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News


UnitedHealthcare: Alaska Managed Care Plan Update

Senate Bill 74 (2016) established the Coordinated Care Demonstration Project, to test the efficacy of new models of care in Alaska. In compliance with this initiative, the Department of Health and Social Services has contracted with UnitedHealthcare to provide managed care for Medicaid members within the Municipality of Anchorage and the Matanuska-Susitna Borough. The anticipated go-live date for this program is October 1, 2019. For more information regarding this managed care project, please see the April 1, 2019 flyer “UnitedHealthcare - Alaska Managed Care Plan” available on the Provider Updates page.


Posted: 4/1/2019



Qualis Health is now Comagine Health


Effective February 11, 2019, Qualis Health officially became Comagine Health. The names “Qualis Health” and “Comagine Health” will be used interchangeably until the name change has been fully implemented (e.g., provider portal, links, email addresses). The corporate address and phone numbers will remain the same. In April 2019, email addresses will change to Comagine Health, however, until further notice current Qualis Health email addresses will remain active and will be automatically forwarded to the appropriate recipient. Watch your RA messages for further updates.


Questions? Contact Susan Dunkin at susan.dunkin@alaska.gov.


Posted: 3/11/2019



Contemporaneous Documentation Requirements: Update

On November 13, 2018, the American Medical Association (AMA) adopted documentation standards, Resolution 804 (I-18) Arbitrary Documentation Requirements for Outpatient Services (Policy D-320.985, for AMA members). The Department of Health and Social Services has determined that physician application of AMA standards D-320.985 meets the contemporaneous documentation requirements of 7 AAC 105.230(d)(7).


Posted: 2/22/2019



Archived News Items



Training


Opioid Training/CEU Opportunity for Licensed Professionals


New Alaska legislation requires a minimum of two hours of continuing education in pain management, opioid use, and addiction for prescribing providers (unless you do not hold a valid DEA registration). For information on applicable courses, view the following flyers:



Medicaid Provider Training Schedule


Regulations and Public Notices


Medicaid Regulations Filed: Medicaid Home and Community-Based Waiver, Nursing Oversight, and Care Management Services

New Medicaid home and community-based waiver, nursing oversight, and care management services were adopted by the Department of Health and Social Services, filed by the Lieutenant Governor, and are effective June 13, 2019. The signed regulations are available at https://aws.state.ak.us/OnlinePublicNotices/Notices/View.aspx?id=194279.


Posted: 05/15/2019



Proposed Regulations: Medicaid Behavioral Health Services and Requirements for Behavioral Health Providers


On May 13, 2019, the Department of Health and Social Services issued a public notice announcing proposed regulation changes to behavioral health services. The public comment period ends on July 29, 2019 at 5:00 p.m. AKT.


The proposed regulations and additional details are available at Alaska Online Public Notices.


Posted: 05/14/2019



Public Hearing: Proposed Medicaid Behavioral Health Services and Requirements for Behavioral Health Providers Regulations

On May 13, 2019, the Department of Health and Social Services issued a public notice announcing proposed regulation changes to behavioral health services. A public hearing will be held from 1:00 p.m. – 4:30 p.m. AKT on June 11, 2019 at 3601 C Street, Room 880, Anchorage, AK 99503, at which time oral and written comments will be accepted.


The public hearing notice, notice of proposed regulations, and additional information are available at Alaska Online Public Notices.

Posted: 05/14/2019



Medicaid Regulations Filed: Durable Medical Equipment, Prosthetics and Orthotics, Supplies Coverage and Payment


New DME/POS regulations were adopted by the Department of Health and Social Services, filed by the Lieutenant Governor, and are effective June 2, 2019. The signed regulations are available at Alaska Online Public Notices. Overviews of the regulations for Durable Medical Equipment providers, Prosthetic and Orthotics providers, and Home Infusion Therapy providers are available on the Provider Updates page.


Posted: 05/07/2019



Proposed Regulations: Pioneer Home Rates and Levels of Service (Supplemental Notice)


On April 16, 2019, the Department of Health and Social Services issued a supplemental notice regarding proposed changes to Pioneer Home rates and levels of service. The supplemental notice and additional information are available at Alaska Online Public Notices.


Posted: 04/17/2019



Proposed Regulations: Pioneer Home Rates and Levels of Service


On April 9, 2019, the Department of Health and Social Services issued a public notice announcing proposed regulation changes to Pioneer Home rates and levels of service. The public comment period ends on June 28, 2019 at 5:00 p.m. AKT. The proposed regulations and additional information are available at Alaska Online Public Notices.


Posted: 04/10/2019



Public Hearing: Pioneer Home Rates and Levels of Service


On April 9, 2019, the Department of Health and Social Services issued a notice of public hearing regarding proposed changes to Pioneer Home rates and levels of service. The public hearing will be held from 1:00 p.m. – 4:00 p.m. on May 28, 2019 at each of the six Pioneer Homes, at which time oral and written comments will be accepted. The public hearing notice, notice of proposed regulations, and additional information are available at Alaska Online Public Notices.


Posted: 04/10/2019



Medicaid Regulations Filed: Coverage and Payment for Home Health Care


New Medicaid home health care services regulations were adopted by the Department of Health and Social Services, filed by the Lieutenant Governor, and are effective May 1, 2019. The signed regulations are available at Alaska Online Public Notices.


Posted: 04/03/2019



Department of Health and Social Services Regulations Filed: Statewide Immunization Program


New immunization program regulations were adopted by the Department of Health and Social Services, filed by the Lieutenant Governor, and are effective March 24, 2019. The signed regulations are available at Alaska Online Public Notices.


Posted: 03/20/2019



Notice of Amended Version of Material Previously Adopted by Reference: HCPCS


On March 6, 2019, the Department of Health and Social Services issued a public notice announcing the adoption of the Healthcare Common Procedure Coding System (HCPCS), 2019 Edition, effective January 1, 2019. The notice and additional information are available at Alaska Online Public Notices.


Posted: 03/11/2019



Notice of Amended Version of Material Previously Adopted by Reference: CPT

On March 6, 2019, the Department of Health and Social Services issued a public notice announcing the adoption of the Current Procedural Terminology (CPT) Standard Edition, 2019, effective January 1, 2019. The notice and additional information are available at Alaska Online Public Notices.


Posted: 03/11/2019



Notice of Amended Version of Material Previously Adopted by Reference: Federal Poverty Guidelines

On March 6, 2019, the Department of Health and Social Services issued a public notice announcing the adoption of the 2019 Federal Poverty Guidelines, effective January 31, 2019. The notice, 2019 Federal Poverty Guidelines, and additional information are available at Alaska Online Public Notices.

Posted: 03/11/2019



Notice of Amended Version of Material Previously Adopted by Reference: ICD-10-CM


On March 6, 2019, the Department of Health and Social Services issued a public notice announcing the adoption of the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM), 2019 Edition, effective January 1, 2019. The notice and additional information are available at Alaska Online Public Notices.

Posted: 03/11/2019



Proposed Regulations: Mental Health Physician Clinic Coverage

On March 5, 2019, the Department of Health and Social Services issued a public notice announcing proposed regulation changes to mental health physician clinic coverage. The public comment period ends on May 7, 2019 at 5:00 p.m. AKT.


The proposed regulations and additional details are available at Alaska Online Public Notices.


Posted: 03/07/2019



Medicaid Regulations Filed: Coverage and Payment and Medicaid End Stage Renal Disease Facility Enrollment Requirements and Rates

New Medicaid end stage renal disease regulations were adopted by the Department of Health and Social Services, filed by the Lieutenant Governor, and are effective March 24, 2019. The signed regulations are available at Online Public Notice website.


Posted: 02/25/2019



Archived Regulations and Public Notices



Provider Resources


Enhanced Automated Voice Response System


Call 855.329.8986 to access the following information:

 

- Member Eligibility
- Claim Status
- Provider Remittance Advice
- Service Authorization Schedule
- Fee Schedules
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The new AVR system is available 24 hours per day, seven days per week, aside from scheduled maintenance periods. Callers must identify themselves using an active provider number and Personal Identification Number (PIN). Your PIN is assigned as part of the Provider Enrollment process and can be maintained via the AVR.

To learn more about the AVR system, the computer based training module AVR Overview is available on the Alaska Medicaid Learning Portal. You may also reference the Enterprise Quick Reference - AVR.


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