MedicaidAdministrativeHigh impact
Alaska Medicaid Billing Guidance: Personal Care and Community First Choice Personal Care Services Require Electronic Visit Verification
Alaska Medicaid·AK·Billing & Coding
Effective date
Aug 15, 2022
We identified it
Jun 21, 2026
Summary
Alaska Medicaid now requires Electronic Visit Verification (EVV) data to support claims for personal care services, with claims being denied if EVV data doesn't match starting August 15, 2022. Providers must ensure their EVV system data aligns with claim submissions and review weekly reports to identify and remediate any mismatches.
Action Required
Immediately: Billing team must ensure all personal care service claims (T1019, S5125, S5108) have matching EVV data in Alaska's EVV aggregator before submission. Review weekly EVV reports provided since May 11, 2022, to identify and remediate claims with missing or mismatched data. Update billing workflows to verify EVV data completeness for Member ID, Provider ID, dates of service, rendering provider, procedure codes, modifiers, and units before claim submission. Claims without supporting EVV data will be denied with specific denial codes 5501-5517.