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Alaska MedicaidMedicaid · Administrative · Policy Update · AKHigh impact

Policy Clarification: Ordering Provider Requirements

Act
immediately
Effective date
May 19, 2026
Identified
Jun 21, 2026

Summary

Alaska Medicaid now requires ALL ordering and referring providers to be enrolled in Alaska Medicaid, even if they don't bill Medicaid directly. Claims may be denied if the ordering provider is not actively enrolled when services are submitted.

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What to do

immediately · 5 steps
01Billing team must verify all ordering/referring providers are enrolled in Alaska Medicaid before submitting claims.
02Update claim submission workflow to include ordering provider NPI in appropriate fields.
03Ensure all orders contain required elements: member name/DOB, order date, provider name/signature/credentials, provider NPI, service description, clinical justification, and quantity/frequency.
04Contact Provider Inquiry at 907-644-6800 if enrollment questions arise.
05Claims will be denied if ordering providers are not actively enrolled.

Original notice

Policy Clarification: Ordering Provider Requirements
extranet-sp.dhss.alaska.gov · Always check the source before changing claims.
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Alaska Medicaid policiesAK policy changes

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