Provider Self-Audits

The Department of Health and Social Services would like to thank the many providers who have already completed and submitted their Self-Audits under 7 AAC 160.115. The Department encourages all providers who have not submitted their self-audit to meet the current December 31, 2020 deadline. However, due to the current Public Health Emergency and the recent surge in COVID-19 cases, the Department will not be strictly enforcing the deadline for provider self-audits until March 31, 2021. All providers are expected to adhere to 7 AAC 160.115 by that time and submit information earlier if possible.

If you need technical assistance, our website provides helpful tools or you can email QAPIProgramIntegrity@alaska.gov.

Effective June 7, 2018 the Department of Health and Social Services requires all Medicaid providers to conduct a self-audit once every two years, draft a report of the self-audit, sign and submit the self audit attestation form, and to repay all identified overpayments. See Alaska Statute 47.05.235 and Alaska Administrative Code 7 AAC 160.115.

• Attestation Form
• Provider Self-Audit FAQs
• Provider Self-Audit Checklist
• Suggested Provider Self-Audit Steps
• How to Determine sample size RAT-STATS
• How to Obtain a Valid Random sample RAT-STATS

Please submit provider self-audit reports and attestation to Medicaid Program Integrity at:

Mail: 
DHSS, Medicaid Program Integrity
3601 C Street, Suite 902
Anchorage, AK 99503

Or email: QAPIProgramIntegrity@alaska.gov

Utilize these resources for these self-audits:

• The U.S. Department of Health & Human Services Office of Inspector General (HSS OIG) has provided resources for provider compliance including access to RAT-STATS a free statistical software package to assist with provider self reviews; access this website here: https://oig.hhs.gov/compliance/.