Division of Health Care Services . 2019 Public Health Institute / Center for Connected Health Policy ALASKA / 4 Medicaid Telehealth Reimbursement Store-and-Forward Policy Alaska Medicaid will reimburse for Store & Forward telehealth, which is defined as the “pro-vider sends digital images, sounds, or previously recorded video to a consulting provider at a different location. Like all online resources, we recognize that. Division of Public Assistance (DPA) Service Changes – 11/8/23 - 11/12/23. The department's Alaska Medicaid Preferred Drug List, Alaska Medicaid Prior-Authorized Medications List, and Select Diagnoses and Procedures Pre-certification List, adopted by reference in 7 AAC 160. Methods: The analysis was based on all Medicaid dental claims records of 0- to 18-year-old patients residing in zip code 99801 (Juneau, Alaska) during an optimal CWF year (2003, n=853) compared to. The purposes of the self-audits include ensuring provider compliance with state and federal policies, regulations and statutes, recovering overpayments, and protecting the Medicaid Program from. The process could result in thousands of Alaskans being dropped from the program over the next 12 months. 561. 7 billion to more than $2. All providers will continue to maintain or create their. A copy of the proposed regulation changes is available on the Alaska Online Public Notice System and by contacting Erin Narus by e-mail at erin. For Medicaid eligible patients and/or escorts, works with clinical providers to determine if medical necessity has been met prior to transportation services. *Height: Enter the member’s height in inches. Anchorage, AK 99503 . Scott, Director. Alaska’s position as a leader in Medicaid waste should concern each of us. 0% in both the US and in California. Fax: 907. Anchorage, AK 99501 In Anchorage: 269-3666 Toll-free statewide: 1-800-478-9996 Vsit PCA online at:Alaska Medicaid Coordinated Care Initiative (Primary Care Case Management) $1,450,897 . Medicare, and the average Medicaid payment for all but two of the conditions was higher than Medicare. Medicaid . Measures that fall into categories 1 and 2 are calculated using Medicaid claims data. If you are on Medicaid/Denali Care and then turn 65 and are on Medicare OR have been on Social Security Disability and are on MEDICARE due to disability, the State of Alaska assists with the costs of premiums, deductibles and co-insurance. ) ssb testosterone 1. Eligible groups include low-income children, pregnant women, families, adults without dependent children between. As part of the audit, providers are required to repay all identified overpayments and sign an attestation form to verify accuracy of their audit. Customer Relations provides general information, referrals and assistance to DMMA & DSS applicants, clients, staff and others inquiring about Medicaid benefits and services. 9 percent in 2020, with marked disparities by race (30. Questions? Contact Provider Inquiry at 907-644-6800 (option 1, 1) or 800-770-5650 (option 1, 1, 1) Medicaid Members/Recipients. Alaska Medicaid Coordinated Care Initiative (Primary Care Case Management) $ 2,850,000 : Subtotal $ 47,615,420 SB 74 Medicaid Reform GF Cost Avoidance — DOC : Medicaid enrollment for prisoners; out-of-facility hospital services $ 4,645,983 : GF Savings/Cost Avoidance from Other Medicaid Reforms — DHSS. Effective August 27, 2021, 7 AAC 110. Updated 12/18/2018 . Any charge or conviction for a misdemeanor or felony crime by an Escort during employment with the Provider must be reported to the. Utilization Management Training: Clinical Criteria and Level of Care Guidelines. 1 INTRODUCTION. Employment Verification: [email protected] Affordable Care Act has required Medicaid programs to cover tobacco cessation counseling and medications for pregnant women since October 2010. Data were secured from all Medicaid dental claims records submitted during 2003, three years prior to cessation, and 2012, six years post-cessation, for all Medicaid-eligible children aged 0 to 18 years residing in the 99801 zip code who were examined by a dentist. HMS (Healthcare Management Solutions, LLC) 907-644-6800, 800-770-5650. Under Insurance ID: Enter Medicaid number starting with 200 or 060 D. 62 on 11/1/2019 no change a androgenic agents androgel gel packet (transderm. Methods: The analysis was based on all Medicaid dental claims records of 0- to 18-year-old patients residing in zip code 99801 (Juneau, Alaska) during an optimal CWF year (2003, n=853) compared to all claims for the same age group from 2012 (n=1052), five years after cessation of CWF. Alaska Medicaid Tobacco Treatment Coverage Health Care Provider’s Guide Prepared by State of Alaska Tobacco Prevention and Control Program Covered Counseling and Reimbursement Physicians and mid-level practitioners are eligible for reimbursement of tobacco cessation counseling. 31 Mat-Su N/A 1. In SFY 2021, Alaska Medicaid provided coverage to approximately 267,729 beneficiaries with total expenditures of approximately $2. Helpful links . Online through the Division of Public Assistance's Self-Service Portal. Forms and Information. Subtotal $ 58,918,769 SB 74 Medicaid Reform GF Cost Avoidance. 10 Additional Restrictions -4 Alaska Medicaid imposes additional restrictions as follows:11 Documentation of adherence counseling. J requested a hearing to challenge the denial of his proposed escort. Show All Details. Directions to download the list to your computer. 900, may be obtained from the Department of Health and Social Services, Division of Health Care Services, 4501 Business Park. Certain behaviors during pregnancy can harm the developing fetus in utero. And he’s more. The state of Alaska settled a lawsuit in 2019 compelling it to improve its Medicaid processing times. Section 7 AAC 120. b. We would like to show you a description here but the site won’t allow us. Tobacco cessation can also save state Medicaid programs money over the long term. ALASKA MEDICAID RECIPIENT INFORMATION HELPLINE 800. Abstract. Announcements. In an effort to ensure fair, balanced, objective, and scientific rigor in requests, presentations or testimony to theBETHEL - Taxi companies in an Alaska city have decided to stop accepting Medicaid vouchers for payment. Starting at noon on Wednesday, November 8, DPA will have limited access its electronic filing system because of scheduled system maintenance. 0959 Email: akmedicaid@optum. 400 - 7 AAC 120. As Alaskans, we pride ourselves on a strong sense of duty and community, but we fail to protect the most vulnerable. Age: Enter the age of the member. Alaska Medicaid Clinical Coverage Review Request Disclosure Form . “Not only do the (state) regulations discriminate on the basis of sex, they also lack any. Guiding Principle #4: Program Integrityhealthy lifestyle decisions. November 27, 2019 (ANCHORAGE, AK) – On Thursday, November 21, 2019, Anchorage State Superior Court Judge Catherine Easter sentenced three defendants to felony jail terms for a years-long fraud scheme against the state Medicaid. Current through April 27, 2023. Online through the Division of Public Assistance's Self-Service Portal. Brodie: Alaska currently has the authority to rely upon screening that is performed by other State Medicaid Agencies (SMA) and/or Medicare. 15This high smoking rate not only leads to disease and premature death, but also costs the Medicaid program approximately $39. Additionally, 32,720 first doses have been allocated to the federal Indian Health Service (IHS). Prescribers of office-based opioid treatment wishing to demonstrate compliance with Alaska Medicaid standards of care may complete and submit the Provider Attestation and Application for review to Magellan Medicaid Administration (see fax information above). Robert Lewinger is tired of being berated by his gastroenterologist because he’s overdue for a colonoscopy. 3 million adult smokers who were not previously eligible. If you need more space for any answer, use another piece of paper. semling@alaska. 907-474-0890. Medicaid to grow from $770 million in 2020 to nearly $1. , Suite 24, Bldg. 907-770-7525 or 888-578-2547. )ANCHORAGE, Alaska -- Michael Don Robertson, 68, a former Anchorage psychiatrist, was sentenced on January 6, 2021, by U. J identified. gov or by telephone at (907) 334-2425. Tobacco cessation as a preventive service. Alaska’s application to the Center for Medicare and Medicaid Services (CMS) for mental health and substance use disorder services via the 1115 Behavioral Health Medicaid Waiver (1115 Waiver) was approved in 2019, and new Medicaid services are being rolled out by region over the next few years. 1. 410, see flags on bad law, and search Casetext’s comprehensive legal database. A bivariate analysis (Mann-Whitney U test) of the mean Using Medicaid policy to improve hospital management practices in labor and delivery units, such as creating audits and providing feedback to physicians. Please print clearly. 002(b). The emergency contract, through the Alaska Department of Law, is expected to condense a two-year training for eligibility workers who process benefits across 18 programs down to two months, with. Some of the key differences are: Guam became a territory in 1950 and its Medicaid program was established in 1975. Help Click this link to access this help document within the Member Portal Admin Login Admin Login is for internal users. 7. State Medicaid. Medicaid Providers. Discussion. Alaska restarts requirement for annual renewal process to receive Medicaid benefits . 34 billion. As of December 2019, has enrolled 985,201 individuals in Medicaid and CHIP — a net increase of 57. 4601 Business Park Blvd, Bldg. Date of Birth: Enter the member’s date of birth using the calendar feature or a MM/DD/YY format. alaska medicaid preferred drug list oxcarbazepine susp oxcarbazepine tablet phenobarbital (elixir) valproic acid zonisamide -: . Recent research suggests that if just 1 percent of current smokers in Alaska quit smoking, the state would save $8. gov Drug Utilization Review (DUR):27 Erin Narus, PharmD, Manager, Pharmacy Program & Ancillary Services, Alaska Department ofImplementation of Medicaid redesign efforts outlined in SB 74 was informed by the Medicaid Redesign Implementation process. Cessation coverage is used most when smokers and health-care providers know which. Also, serves as the liaison between the YKHC and the State of Alaska regarding Medicaid Transportation Services. 6 percent of Alaska’s residents. will only transport the patient and the approved escorts listed on the voucher. When it is your turn for renewal, we will recheck your eligibility to make sure you still qualify for Medicaid coverage. Pharmacy and Therapeutics Committee Procedure Document. In Alaska, Medicaid is known as DenaliCare and Denali KidCare. Technical Assistance Teleconference. K . Methods: The analysis was based on all Medicaid dental claims records of 0- to 18-year-old patients residing in zip code 99801 (Juneau, Alaska) during an optimal CWF year (2003, n=853) compared to all claims for the same age group from 2012 (n=1052), five years after cessation of CWF. Alaska Medicaid Conflict of Interest Disclosure Form rev. This audit was completed in the first three months of 2017. Tobacco cessation, earning an ‘A’ grade, should be covered for all Medicaid expansion enrollees without cost-sharing, including co-pays6. The Office of Rate Review (ORR) establishes Medicaid payment rates for hospitals, nursing facilities, ambulatory surgical centers, rural health clinics, federally. With your cursor "Right click" the link below. The department's Alaska Medicaid Preferred Drug List, Alaska Medicaid Prior-Authorized Medications List, and Select Diagnoses and Procedures Pre-certification List, adopted by reference in 7 AAC 160. m. Our goal is to have an accurate, efficient system to pay Medicaid providers who deliver critical health services to Alaskans. From the menu choose the "Save Target as. Choose where on your computer you want to save the file. in Alaska between 2014 and 2018 14% of Alaskan mothers who had a baby in 2020 had symptoms of postpartum depression Addresses disparities in maternal health outcomes Medicaid plays a vital role in addressing disparities in maternal mortality and morbidity rates Postpartum period is an especially vulnerable time for parents recoveringName of person needing transportation, and escort if person is a minor Medicaid ID number and date of birth of the person needing transportation. Please print clearly. Measures that fall into categories 1 and 2 are calculated using Medicaid claims data. The state leveraged existing authorities by IHS to increase access. Please use the links below for the most current form. Contact the Virtual Contact Center 800-478-7778 (TDD/Alaska Relay: 7-1-1) and apply for benefits over the phone; See our Contact Us page for more information. You will need to renew your case every 12 months to ensure there is not a break in. disabilities, elderly, parents of eligible children, and other eligible adults. Medicaid is the largest payer for maternity care in the United States. Rate adjustments are as follows: Anchorage Region No adjustment 1. alaska. Methods: The analysis was based on all Medicaid dental claims records of 0- to 18-year. or. The plan information listed here is for informational purposes only, and is not legally binding. Did you know that Alaska Medicaid covers tobacco cessation medications and counseling? Click here to access resources for healthcare providers Click here to access. 2400 Fax: 907. gov 888. Alaska Medicaid is also handled through the Public Assistance Office. Appeals Form. , Ste 202, Juneau, AK 99801; Telephone: (907) 465-1184; Email: renee. 9 billion in 2040. If you have questions regarding any aspect of the programs, please call the Alaska Medicaid Recipient Helpline toll-free at 800. Medicaid provides medical coverage to low-income Alaskans. This form is the Medicaid Simplified Renewal form, where clients can report changes in household composition and if income and countable resources are below the standard limits since their last Medicaid renewal. Download. Actual enrollment in 2017 reached over 35,000 adults. 2400 Fax: On behalf of the Department of Health and Social Services (DHSS), I am writing to inform you of a proposed future Medicaid state plan amendment (SPA), in keeping with DHSS's responsibility to conduct tribal consultation. By working collaboratively with the State of Alaska to implement the goals set forth by the State. Please call Comagine Health to add a new or missing Alaska Medicaid provider. AKT Sunday. Patient Escort jobs in Alaska. Alaska’s proposed Section 1115 Behavioral Health Demonstration Waiver is aimed at a subset of its Medicaid population that is currently covered under the Medicaid State Plan. After control for clinical and sociodemographic factors, odds of cesarean delivery were 40. gov. The Centers for Medicare and Medicaid Services (CMS) is requiring a complete third party audit of the Alaska Enterprise system since go live. gov or Charles Semling at charles. Safe Prevention of the Primary Cesarean Delivery. alaska. States made substantial progress in improving Medicaid coverage of proven tobacco cessation treatments during 2008–2018, with the number of states covering all nine cessation treatments for all traditional Medicaid enrollees increasing from six to 15 and the number of states covering all seven FDA-approved. Dear Ms. 8th Avenue, Suite 101 Anchorage, Alaska 99501 Alaska Medicaid Provider Update Guidance Document for Telehealth Services Using Modifier FQ SFY 2022 – DBH Guidance Document #7 April 12, 2022 Dear Alaska Medicaid Provider, On March 1, 2022, the Division of Behavioral Health (DBH) issued a DBH. The change is the result of a settlement in a lawsuit filed against the state health department that. 8:00a. Note: The above final regulations and related materials that are effective on July 22, 2017, first appeared as a set of proposed changes to personal care services. The Alaska Department of Health and Social Services (DHSS) announced on 02/24/2021 that Alaska will receive 60,760 first doses of state-allocated COVID-19 vaccine for the month of March. Optum Alaska Behavioral Health Quick Reference Guide (pdf) Provider Manual. Eligibility Guidelines. Payment Index . To obtain a user id and password, Providers must have an approved enrollment with Alaska and have received their Provider number. Bring with you: All travel vouchers for patient and the escort from the health care provider. The RA provides the adjustment/void information. First Health will determine if an escort is necessary. Applies clinical nursing skills in assessing services to meet patient needs. (2022 version available) This page provides a sample consent form for a cesarean delivery, which clearly communicates the procedure and. 3460 . 04 Roadless Interior 31% 1. Medicaid Annual Renewals Are Under Way. WHAT THIS PROGRAM SERVES: Medicaid Customer Relations. Table I-5 SFY2017 Alaska Medicaid DMEPOS Fee Schedule DME and Med Supplies Effective for dates of service on or after xx/xx/20xx Revision Date: 12/05/2016 1 of 35 HCPCS Mod Mod2 AK Medicaid Reimbursement Rate Description Prior Authorization Required Capped Rental (10 months) Age Restriction Required Medical Necessity. Members may remain on the line for a live customer service agent or choose to receive a call back in the. To obtain a user id and password, Providers must have an approved enrollment with Alaska and have received their Provider number. Shauna Credit Medicaid Provider Assistance Services Section Manager Phone: 907-269-7826 ; Amaris Rosario Research & Systems. If you have any questions, please contact Maria Garza at 206-615-2542 or via email at maria. The earliest Alaskans were dropped from the program was June 1. Intermediate: for 3 to 10 minutes Code Role Amount Petersen et al. Johnson was sentenced to five years in prison in 2018 for drug distribution. If a flight is cancelled, patients or their escorts should speak directly with the air carrier to update their flight or may call Corporate Travel Management to rebook the flight. Box 240808, Anchorage, Alaska 99524-0808 where you can speak to a real person from Alaska Medicaid for any medicaid related matters. Box 528, Bethel, Alaska 99559 Phone: 907-543-6000. Comagine Health. 62 on 11/1/2019 no change a androgenic agents androgel gel packet (transderm. -5 p.