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Alaska MedicaidMedicaid · Administrative · Program Update · AKMedium impact

May 2024 Town Hall Presentation

Effective date
Not stated in the notice
Identified
Jun 21, 2026

Summary

Alaska Medicaid is moving mail to new PO Boxes: PO Box 240769 for claims, PO Box 240807 for adjustments and voids, and PO Box 240808 for provider enrollment and other mail. Providers should avoid printing forms or address labels in bulk until the change is announced, and should use forms from the website because the updated appeals, claims attachments and adjustment/void forms contain substantive changes. Self-audits covering calendar year 2021 or 2022 are due Previously due December 31, 2024 (date passed; verify current applicability), and an overpayment found in a self-audit is paid by check rather than through an AK-05 adjustment.

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What to do

Action · 12 steps
01Billing team should confirm that Zip+4 is included in the provider file, because Zip+4 is required on claims and missing information there can cause claims to deny.
02Confirm that taxonomy codes in the provider file match the claims, because taxonomy mismatches can cause denials.
03Affiliate rendering providers with their groups and organizations, because missing affiliations can affect service authorizations and claims.
04Do not submit AK-05 adjustment or void forms to HMS for self-audit overpayments.
05Include a check payable to State of Alaska with the self-audit or no later than 60 days after submission.
06Claims attachments can be sent by fax, by mail, or by DSM with the attachment fax cover sheet.
07Appeals can be faxed, sent by DSM to AKAppeals@hms.fa.directak.net, or mailed, using the Provider First-Level Appeals Request form.
08Do not resubmit a service authorization to check its status; email akserviceauthorizations@gainwelltechnologies.com instead.
09Submit travel service authorization requests up to 365 days before travel, and send out-of-state requests at least 10 business days before travel.
10Dental requests that require images should not be faxed, because faxes that need images will be returned to the provider.
11For urgent travel for a new appointment scheduled within the next 72 hours, call 907-644-6800 or 800-770-5650, option 1,5, rather than faxing or sending by DSM.
12Denied claims cannot be adjusted or voided, so submit a new claim with the corrected information or attachments.

Original notice

May 2024 Town Hall Presentation
extranet-sp.dhss.alaska.gov · Always check the source before changing claims.
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