(a) To qualify as a federally qualified health center under 7 AAC 140.200 and this section and for payment under 7 AAC 145.700, a provider must meet at least one of the following eligibility requirements for the entire period for which Medicaid services are rendered:
- (1) a provider is receiving a grant under 42 U.S.C. 254b;
- (2) a provider is receiving money from a grant under (1) of this subsection under a contract with the grant recipient, and the provider also meets the requirements to receive that type of grant;
- (3) a provider is determined by the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS), to meet the requirements for receiving a grant under (1) of this subsection;
- (4) a provider is a tribal health program.
(b) In addition to the requirements of 7 AAC 140.200, to enroll with the department, a federally qualified health center that is enrolled
(1) under (a)(1), (2), or (3) of this section must
- (A) participate as a federally qualified health center in accordance with this section and 7 AAC 145.700, 42 C.F.R. 405.2430 - 405.2452, and 42 C.F.R. Part 491, adopted by reference in 7 AAC 160.900; and
- (B) provide the department with a letter from CMS, certifying the entity as a federally qualified health center provider, and must provide a copy of its grant notice;
- (2) under (a)(4) of this section must participate as a federally qualified health center in accordance with this section and 7 AAC 145.700 and 42 C.F.R. 405.2446 - 405.2452, adopted by reference in 7 AAC 160.900.
(Eff. 2/1/2010, Register 193; am 11/1/2021, Register 240)
Authority: AS 47.05.010, AS 47.07.040, AS 47.07.074, AS 47.07.030, AS 47.07.073