MedicaidCoverageMedium impact
Alaska Medicaid Policy Guidance: Custom, Customized/Optimally Configured, and Specialized or Unique DME Shipping Clarifications
Alaska Medicaid·AK · Physical Therapy, PM&R (Physical Medicine & Rehab)·Policy Update
Effective date
Dec 30, 2022
We identified it
Jun 21, 2026
Summary
Alaska Medicaid clarified shipping reimbursement policies for custom, customized/optimally configured, and specialized or unique durable medical equipment (DME). Providers can now bill for shipping using code A9999CG when the recipient is 50+ miles away and no closer provider exists, with specific documentation requirements for different DME categories.
Action Required
Immediately: DME providers in Alaska must update billing procedures to use A9999CG for shipping claims when recipients are 50+ miles away. Document that no closer provider exists and use most cost-effective shipping method. For custom DME, prepare detailed manufacturing descriptions and unique physical characteristics documentation. For rental-to-purchase amendments, submit service authorization requests with specific timeframes and reasoning as outlined in policy.