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Office of the Commissioner

Provider Self-Audits

Due to changing priorities amid the public health emergency, the Department is issuing the following guidance on the requirement for provider self–audits under 7 AAC 160.115. Under this regulation, providers are required to conduct a self-audit every two years. The first round of self- audits which may cover either 2017 or 2018, is due to the Department no later than December 31, 2020

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.

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/.