State of Alaska, Department of Health and Social Services, Division of Health Care Services
Provider Resources
Go to: Review Guidelines and Questionnaires | Comagine Health Provider Portal | Provider Manual | Provider Forms
March 19, 2020: COVID-19 and Business Continuity
During the current COVID-19 emergency, Comagine Health is fully staffed and business operations are not interrupted.
For utilization review, case management and related activities, we are continuing to process requests and answer calls via our toll-free numbers during standard business hours. We have business continuity plans in place to serve our clients, health care providers, patients and communities while also protecting our staff and minimizing the spread of the illness.
Review Guidelines and Questionnaires
- Alaska Medicaid Prior Authorization List (June 2022)
- Alaska Medicaid Prior Authorization List (March 2021)
- Alaska Medicaid Prior Authorization List (March 2020)
- Alaska Medicaid Prior Authorization List (October 2019)
- Alaska Medicaid Prior Authorization List (July 2019)
- Imaging Questionnaire (April 2021)
Qualis Health Provider Portal
The Qualis Health Provider Portal is a web-based application for electronically submitting utilization management review requests.
Getting Started: Register
Get started by registering to use the Qualis Health Provider Portal. Complete the appropriate forms in the registration packet and email, fax or mail them to Qualis Health. We will contact you after we receive your registration packet.
Download the Comagine Health Provider Portal registration packet
Qualis Health Provider Portal Resources
- User Guide (August 25, 2016)
- Administrator Guide (August 15, 2017)
- Training Videos
Provider Manual
Provider Forms
- 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
Go to: Review Guidelines and Questionnaires | Comagine Health Provider Portal | Provider Manual | Provider Forms | Top of Page
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Contact Us
Initiate a Review
»Comagine Health Provider Portal
Fax:
(800) 826-3630
Phone:
(888) 240-0437
Physician Hotline
(877) 292-2615
Case Management
Phone:
(888) 578-2547 option 1
(907) 550-7600 option 1
Fax:
(877) 265-9549
Contact Alaska Medicaid - Health Care Services
»visit the Alaska Medicaid - Health Care Services website
Connect with Qualis Health 
