MedicaidCoverageMedium impact
COVID 19 At-Home Test Pharmacy Billing Guidance - February 2022
Alaska Medicaid·AK · Pharmacy, Family Medicine, General Practice·Pharmacy
Effective date
Feb 2, 2022
We identified it
Jun 21, 2026
Summary
Alaska Medicaid now covers COVID-19 at-home antigen test kits through pharmacy dispensing with specific UPC codes and billing requirements. Pharmacists can generate prescriptions and bill using their NPI, with reimbursement up to $12.50 per test and limits of 2 tests per day, 8 per month.
Action Required
Immediately: Alaska Medicaid providers must update pharmacy billing systems to use specific UPC codes in NDC field for COVID-19 at-home tests. Enter pharmacist NPI in Prescriber ID field and pharmacy NPI in Service Provider field. Use diagnosis code Z20.828 and submit ingredient cost as $0.01 for free kits or actual acquisition cost. Claims without proper UPC codes and NPI configuration will be rejected.