Summary
Alaska Medicaid has issued updated guidance on enrollment, travel authorization, claims processing, and member eligibility verification. Key clarifications include new escalation contacts, travel attestation requirements, billing rules for Care Management Program patients, and how to identify incarcerated members in the portal.
Get alerts when payers change rules like this one
We check Alaska Medicaid and other payers every day and email you when a change matches your specialty and state.
Get Alaska Medicaid alertsPolicy Monitoring is free. No card required.
What to do
immediately · 3 steps
01Update contact lists with new escalation email Donald.fanning@gainwelltechnologies.com for enrollment issues and doh.hcs.operations.info@alaska.gov for tribal inquiries.
02Billing team must verify Care Management Program patients have proper referrals before providing non-emergent services - patients can be billed directly when they fail to follow CMP rules and no Medicaid payment is made.
03Front desk staff should check the Restricted Spans area or eligibility subtype (look for 'I' subtypes like AI, BI, CI, etc.) to identify incarcerated members.
Original notice
March Town Hall FAQ
extranet-sp.dhss.alaska.gov · Always check the source before changing claims.