MedicaidPrior AuthHigh impact
April 2025 Town Hall Presentation
Alaska Medicaid·AK·Program Update
Effective date
Feb 1, 2025
We identified it
Jun 21, 2026
Summary
Alaska Medicaid updates include elimination of prior authorization requirements for inpatient stays over 3 days (effective 2/1/2025), new interim billing rules for DRG facilities, introduction of cognitive assessment billing with CPT 99483, and new processes for dental service authorizations and DME urgent requests.
Action Required
Immediately: Update billing workflows to remove prior authorization requirements for Alaska Medicaid inpatient claims with discharge dates 2/1/2025 or later that exceed 3 days (unless diagnosis/procedure codes are on Comagine Alaska Prior Authorization List). Update DRG facility interim billing procedures to follow new 60-day rules and awaiting placement guidelines. Begin billing CPT 99483 for cognitive assessments with required documentation elements. Use new DME urgent coversheet for imminent discharges only. Submit dental SA changes using update request form instead of void/resubmit process.