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

Announcements

July 9, 2019: 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.

January 30, 2019: Golden Ticket allows providers to bypass prior authorization
The Golden Ticket is a pre-approved service authorization number that allows selected providers to render many services without obtaining prior authorization. Golden Tickets have been assigned to providers who had 99-100% of their service authorizations approved over the past two years.

• Read the Golden Ticket FAQs for more information
• View the Golden Ticket provider list

Links to the Golden Ticket provider list and FAQs are also on the Provider Resources page.

January 7, 2019: Provider Manual Updated
We have updated the Alaska Medicaid provider manual, effective January 2019. You can find links to it and the previous version of the manual on the Provider Resources page.

October 10, 2018: Get Provider Educational Session CEU’s and Presentations
Many thanks to everyone who joined us for the Alaska Medicaid 2018 Fall Provider Educational Session! In order to receive continuing education units, you must complete a brief survey about the event. Take the survey now.

Download the Provider Educational Session presentation slides here or from the link on the Provider Education page.

August 29, 2018: Register Now for the October 2 Provider Educational Session
Please join us on October 2nd for a day of free training. Attend the Alaska Medicaid 2018 Fall Provider Educational Session and learn how to get appropriate, timely medical care for your Alaska Medicaid patients. Plus, you can earn free CEUs.

Register now or visit the Provider Education page for more information.

August 23, 2018: Save the Date for the Fall Provider Educational Session
Mark October 2nd on your calendar for the Alaska Medicaid Fall Provider Educational Session at the BP Energy Center in Anchorage. Registration will open after Labor Day. Join our mailing list to receive event updates as soon as they’re available.

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.