program Integrity, Regulation Changes (Title 7).
Background. In response to Administrative Order 360, the Department of Health is soliciting written and oral comments from affected industries, community organizations, and the general public regarding regulations and materials incorporated by reference in:
- Chapter 105. Medicaid Provider and Recipient Participation.
- Article 2. Provider Enrollment, Rights, and Responsibilities.
- 7 AAC 105.230. Requirements for provider records.
- 7 AAC 105.240. Request for records.
- 7 AAC 105.250. Payment from other sources.
- 7 AAC 105.260. Recouping an overpayment.
- Article 3. Provider Sanctions and Remedies.
- 7 AAC 105.400. Grounds for sanctioning providers.
- 7 AAC 105.410. Sanctions.
- 7 AAC 105.420. Imposition of sanction.
- 7 AAC 105.430. Scope of sanction.
- 7 AAC 105.440. Notice of sanction.
- 7 AAC 105.450. Provider education.
- 7 AAC 105.460. Appeal of sanction.
- 7 AAC 105.470. Restrictions on payments.
- 7 AAC 105.480. Withholding of payments.
- 7 AAC 105.490. Definitions.
- Chapter 160. Medicaid Program; General Provisions.
- Article 1. Program Integrity and Quality Assurance (7 AAC 160.100 — 7 AAC 160.140).
- 7 AAC 160.100. Program integrity.
- 7 AAC 160.110. Fiscal audit.
- 7 AAC 160.115. Duty of a provider to identify and repay self-identified overpayments.
- 7 AAC 160.120. Use of statistical sampling.
- 7 AAC 160.130. Appeal.
- 7 AAC 160.140. Quality assurance program.
- Article 2. Third-Party Liability; Estate Recovery (7 AAC 160.200 — 7 AAC 160.250).
- 7 AAC 160.200. Third-party resources.
- 7 AAC 160.210. Estate recovery.
- 7 AAC 160.220. Liens.
- 7 AAC 160.230. Appealing a lien.
- 7 AAC 160.240. Waiving estate recovery.
- 7 AAC 160.250. Exemptions from estate recovery.
The Department of Health is undertaking this solicitation process to ask the public for ideas, suggestions, and input before the Medicaid Program Integrity drafts or proposes any specific regulation amendments or repeals for public review.
The Department of Health is particularly interested in specific ideas for regulatory change that may:
- clarify existing regulatory obligations;
- reduce costs for the public, industry, or government;
- improve or streamline procedures, application requirements, and review processes, for example reducing the time required to apply for a license, permit, or benefit;
- reduce administrative burdens;
- streamline permitting procedures;
- improve communication procedures;
- provide greater transparency with respect to standards, decision-making, and rationales for application processing; or
- clarify interagency roles.
Written comments. Written comments must be received by November 12, 2025. Written comments may be sent to QAPIProgramIntegrity@alaska.gov , or to the Department of Health, Medicaid Program Integrity 3601 C Street, Suite 902, Anchorage, AK 99503.
Public meeting. Oral comments may be submitted at a hearing to be held using Zoom on November 5, 2025. Members of the public may participate in the hearing virtually or by telephone. There will not be in-person attendance provided at the hearing site, so please prepare to share your oral comments virtually or by telephone only. The hearing is scheduled from 1:00 p.m. to 2:30 p.m. and priority will be given to commenters on the line before the beginning of the hearing. The hearing may be extended to accommodate those on the line before [2:15 p.m.] who did not have an opportunity to comment. Before the start of the hearing, the Department of Health may limit the time allotted for each person providing oral testimony, as reasonably necessary to conclude the hearing in the time provided.
Instructions for joining the hearing using Zoom
If you are a person with a disability who needs a special accommodation in order to participate in this process, please contact Marilyn Brennan by electronic mail at marilyn.brennan@alaska.gov , or by telephone at (907) 269-3099 not later than October 28, 2025, to ensure that any necessary accommodation can be provided.
Please note that input provided in response to this solicitation will be subject to inspection, copying, and distribution as public records under AS 40.25.110 – 40.25.220. Please do not include any confidential information in written or oral comments.
Questions. For questions or more information, contact our Agency Regulatory Liaison, Triptaa Surve at triptaa.surve@alaska.gov .
The Department of Health is not currently proposing any specific regulation change and there are no draft regulations prepared for public comment under the Administrative Procedure Act at this time. If the Department of Health undertakes revisions to these regulations, there will be an additional opportunity to comment on the proposed regulation changes that are released for public review and comment under the Administrative Procedure Act.
The Department of Health, Medicaid Program Integrity, keeps a list of individuals and organizations interested in its regulations. Those on the list will automatically be sent a copy of the Department of Health, Medicaid Program Integrity’s notices of proposed regulation changes. To be added to or removed from the list, send a request to the Department of Health, Medicaid Program Integrity at QAPIProgramIntegrity@alaska.gov, giving your name, and either your e-mail address or mailing address, as you prefer for receiving notices.
Individuals can also sign up to receive automated notifications of all State of Alaska notices, including public notice for regulation changes, by subscribing to the Alaska Online Public Notices System: https://aws.state.ak.us/OnlinePublicNotices/Default.aspx.