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Alaska Medicaid Billing Guidance: Home Health Care Services Require Electronic Visit Verification (EVV)

Alaska Medicaid·AK · Physical Therapy, Occupational Therapy, Speech Therapy·Billing & Coding
Effective date
Jul 1, 2023
We identified it
Jun 21, 2026
Days to comply

Summary

Alaska Medicaid now requires Electronic Visit Verification (EVV) data for all home health care service claims, with automatic denials for claims lacking supporting EVV data. New denial codes (5501-5516) have been implemented to specify why EVV data doesn't match claim submissions.

Action Required

Action needed
Immediately: Home health providers must ensure all EVV data is submitted to Alaska's EVV aggregator before submitting claims for physical therapy, occupational therapy, speech therapy, skilled nursing, and home health aide services. Review weekly EVV reports from the state, correct any data mismatches in your EVV system with proper documentation, and resubmit denied claims. Claims without matching EVV data will be automatically denied.

Affected Billing Codes

S9131
S9129
S9128
T1030
T1031
T1021
S9122
T1002
T1003
Alaska Medicaid Billing Guidance: Home Health Care Services Require Electronic Visit Verification (EVV) | Alaska Medicaid | PolicyChanges.app