Summary
Alaska Medicaid provider enrollment submissions have followed new requirements since August 1, 2026: emails use the subject line naming convention, faxes and DSM use a cover sheet, and each submission includes one Medicaid ID. For members with both Medicare and Medicaid coverage, providers bill Medicare first and then Medicaid, and Alaska Medicaid is payer of last resort except for IHS coverage, so other coverage is used first and documented on the claim. The department intends to seek CMS approval of a state plan amendment for 2026 annual rate updates with a July 1, 2026 effective date, and public comment closed at 5 pm on July 30, 2026.
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What to do
Action · 15 steps
01Already effective August 1, 2026: Provider enrollment: Send enrollment emails with the subject line naming convention (for example APP123456-AK for new applications, PID1234567-Revalidation for revalidations and PID1234567-Update for updates), and send faxes and DSM with a cover sheet.
02Include one Medicaid ID per email, fax or DSM.
03Checks for the enrollment fee must have identifying information in the Memo field, such as PID1234567.
04Providers must revalidate enrollment every 3 to 5 years.
05Digital signatures are accepted only as true digital signatures: save the completed form, reopen it outside the browser, apply a valid digital signature, then submit it, and typed or handwriting-font signatures are not accepted.
06Billing team: For members with both Medicare and Medicaid coverage, bill Medicare first and then bill Medicaid.
07If the claim does not cross over electronically, enter the Medicare allowed amount, deductible, coinsurance and payment on the Medicaid claim.
08If Medicare pays some lines and not others, bill the lines Medicare did not pay separately to be considered for payment.
09For members with other coverage, document the other payer payment amounts on the claim and send the explanation of benefits, with its relevant coding and an attachment indicator, to the fiscal agent with the claim.
10When Medicare does not cover a service, submit the claim directly to Medicaid, and be prepared to provide documentation of non-coverage in place of an explanation of benefits when coverage has lapsed or the service is not covered under the coding manuals.
11Service authorizations: When responding to a return to provider for a service authorization, identify the member ID and include the SA number on the cover sheet.
12Already passed September 15, 2026: The new Tribal Billing Manual is a complete revision with no change to coverage or enrollment requirements, and comments were requested Previously due 9/15/2026 (date passed; verify current applicability) for this year's update.
13Future annual billing manual reviews are conducted in October, so send comments to doh.hcs.operations.info@alaska.gov.
14Electronic Visit Verification geofencing for all procedure codes that require EVV has no implementation date set yet.
15Check current applicability at the source link for the state plan amendment and the FY 2027 fee schedules, which were to be published over July 2026 on the DHCS and DBH fee schedule pages.
Original notice
July 2026 Town Hall Presentation
extranet-sp.dhss.alaska.gov · Always check the source before changing claims.
Related changes
See all Alaska Medicaid changes →August Town Hall FAQMediumNo effective date · Program UpdateInformation Sheet - Provider Enrollment UpdateMediumNo effective date · Program UpdateMay 2024 Town Hall PresentationMediumNo effective date · Program UpdateJune 2024 Town Hall PresentationMediumEffective Jul 15, 2024 · Program UpdateBrowse every Alaska Medicaid change in the policy list