MedicaidAdministrativeHigh impact
Pharmacist Professional Billing FAQ
Alaska Medicaid·AK · Pharmacy·Billing & Coding
Effective date
Aug 9, 2024
We identified it
Jun 21, 2026
Summary
Alaska Medicaid has established new billing procedures for pharmacist professional services including prescribing, medication counseling, and vaccination services. Pharmacists must enroll as Alaska Medicaid providers and affiliate with Pharmacy Professional Groups to bill for non-dispensing services using CMS-1500 forms.
Action Required
Immediately: Pharmacy practices in Alaska must ensure pharmacists are enrolled as Alaska Medicaid providers with Type 1 NPI numbers and affiliated with Pharmacy Professional Groups. Update billing systems to use CMS-1500 forms for pharmacist services with Place of Service code 01. Implement documentation requirements including patient health history, service rationale, test results, medical history, service site, time spent, date/time, pharmacist identity, and actions taken. Train staff on new vs. established patient definitions (3-year lookback period).