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

From our Anchorage office, we collaborate with Alaska's Medicaid - 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 performing this vital work.

Services We Provide for Alaska Medicaid - Health Care Services

  • Utilization management activities
    • Pre-admission review
    • Concurrent review
    • Retrospective review
  • Expedited and standard appeals
  • Case management
  • Special case review
  • Assessment (quality of care) review
  • Educational seminars on care management


January 9, 2018: Revised Select Diagnoses/Procedures Review Guidelines Effective February 1
The Select Diagnoses/Procedures Review Guidelines have been revised and are effective February 1, 2018. Please continue to use the existing guidelines for diagnoses and procedures through January 31, 2018. Links to both documents are on the Provider Resources page.

November 6, 2017: Provider Educational Session Presentations Available
Many thanks to everyone who attended the 2017 Provider Educational Session last month! We hope you learned a lot and had a great time too. If you’d like to view slides from the presentations, you can find them on the Provider Education page in the Archives section.

September 19, 2017: Register Today for the Provider Educational Session
Registration is now open for the Alaska Medicaid 2017 Provider Educational Session. The event will be held on October 26, 2017, and it's free for healthcare providers. Complete and submit the registration form today!

Get more conference details on the Provider Education page.

September 7, 2017: Select Diagnoses/Procedures Review Guidelines Updated
We have updated the Select Diagnoses/Procedures Review Guidelines document. You can also find a link to it on the Provider Resources page.

August 31, 2017: Save the Date for the 2017 Provider Educational Session
Mark October 26th on your calendar for the Alaska Medicaid 2017 Provider Educational Session. Registration will open after Labor Day. Check the Provider Education page for updates or send an email to beckyc@qualishealth.org to join our mailing list.



Adobe Acrobat® PDF files can be viewed using Adobe Acrobat Reader. If you do not have Reader, you can get it free from the Adobe website.

Contact Us

Initiate a Review

»Qualis Health Provider Portal

(800) 826-3630

(888) 240-0437

Physician Hotline

(877) 292-2615

Case Management

(888) 578-2547 option 1
(907) 550-7600 option 1

(877) 265-9549

Contact Alaska Medicaid - Health Care Services

»visit the Alaska Medicaid - Health Care Services website

»more contact info