State of Alaska, Department of Health and Social Services, Division of Health Care Services

From our Anchorage office, we collaborate with Alaska's Medicaid - Division of Health Care Services. Our staff is composed of Alaskans who serve their fellow community members with services specifically tailored to the needs of Alaska residents. We are privileged to continue providing this vital work.

Services We Provide for Alaska Medicaid - Division of Health Care Services

• Case management
• Assessment (quality of care) review
• Utilization management activities
  • Pre-admission review
  • Concurrent review
  • Retrospective review
• Expedited and standard appeals
• TEFRA new application and renewal review (for Medicaid-eligible children who meet requirements for institutionalization but receive care at home)
• Educational seminars on care management
• Special case review

Announcements

• Current as of January 2012:
  • Provider Manual
  • Select Diagnoses/Procedures Pre-certification List
  • Concurrent Review Request Form
  • Provider Bulletin (February 2011)
• Presentation: 2011 Provider Education Conference - Care Management Overview
• New utilization management phone number as of March 8, 2011: (888) 240-0437
• Effective April 1, 2011, providers will be required to submit all utilization management reviews via the Qualis Health web-based review system, iEXCHANGE®. Read the February 2011 Provider Bulletin or get iEXCHANGE training.
• Provider Bulletin, July 2010

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