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MedicaidAdministrativeMedium impact

May 2024 Town Hall FAQ

Alaska Medicaid·AK·Program Update
Effective date
May 15, 2024
We identified it
Jun 21, 2026
Days to comply

Summary

Alaska Medicaid has clarified multiple operational processes including service authorization handling, claims adjustment procedures, and expanded DSM (Direct Secure Messaging) capabilities to now include claims attachments and appeals. Key changes affect how partially denied claims should be processed and provide updated guidance on travel authorization escalation procedures.

Action Required

Action needed
Immediately: Update claims processing workflow to adjust ALL issues on partially denied claims before appealing, rather than sending consent forms separately. Begin using DSM for claims attachments and appeals (claim copy required but not original red/white form). For travel authorization denials, use AKSAEscalation@gainwelltechnologies.com for elevated reviews when all required documentation was submitted.