Alaska

Grounds stated in the sources

Not stated in the sources reviewed. Alaska's nursing-facility licensing rule, 7 AAC 12.250 through 7 AAC 12.290, and the general rights section that applies to it, 7 AAC 12.890, enumerate no permissible bases for a facility-initiated transfer or discharge; the words transfer and discharge do not appear in the nursing-facility article at all. The Medicaid coverage rule states one circumstance in which a discharge notice is owed, without calling it a ground: "When a nursing facility's utilization review committee or the department determines that a recipient does not, or in the future will not, require continued nursing facility placement" (7 AAC 140.545(a)). The enumerated federal grounds for Medicare/Medicaid-certified facilities are assembled on the federal page, not here.

Notice stated in the sources

The Medicaid coverage rule, for a recipient: "Before a nursing facility transfers a recipient to another nursing facility or hospital, the facility shall, at least 10 days before the transfer, provide a written notice" to six listed parties beginning "to the recipient;" (7 AAC 140.540(b)), and on discharge "the nursing facility shall provide, at least 10 days before the date of discharge, a written notice of proposed discharge" to the same parties (7 AAC 140.545(a)). Neither section states the notice's required contents or any exception to the ten days. The department's general notice rule for its own actions: "The department will give written notice to the recipient not later than 10 days before the date the department intends to take action denying, reducing, suspending, or terminating assistance, unless" one of eight stated circumstances applies (7 AAC 49.060). The licensing rule states no notice period.

Hearing office in these sources

"A recipient who receives notice of a proposed transfer under (b) of this section may request a hearing under 7 AAC 49." (7 AAC 140.540(c)); the same sentence, for a proposed discharge, at 7 AAC 140.545(b). Under 7 AAC 49.030(a), "a request for a hearing within the scope of 7 AAC 49.020 must be made to the department in writing by a recipient, or by a legal representative acting on the recipient's behalf, not later than 30 days after the date of the notice required under 7 AAC 49.060." and under (b) "the department will refer the matter to the office of administrative hearings (AS 44.64.010) as provided under AS 44.64.060 and 2 AAC 64.120." The Department of Health's own hearing-rights notice, form Uni-08 (Revised 2/1/2025), prints the filing route: "You may submit your fair hearing request via:" mail to "Attn: Fair Hearings" "P.O. Box 240808" "Anchorage, AK 99524", fax "(907) 644-8126", email "fairhearings@gainwelltechnologies.com", or telephone "(907) 644-6800 or" "(800) 780-9972". The pendency statement, 7 AAC 49.190: a recipient "will, upon filing that hearing request, have the assistance reinstated retroactively or continued until the date that the final decision is issued, unless the recipient informs the department that the recipient does not want to receive continuing assistance."

Ombudsman in these sources

The Office of Long Term Care Ombudsman, on its own site: "Call (907) 334-4480 or 1-800-730-6393." "3745 Community Park Loop, Suite 200" "Anchorage, Alaska 99508" "fax: (907) 334-4486" "email: akoltco@alaska.gov". The office states that "Alaska’s LTC Ombudsman program is in the Department of Revenue and administered by the Alaska Mental Health Trust Authority."

Sources last checked

Sep 4, 2026

Reproduced from the agencies' own pages and documents quoted below — potentially relevant official sources, not a determination that any notice, ground, or deadline applies to any situation.

Lede

This page assembles what Alaska's own publishers state about involuntary transfer and discharge from a nursing facility. It is a baseline page: the docket rows and the source map are built; the grounds section and the published-process section are not yet written, as the change log records. The fullest single source is the Medicaid coverage rule for nursing facilities, 7 AAC 140.540 through 7 AAC 140.585 in the Alaska Administrative Code as the Legislature publishes it, which states a ten-day written notice for a transfer to another facility or hospital and for a discharge, routes a recipient's hearing to 7 AAC 49, and states when the department pays to reserve a bed. Alaska's own vocabulary is transfer and discharge of a recipient: the rule that states a notice period is a Medicaid payment rule and speaks of recipients, not of residents generally, and the licensing rule for nursing facilities states no grounds, no notice period and no appeal route of its own.

Three publishers hold the pieces, and the shape is thin by the state's own choice of where to legislate. The Legislature publishes the Administrative Code, including the Department of Health's licensing chapter, Medicaid coverage chapter and hearing chapter. The Department of Health publishes the hearing-rights notice that gives a fair hearing request its address. The Office of Long Term Care Ombudsman, which sits in the Department of Revenue under the Alaska Mental Health Trust Authority, publishes its own contact. The federal floor for Medicare/Medicaid-certified facilities is assembled separately on the federal page; nothing here fills a gap from federal law or another state. Confirm applicability with the agencies named in the sources: whether any provision applies to a particular facility, resident, or notice is for the hearing office to determine. Deadlines and periods on this page are quoted from the sources, not calculated for any case.