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Alaska MedicaidMedicaid · Prior Auth · Program Update · AKMedium impact

August 2026 Town Hall Presentation

Effective date
Sep 20, 2026
Identified
Aug 21, 2026

Summary

The July 2026 Alaska Medicaid DMEPOS Interim Fee Schedule changes the permitted provider types and service authorization requirements for dates of service on or after 2026-09-20, and requests and claims under the April 2026 interim guidelines are accepted for earlier dates of service. The August 19, 2026 town hall also covers new provider enrollment submission requirements in place as of 2026-08-01, and documentation requirements for Zepbound claims under the obstructive sleep apnea diagnosis, which must include a sleep study showing an apnea-hypopnea index of 15 events per hour or higher for a patient with a BMI of 30 or higher. State Fiscal Year 2027 fee schedules are now posted on the Fee Schedule Page.

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What to do

Action · 10 steps
01Already effective 2026-09-20 for dates of service on or after this date: Billing team: apply the updated permitted provider types and service authorization requirements from the July 2026 Alaska Medicaid DMEPOS Interim Fee Schedule.
02Questions go to Provider Inquiry at 907-644-6800 (option 1, 1) or 800-770-5650 (option 1, 1), or to doh.hcs.operations.info@alaska.gov.
03Zepbound claims under the obstructive sleep apnea diagnosis: before submitting, make sure all necessary documentation is in place, including a record of a sleep study consistent with American Academy of Sleep Medicine guidelines demonstrating a qualifying AHI.
04Medications prescribed for weight management are not covered by Alaska Medicaid under 7 AAC 105.110 and 7 AAC 120.11.
05Provider enrollment: new applications must start in the Alaska Medicaid Provider Portal.
06Since 2026-08-01, send enrollment documents by email with the required subject line naming convention, or by fax or DSM with a coversheet, with one Medicaid ID per email, fax or DSM.
07Checks for enrollment fees must show the provider identifier in the Memo field.
08Typed signatures are not accepted on provider agreements, so use a true digital signature.
09Waiver and personal care providers named on the August 1, 2026 Waiver and Personal Care Target Provider list must submit an annual financial report to the Office of Rate Review within eight months of the end of their fiscal year.
10Providers not named on that list are not required to submit for this reporting cycle.

Original notice

August 2026 Town Hall Presentation
extranet-sp.dhss.alaska.gov · Always check the source before changing claims.
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