MedicaidPrior AuthHigh impact
Alaska Medicaid Town Hall Presentation - 20230920
Alaska Medicaid·AK · Physical Therapy, Occupational Therapy, Speech Therapy·Program Update
Effective date
Oct 1, 2023
We identified it
Jun 21, 2026
Summary
Alaska Medicaid is implementing multiple changes including new utilization limits for adult therapy services requiring prior authorization starting November 2023, updated incontinence supply forms effective October 1, 2023, and new telehealth regulations that went into effect September 1, 2023 but cannot be billed until system updates are complete.
Action Required
By October 1, 2023: Use the new Certificate of Medical Necessity (CMN) form for incontinence supplies HCPCS code T4537 - download from DMEPOS webpage. By November 2023: Prepare for prior authorization requirements for adult physical therapy, occupational therapy, and speech-language pathology services that exceed utilization limits. For telehealth: Do not bill newly covered telehealth services until Alaska Medicaid notifies providers that system updates are complete, even though regulations are effective September 1, 2023.