Office of Rate Review
Mission: We provide quality Medicaid rate setting services to ensure access to healthcare, support the department’s programs, and ensure responsive health facility and services development.
Vision: All Alaskans will have the ability to access high quality medical services.
Core Values and Guiding Principles: - Integrity – “We believe in and conduct ourselves with integrity and believe to do so is vital to the work we perform; we are open and honest with each other, our partners and stakeholders, and treat each with dignity and respect.”
- Professionalism – “We believe in executing our work with the utmost professionalism and our work product exemplifies this.”
- Transparency – “We believe in being transparent with each other and with our partners and stakeholders; this allows us to work efficiently and be highly productive.”
- Collaboration – “We believe collaboration in our work and relationships is vital to our success; therefore sharing of information and working closely with each other, our partners and stakeholders is highly prioritized.”
- Innovation – “We believe in innovation and strive to learn and evolve in the work that we do; we are open to all opportunities to expand our knowledge base.”
Programs
- Certificate of Need
The Certificate of Need (CON) program is a review process used to promote responsive health facility and service development, rational health planning, health care quality, access to health care, and health care cost containment.
- Supplemental Emergency Medical Transport
The Supplemental Emergency Medical Transport (SEMT) program is a voluntary program that will allow eligible publicly owned and operated Medicaid providers to voluntarily submit annual reports to be reimbursed Medicaid supplemental payments.
Initiatives
- Diagnosis Related Groups
The Diagnosis Related Groups (DRG) project is an effort to move from a cost-based per diem prospective payment system for inpatient hospital services to a DRG system based on the intensity of services provided.
- Skilled Nursing Facility
The Skilled Nursing Facility (SNF) Case Mix Based Payment Methodology project is an effort to move from a cost-based per diem payment system to a case mix reimbursement payment system based on patient case mix indices (CMI) or acuity.