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

Overview

The Alaska Medicaid - Health Care Services program is the primary public program for financing basic health and long-term care services for low-income Alaskans. It is funded equally by federal and state general funds. The program focuses on coverage for low-income:

• Children
• Pregnant women
• Families
• Senior citizens
• The blind
• The permanently disabled

Qualis Health’s Role - Utilization Management

We are contracted by Alaska Medicaid - Health Care Services to improve health and control costs. Qualified Alaskan healthcare professionals work from our Anchorage office to see that the right people get the right services at the right time.

Appealing a Denied Service

Requests for appeals should be directed as follows:

Phone:
(888) 240-0437

Fax:
(888) 664-0168

Write:
Qualis Health
Attn: Care Management Department/Appeal Review
PO Box 33400
Seattle, WA 98133

Qualis Health’s Role - Case Management

Qualis Health’s case managers are licensed nurses or mental health professionals with extensive training and experience.

Case management is free, optional support for individuals with a catastrophic injury or illness, or a chronic medical condition.

Qualis Health case managers can:

• Identify healthcare concerns
• Gather information to help you make the best healthcare choices possible, within your benefits plan
• Serve as a resource for your healthcare team and family
• Coordinate referrals
• Assist in obtaining healthcare services to promote the best outcomes

To get started, contact Deon Westmorland, RN, BSN, CCM, Director, Alaska Medicaid Services, at (206) 288-2347.

Questions about Alaska Medicaid - Health Care Services

Please call State of Alaska Medicaid - Health Care Services at (800) 780-9972, or visit their website.