MedicaidCoverageMedium impact
Tribal FQHC FAQs Updated
Alaska Medicaid·AK · Family Medicine, General Practice, Psychiatry·Program Update
Effective date
Feb 11, 2025
We identified it
Jun 21, 2026
Summary
Alaska Medicaid has updated FAQs for Tribal Federally Qualified Health Centers (FQHCs), providing guidance on reimbursement options, off-site service delivery, and behavioral health services. Key changes include clarification that Tribal FQHCs can provide services outside facility walls (unlike tribal clinics which face restrictions after February 11, 2025) and details on three reimbursement methodologies including IHS All-Inclusive Rate options.
Action Required
Before February 11, 2025: Tribal clinic providers in Alaska must decide whether to convert to Tribal FQHC status to continue providing off-site services at IHS All-Inclusive Rate reimbursement. Billing teams should review current tribal clinic enrollments and coordinate with administrators to select appropriate reimbursement methodology (IHS-AIR APM, Alaska PPS FQHC rate, or facility-based APM). Update billing systems to ensure behavioral health CPT codes 90791-96168 are configured for FQHC billing when applicable.