Questions about a benefit application, your eligibility, or Alaska Medicaid eligibility cards? Alaska Medicaid members may now contact the Division of Public Assistance (DPA) Virtual Contact Center at 800. Eligible groups include low-income children, pregnant women, families, adults without dependent children between the ages of 19 and 64, the elderly, blind and the permanently disabled. For information on how to coordinate travel for Medicaid-eligible patients, refer to the publication, Arranging Patient Travel, available on the Provider Billing Manual page Questions? Contact Provider Inquiry at 907-644-6800 (option 1, 1) or 800-770-5650 (option 1, 1, 1)Medicaid Member s/Recipients. of Health and Social Services (DHSS) submitted a Medicaid 1135 Waiver Request to the Centers for Medicare and Medicaid Services to ensure flexibility to respond to the COVID-19 pandemic. alaska medicaid preferred drug list oxcarbazepine susp oxcarbazepine tablet phenobarbital (elixir) valproic acid zonisamide -: . Black and American Indian and Alaska Native women have higher pregnancy-related death rates than their white peers (Petersen et al. The Alaska Native Tribal Health Consortium is a non-profit Tribal health organization designed to meet the unique health needs of Alaska Native and American Indian people living in Alaska. Magellan Technical Call Center 800-884-3238. Preliminary Long-Term Forecast of Medicaid Enrollment & Spending in Alaska (MSEA): FY 2022 – FY 2042. As Alaskans, we pride ourselves on a strong sense of duty and community, but we fail to protect the most vulnerable. 62 on: 11/1/2021 no change: a androgenic agents:The settlement applies to all Alaska Medicaid authorized billing providers that submitted a Medicaid claim via or to be processed by Health Enterprise during the period from October 1, 2013 through and including December 31, 2016, including claims for Medicaid reimbursable services arising on or before December 31, 2016, even if such. If a flight is cancelled, patients or their escorts should speak directly with the air carrier to update their flight or may call Corporate Travel Management to rebook the flight. 907-373-3620. $7,442,956 . Medicaid Provider and Recipient Participation; 7 AAC 110. 59; P < . Anchorage, Alaska 99503- 5923 . 10 (maximum allowed). 2. Utilization Management Training: Clinical Criteria and Level of Care Guidelines – Youth Providers. Long Term Forecast of Medicaid Enrollment and Spending in Alaska: 2010‐2030 4 Introduction This report presents and discusses the annual update to the long-term forecast of Medicaid Enrollment and Spending in Alaska (MESA). 334. Optum Alaska Website . Escorts must have a valid Alaska driver’s license. There is no time limit and many working families may qualify. com and click Find a Provider on left side of the page. The definition of a covered outpatient drug is in alignment with federal regulation 42 CFR 337. Please call Comagine Health to add a new or missing Alaska Medicaid provider. Medicaid Annual Renewals Are Under Way. Eligible groups include low-income children, pregnant women, families, adults without dependent children between the ages of 19 and 64, the elderly, blind and the permanently disabled. 23 As of May 2020, Medicaid programs in 38 states and D. C. KFF Headquarters: 185 Berry St. , Building K, Anchorage, AK 99503. APPLICATION PROCESS . com . org Customer feedback: customer_feedback@ykhc. In 2016 the Alaska Medicaid program paid more than $300 million for services for the 9,527 Medicaid beneficiaries diagnosed with heart disease (either alone or co-occurring with other conditions), or an average of more than $34,000 per. The findings in this report are subject to at least four limitations. Q. The Provider and all Escorts engaged in the provision of services under this agreement will meet and maintain the additional following qualifications: a. semling@alaska. com Alaska Medicaid Provider Message TPL Claim Coordination of Benefits – Non-Tribal September 26, 2022 The payment information received from the primary insurer, and the State of Alaska Medicaid fee schedule rate will determine the amount Medicaid will pay. 265, see flags on bad law, and search Casetext’s comprehensive legal database. 2019a). In addition. 29. m. 3 million adult smokers who were not previously eligible. 15This high smoking rate not only leads to disease and premature. Comagine Health. Online through the Division of Public Assistance's Self-Service Portal. Optum Alaska Behavioral Health Quick Reference Guide (pdf) Provider Manual. Alaska’s application to the Center for Medicare and Medicaid Services (CMS) for mental health and substance use disorder services via the 1115 Behavioral Health Medicaid Waiver (1115 Waiver) was approved in 2019, and new Medicaid services are being rolled out by region over the next few years. 1. Alaska Medicaid Conflict of Interest Disclosure Form rev. Alaska Medicaid members may now contact the Division of Public Assistance (DPA) Virtual Contact Center at 800. Calling Alaska’s Medicaid information update hotline at 1-833-441-1870 to reach staff members dedicated to processing contact information changes. Did you know that Alaska Medicaid covers tobacco cessation medications and counseling? Click here to access resources for healthcare providers Click here to access. Sex: Select the gender of the member. The program provides benefits to low-income families and individuals including disabled, elderly, children, and pregnant women. 002(b). Optum. State Tobacco Cessation Coverage Database: Online Searchable Database: American Lung Association: This database is a collection of public health data on tobacco cessation treatment coverage and barriers to access that coverage in state Medicaid plans, state Medicaid expansion plans and State Employee Health plans. Code § 130. The average cost of Skilled Nursing Care in Alaska is $378,144 per year, so securing Medicaid coverage is essential. In an effort to ensure fair, balanced, objective, and scientific rigor in requests, presentations or testimony to theBETHEL - Taxi companies in an Alaska city have decided to stop accepting Medicaid vouchers for payment. 60% of the cessation claims were eligible under Medicaid Expansion. Alaska restarts requirement for annual renewal process to receive Medicaid benefits . 29% since the first Marketplace Open Enrollment Period and related Medicaid program changes in October 2013. PURPOSE. “There’s a roughly 100-page handbook on being a Medicaid. Box 528, Bethel, Alaska 99559 Phone: 907-543-6000. Margaret Brodie . The federal Public Health Emergency (PHE) has prohibited most Medicaid investigations from moving forward which impacted the total recoveries associated with the Medicaid program. These forms are updated regularly. The Alaska MMIS may not be accessible. Except for exclusions allowed under AS 47. For the Working Disabled Medicaid Buy-In, you must have less than $10,000 in resources ($15,000 for couples). Attorneys say the state is continuing to fail, and they are preparing to head back to court. How to Use Your Alaska Medicaid Card/Coupon Check with your health care provider when you make your appointment to make sure the provider is enrolled with Alaska Medicaid and will accept you or your child as a Medicaid patient. Medicaid is the largest payer for maternity care in the United States. You will not get any sort of payment from Medicaid, instead, your. Section I: Hospice Services, Policies, and Procedures I-3 Return to TOC Recipient Eligibility All references to recipient mean an individual who is eligible for and receiving assistanceForms and Information. Alaska Commission for Behavioral Health. 900, that are defined as daily rental codes or with a specific daily rate identified on the Alaska Medicaid DMEPOS Fee Schedule, Tables 1-5 through 1-9, adopted by reference in 7 AAC 160. hhs. Alaska Medical Assistance Program. 1684 . gov paper application by mail or fax to a local office; or to schedule an appointment for assistance and enrollment. gov The Department of Health and Social Services (DHSS) is the state agency designated to administer the Alaska Medicaid program, which includes: Medicaid Denali KidCare (DKC) Chronic and Acute Medical Assistance (CAMA) Updates to this handbook are necessary from time to time as federal and state regulations are adopted. Alaska Medicaid Tobacco Treatment Coverage Health Care Provider’s Guide Prepared by State of Alaska Tobacco Prevention and Control Program Covered Counseling and Reimbursement Physicians and mid-level practitioners are eligible for reimbursement of tobacco cessation counseling. We would like to show you a description here but the site won’t allow us. 00 Delta Junction/Tok Region 4% 1. Check with your health care provider when you make your appointment to make sure the provider is enrolled with Alaska Medicaid and will accept you or your child as a Medicaid patient. |. m. 7 billion to more than $2. The purposes of the self-audits include ensuring provider compliance with state and federal policies, regulations and statutes, recovering overpayments, and protecting the Medicaid Program from. If you have complicated travel arrangements, please don’t hesitate to call the CTM Medicaid Office at 1. Arrive on time for your appointment. The Alaska Medical Assistance program offers services to an average of 219,000 eligible participants within the program. Get address and hours, parking and transportation information, and health services offered at Omaha VA Medical Center. Announcements. Escorts must have a valid Alaska driver’s license. March 30, 2020. 7 percent among White birthing persons). 03 Placenta previa specified as without hemorrhage, third trimester O44. 777 N. For example, if a service is billed with 90832 and the participant does not have a behavioral health diagnosis, then the claim must be billed under the provider’s Alaska Medicaid health professional group enrollment and submitted to Conduent. m. After hours, please leave a message and your call will be returned the following business day. The Provider and all Escorts engaged in the provision of services under this agreement will meet and maintain the additional following qualifications: a. Press Release Four sentenced in Medicaid fraud scheme. Search results will appear on the right side of the search screen. Alaska Department of Health and Social Services . 0 0 0 0 0 0 0 5 5 0 5 1 $. m. Maternal heart disease is a comorbidity in 0. We would like to show you a description here but the site won’t allow us. 2010 Anesthesia Conversion Factor 0% update and 2010 Anesthesia Conversion Factor 2. The state leveraged existing authorities by IHS to increase access. Contact the Virtual Contact Center 800-478-7778 (TDD/Alaska Relay: 7-1-1) and apply for benefits over the phone; See our Contact Us page for more information. Alaska Medicaid ProgramPCA For more information contact: Personal Care Assistance Division of Senior & Disabilities Services Department of Health & Social Services 550 West 8th Ave. The Alaska Division of Behavioral Health and Optum Alaska work together to share important information for Alaska Medicaid Participants about behavioral health topics. Brodie: Alaska currently has the authority to rely upon screening that is performed by other State Medicaid Agencies (SMA) and/or Medicare. (2022 version available) This page provides a sample consent form for a cesarean delivery, which clearly communicates the procedure and. 2400 Fax: On behalf of the Department of Health and Social Services (DHSS), I am writing to inform you of a proposed future Medicaid state plan amendment (SPA), in keeping with DHSS's responsibility to conduct tribal consultation. alaska. By working collaboratively with the State of Alaska to implement the goals set forth by the State. In addition, the self-audit process helps to assess, correct,Long-Term Forecast of Medicaid Enrollment and Spending in Alaska: 2006–2026 uncertain. Baltimore, Maryland 21244-1850. This survey measure assesses three components of tobacco cessation support: (1) advising tobacco users to quit, (2) discussing cessation medications, and (3) discussing cessation strategies. b. Suite 878 Anchorage, Alaska 99503 Phone: 907-269-3600 Fax: 907-269-3623. Phone: 800. Medicaid pays for the cost of Nursing Home care in Alaska that meets certain financial and health criteria. 2400 Fax: 907. ) ssb testosterone: 1. Senior Benefits . gov) What’s Happening Welcome to In Touch. Section 7 AAC 120. ADT Saturday to 6:00 a. Medicaid provides medical coverage to low-income Alaskans. He’s perfectly willing to have one. 9 billion in 2040. Eligibility: Enroll online through my. 15This high smoking rate not only leads to disease and premature death, but also costs the Medicaid program approximately $39. Medicaid Application for Adults and Children with Long Term Care Needs Please check the program or service you need :The Preferred Drug List has been developed for DOH by the Pharmacy and Therapeutics (P&T) Committee in an effort to select both clinically sound and cost effective medications for use by those eligible for Medicaid benefits. Methods. Anchorage, Alaska. Alaska on a date other than your original one, check in with the UWMC Social Work office. Explored increasing access to tobacco cessation medications for Medicaid beneficiaries in outlying rural areas, who are often Alaska Natives, by using Indian Health Service (IHS) pharmacists. Fiscal Year 2022. Required Coverage. Our goal is to have an accurate, efficient system to pay Medicaid providers who deliver critical health services to Alaskans. This form is the Medicaid Simplified Renewal form, where clients can report changes in household composition and if income and countable resources are below the standard limits since their last Medicaid renewal. Tobacco cessation can also save state Medicaid programs money over the long term. In this edition, refresh yourDuring the COVID-19 public health emergency, the Medicaid allowable days dispensing limit for medications was increased from 34-day supply to 68-day supply. alaska. Methods: The analysis was based on all Medicaid dental claims records of 0- to 18-year-old patients residing in zip code 99801 (Juneau, Alaska) during an optimal CWF year (2003, n=853) compared to all claims for the same age group from 2012 (n=1052), five years after cessation of CWF. This reimbursement policy applies to services reported using the 1500 Health Insurance Claim Form (a/k/a CMS-1500) or its electronic equivalent or its successor form. UWMC Social Work: 206-598-4370 Leave a message with your full name, and spelling, Date. Alaska Medicaid Health Enterprise Pharmacy site; Contacts Prior Authorization Staff. Effectively provides training under informal and spontaneous conditions. Transportation Assurances –To understand how to bolster smoking cessation among Medicaid beneficiaries, we assessed why the use of smoking cessation therapies is higher in some states than in others. And it’s covering more Alaskans than ever — 232,735 as of Aug. With your cursor "Right click" the link below. Applications Department Approval New Provider Application (May 2022) Provider Attestation Form (May 2022) Self Evaluation for Providers (June 2, 2022) 1115. 800-478-7778. 2400 Fax: On behalf of the Department of Health and Social Services (DHSS), I am writing to inform you of a proposed future Medicaid state plan amendment (SPA), in keeping with DHSS's responsibility to conduct tribal consultation. an escort to accompany the recipient. Crusey Street, Suite A101. Manufacturers or industry representatives must contact the Magellan Medicaid Administration Technical Call Center or Rebate Unit with all questions. 4. Alaska’s position as a leader in Medicaid waste should concern each of us. 1825 Marika Road, Fairbanks, AK 99709. Medicaid provides medical coverage to low-income Alaskans. 8764 Fax: 844. 07/26/2023. . Arrive on time for your appointment. Tobacco cessation as a preventive service. gov or Healthcare. 31, or nearly one in three state residents, including most children. Alaska Medicaid Health Enterprise supports the following internet browsers. , Ste 202, Juneau, AK 99801; Telephone: (907) 465-1184; Email: renee. More than 73,000 people were covered under. The emergency contract, through the Alaska Department of Law, is expected to condense a two-year training for eligibility workers who process benefits across 18 programs down to two months, with. Accomplishments to Date. 1 million in Medicaid costs the following year. 3). II. The Preferred Drug List has been developed for DOH by the Pharmacy and Therapeutics (P&T) Committee in an effort to select both clinically sound and cost effective medications for use by those eligible for Medicaid benefits. In 2015, although all 50 state Medicaid programs covered some tobacco cessation treatments for some Medicaid enrollees, only nine states covered individual and group counseling and all seven FDA-approved cessation medications for all Medicaid enrollees. 206 -384 -3216 Yes Yes, if requested inThe cesarean rate was 22. 2 Draft 2017 Interim Report [Page left intentionally blank] Alaska Medicaid Access Monitoring Review Plan . Senior Benefits . alaska medicaid preferred drug list (pdl) pdl group ps market basket bn rt drug type gnn str pdl status pdl status effective date status change from previous a androgenic agents androgel gel packet (transderm.