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November 2024 Town Hall FAQ
Effective date
Not stated in the notice
Identified
Jun 21, 2026
Summary
HMS is working on a fix for 1115 behavioral health codes with dates of service after 11/01/2024 that deny with the error 'SUD services not covered', and an RA message will be issued once it is corrected. Claims cannot include both 1115 and State Plan codes on the same claim, because those services have different funding sources and payments must be separated. After a claim denies, supporting documents must be sent again with the new corrected claim, and adjustments and voids must still be mailed in.
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What to do
Action · 18 steps
01Billing team: Watch your remittance advices and the RA message page for the fix to 1115 behavioral health codes that deny with 'SUD services not covered' on dates of service after 11/01/2024.
02Do not put 1115 and State Plan codes on the same claim.
03Box 32 (servicing address) on the CMS-1500 claim is required, so complete it to identify the practice when one NPI has several provider IDs and taxonomies.
04When a claim denies and supporting documents were sent, send the supporting documents again with the new corrected claim.
05Mail adjustment and void forms, because they cannot be faxed at this time.
06COVID vaccine administration: the issue with code 90480 is resolved, so providers can resubmit denied 90480 claims.
07For other denials, send example TCNs to sherri.larue@gainwelltechnologies.com.
08Second-level appeals for miscellaneous codes such as A9999 or K0108: contact Charles Stormont if you need to reach out on second-level appeals.
09Electronic secondary claims with Veradigm: indicate the TPL payment on the claim and indicate that attachments will follow, then fax or DSM the EOB to the claim team using the Attachment Coversheet, because an EOB must accompany the claim.
10Claims attachments without a TCN: on the coversheet, use the supplemental information section to enter the member ID and other fields in place of the TCN, and find the TCN on the remittance advice or by calling provider inquiry.
11Service authorizations: send requests by DSM when you need a receipt, because DSM sends a receipt and other submission methods do not.
12Send examples with notations to Comagine-related service authorization transmission issues so testing can be done.
13Travel: submit non-urgent travel service authorization requests at least 10 business days before the travel event, and submit same-day travel requests by 3:00 pm Monday through Friday.
14Avoid return to provider by completing all required fields, filling in the fax coversheet completely and correctly, and including required supporting documentation in the request packet.
15Only enrolled transportation providers can charge Alaska Medicaid for rides.
16Taxi rides over $80 need supporting documentation, such as vouchers, charge slips, meter logs, odometer readings or the member log.
17Taxi booster or car seat charges that are charged to all riders can be added to the claim, and are not billed as a separate item.
18Trading partner ID: if you are unsure whether it is still active, contact the EDI team, and no testing is needed if it is active with no changes.
Codes mentioned
90480A9999K0108
Original notice
November 2024 Town Hall FAQ
extranet-sp.dhss.alaska.gov · Always check the source before changing claims.