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MedicaidAdministrativeMedium impact

Second-Level Provider Appeals Process

Alaska Medicaid·AK·Program Update
Effective date
Jan 16, 2024
We identified it
Jun 21, 2026
Days to comply

Summary

Alaska Medicaid has updated their second-level provider appeals process, requiring all appeals to include complete documentation within 60 days of the first-level decision. Appeals must meet specific criteria outlined in Alaska Administrative Code 7 AAC 105.280 or they will be returned unprocessed.

Action Required

Action needed
Immediately: Billing and appeals staff must update appeals procedures to ensure all second-level Alaska Medicaid appeals include: (1) written request to Alaska Department of Health, (2) description of issue being appealed, (3) basis for challenging decision, (4) all supporting materials including first-level appeal decision copy, and (5) submission to correct address per 7 AAC 160.900. Appeals missing required documentation will be returned unprocessed. Contact Charles Stormont at 907.744.8939 for questions.