1. (a) Unless the department has terminated a provider's participation in the Medicaid program under 7 AAC 105.420, a provider who has received a sanction must participate in a provider education program as a condition of continued participation in the Medicaid program.

2. (b) For each provider who has received a sanction, the department will determine the topics of the provider education program, including

   1. (1) claims form completion;
   2. (2) the use and format of provider manuals;
   3. (3) the use of procedure codes;
   4. (4) key provisions of the Medicaid program;
   5. (5) payment rates; and
   6. (6) how to inquire about coding or billing problems.

3. (c) In addition to the requirements of (a) and (b) of this section, the department may require a provider or employee of a provider to

   1. (1) complete a course of study identified by the department;
   2. (2) serve a probationary period determined by the department; and
   3. (3) reapply for enrollment in the Medicaid program under 7 AAC 105.210.

(Eff. 2/1/2010, Register 193)

Authority: AS 47.05.010, AS 47.07.040