MedicaidAdministrativeMedium impact
October 2025 Town Hall Presentation
Alaska Medicaid·AK·Program Update
Effective date
Nov 1, 2025
We identified it
Jun 21, 2026
Summary
Alaska Medicaid has streamlined TPL (Third Party Liability) requirements effective November 1, 2025, allowing providers to submit TPL information via EDI without submitting EOBs for common scenarios like deductible applications, non-covered services, and benefit exhaustion. The HMS Travel Service Authorization call center will also close weekends starting November 1st.
Action Required
By November 1, 2025: Billing team must update Alaska Medicaid claims processing to utilize new TPL EDI submission capabilities for deductible applications, non-covered services, and benefit exhaustion scenarios without submitting EOBs. Retain all EOBs in files for audit purposes. Monitor remittance advice for suspended claims requiring EOB submission. Update HMS Travel SA call center contact procedures to Monday-Friday 7am-6pm only (no weekend calls).