Section 7 AAC 150.130 - Establishment of uniform accounting, budgeting, and financial reporting(a) The department adopts a uniform system of accounting, financial reporting, budgeting, cost allocation, and prospective rate setting for facilities. The financial reporting, budgeting, and cost allocation requirements are described in the Medicaid Hospital and Long-Term Care Facility Reporting Manual, adopted by reference in 7 AAC 160.900. Each facility shall use the manual when submitting information required by the department pertaining to prospective payment rates of the Medicaid program. Each facility shall maintain accounting records at the level of detail established by the "Overview of the Chart of Accounts" in the publication entitled Chart of Accounts for Hospitals, adopted by reference in 7 AAC 160.900. Upon receipt of a facility's request that is described in detail satisfactory to the department, the department may approve an alternate reporting system for information required by this section.(b) If a facility reimbursed by the department under the prospective per-day payment rate methodology set out under 7 AAC 150.160 requests inclusion of certificate of need capital, the facility shall submit its budget information to the department not less than 60 days before the beginning of the facility's fiscal year. The budget information must contain that information specified in the department's manual and must be submitted in the form and manner specified in the manual. If more than one facility is operated by the reporting organization, the information required by this subsection must be reported for each facility separately. The chief executive officer and chairperson of the governing board of the facility shall attest that the information submitted under this subsection, including any subsequent modifications, has been examined by that person and to the best of that person's knowledge the information is correct. This subsection does not apply to a facility reimbursed by the department under the prospective per-stay or Diagnosis Related Groups (DRG) payment rate methodology under 7 AAC 150.250.(c) Each facility shall submit its year-end report to the department staff that oversees Medicaid payment rates no more than 150 days after the close of the facility's fiscal year, in a form and manner as specified in the manual, including the Medicare cost reports and audited financial statements specific to the facility and matching the same time period as the Medicare cost report. If more than one facility is operated by the reporting organization, the information required by this subsection must be reported separately for each facility. The year-end report submitted under this subsection, including any subsequent modification of it, must be certified by the facility's chief administrative or fiscal officer, who, under oath, indicates that, to the best of the officer's knowledge, all reports have been prepared in accordance with (a) of this section.(d) The department will consider facility requests to amend a report submitted under this section if, no more than 30 days after it has filed its year-end report, a facility submits a written request that the department include specific audit adjustments in the desk review audit report issued under 7 AAC 150.200, and if the facility has timely filed its year-end report in accordance with (c) of this section. The department will consider a request to amend a Medicare cost report only if the facility demonstrates that the same request is on file with the facility's fiscal intermediary to the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services. The department will review a facility's request, together with documentation provided in support of that request, and determine appropriate adjustments, if any, to include in the audit report.(e) Rural health clinics and federally qualified health centers are subject to the reporting requirements set out in 7 AAC 140.200.(f) Ambulatory surgical centers are exempt from the reporting requirements of (b) of this section.Eff. 2/1/2010, Register 193; am 1/1/2024, Register 248, January 2024Authority:AS 47.05.010
AS 47.07.040
AS 47.07.070
AS 47.07.071
AS 47.07.073
AS 47.07.074