MedicaidAdministrativeMedium impact
Medicaid Travel Documents Use Intent and Submission Requirements
Alaska Medicaid·AK·Transportation
We identified it
Jun 21, 2026
Summary
This policy establishes comprehensive documentation and submission requirements for Medicaid non-emergency medical transportation requests through HMS. It details different packet requirements for local travel, out-of-area travel, behavioral health/LTC travel, and updates to existing authorizations, with specific forms required for each scenario and exemptions for urgent cases.
Action Required
Immediately: Staff must implement new Medicaid travel request procedures by using appropriate packet types (local, out-of-area, behavioral health/LTC, or updates) with required forms including Fax Travel Coversheet and Travel Service Authorization Request. Train staff on exemptions for urgent cases, prior authorized services, and facility discharges. Update workflows to ensure Travel COMN forms are submitted once per certification period and escort forms are completed for adults 18+ requiring assistance.