7 AAC 145.012 - Cost containment measure for inflation adjustments to Medicaid payment rates

(a) To address that appropriations for fiscal year 2020 are insufficient to cover the costs of medical assistance for all persons eligible under AS 47.07 and 7 AAC 100, the department will implement cost containment measures that prohibit the following adjustments to Medicaid payment rates for Medicaid claims with dates of services after June 30, 2019 and before July 1, 2020:

(1) inflation adjustments required under 7 AAC 145.050(b)(3), except as noted in 7 AAC 145.050(c)-(e);

(2) inflation adjustments required under 7 AAC 145.265(b)(9);

(3) inflation adjustments required under 7 AAC 145.525;

(4) repealed 7/1/2019;

(5) inflation adjustments required under 7 AAC 150.150, except as noted in 7 AAC 150.150(h);

(6) inflation adjustments required under 7 AAC 150.160(j) as that subsection relates to 7 AAC 150.150; and

(7) inflation adjustments required under 7 AAC 150.190(g) in accordance with 7 AAC 150.190(d)(2)(B), except as noted in 7 AAC 150.190(g)(1).

(b) In this section, "inflation adjustment" means a revision that

(1) is required under a provision listed in (a)(1) - (8) of this section to an existing Medicaid payment rate; and

(2) results in a new Medicaid payment rate that differs from the existing Medicaid payment rate by a percentage value or overall average net change value that is either listed under this chapter or listed in

(A) the most recent annual Consumer Price Index for all Urban Consumers (CPl-U), all items, for Anchorage, Alaska published by the United States Department of Labor, Bureau of Labor Statistics, adopted by reference in 7 AAC 160.900;

(B) the Global Insight's Healthcare Cost Review; or

(C) the Medicare Economic Index as required by 42 U.S.C. 1396 a(bb)(3)(A), adopted by reference in 7 AAC 160.900.

Notes

7 AAC 145.012

Eff. 7/1/2015, Register 216, January 2016; am 7/1/2016, Register 219, October 2016; am 10/1/2017, Register 223, October 2017; am 3/1/2018, Register 225, April 2018; am 7/1/2019, Register 232, January 2020; am 1/1/2024, Register 248, January 2024

Authority:AS 47.05.010

AS 47.07.020

AS 47.07.030

AS 47.07.036