State of Alaska, Department of Health and Social Services, Division of Health Care Services
Provider Resources
Manuals
- Provider Manual - current
Forms
- Select Diagnoses/Procedures Pre-certification List - current
- Pre-service Request for Review
- Concurrent Request for Review
- Retrospective Request for Review
- Case Management Referral Request
- Physical Rehabilitation Pre-service Request
- Physical Rehabilitation Concurrent Request
- Daily Inpatient Review Worksheet
- Certification Modification Request
Provider Bulletins
Adobe Acrobat® PDF files can be opened using Adobe Acrobat Reader. If you do not have Reader, you can get it FREE from the Adobe website.
Contact Us
Utilization Management
Phone:
(888) 240-0437
Fax:
(800) 826-3630
Case Management
Phone:
(888) 578-2547
(907) 550-7600
Fax:
(877) 265-9549
Physician Hotline
(877) 292-2615
Contact Alaska Medicaid - Division of Health Care Services
»visit the Alaska Medicaid - Division of Health Care Services website
Connect with Qualis Health 
