01Already effective June 22, 2026: Billing team: review the Policy Clarification Timely Filing Limits revised May 2026 for the applicable deadlines and submission requirements.
02Already effective July 1, 2026: Billing team and providers: verify that ordering and referring providers are enrolled in Alaska Medicaid, following the Alaska Medicaid Policy: Ordering Provider Requirements or the General Program Billing Manual.
03The claim edits are informational only and will not impact claims payment, which gives providers time to complete the enrollment process.
04Alaska Medicaid will issue an updated notice before claims are denied for ordering or referring provider requirements.
05Oral enteral nutrition: providers should review the updated Oral Enteral Nutrition Coverage Criteria guidance carefully, since it replaces the guidance revised August 21, 2024.
06Service authorization disputes: first consult the billing manuals, fee schedules and service authorization resources, then call the Provider/Member Inquiry line at 907-644-6800 or 800-770-5650, option 1,1.
07If that does not resolve the issue, email akserviceauthorizations@gainwelltechnologies.com with a clear statement of the issue and no PHI or PII.
08Escalate only after the appropriate steps have been taken and no response has come within 3 business days, by emailing aksaescalations@gainwelltechnologies.com with the steps already taken and relevant documentation.
09Escalation requests sent without documentation of prior steps will be returned, and escalation is not an appropriate first step.
10Send each email to one recipient.
11Do not call the review nurses about general questions.
12For urgent travel needed within 3 days, phone in the travel request, because sending to regular email addresses with High Priority in the subject does not escalate a review.
13For disagreement with a service authorization determination, providers use the appeal process.
14Provider enrollment revalidation: submit complete and accurate revalidations on time so enrollment remains active.
15The fiscal agent notifies providers 90, 60 and 30 days before the revalidation due date at the contact information in the provider file.
16Travel: do not email CTM; call the 800 number, (800) 514-7123 for all Medicaid travel calls.
17Do not call CTM ahead to check flight availability.
18Check flight availability directly with the airlines before submitting the travel request.