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Provider Remittance Advice (RA) Messages




News


Medicaid Budget Status

The Department of Health and Social Services has not begun to pend or delay Medicaid payments and is making every effort possible to ensure that budget-pended payments are not necessary. In the event it is necessary to delay some payments, no action will be taken without adequate notification by the department via remittance advice message.


Posted: 03/23/2020



2019 Novel Coronavirus (COVID-19)


DHSS is closely monitoring an outbreak of respiratory illness caused by a novel coronavirus. Learn more about 2019 Novel Coronavirus (COVID-19). Please check back frequently for new information and important updates.



Medicaid 1135 Waiver Status

On 04/02/2020, the Centers for Medicare and Medicaid Services approved, in part, the Department of Health and Social Services' (DHSS) Medicaid 1135 Waiver request. DHSS will implement approved waiver provisions on an as needed basis, and will notify providers of the effective date of each change. Until DHSS notification is issued, services provided under waiver provisions will not be covered. Because RA messages are issued weekly, and changes are occurring on a daily basis, notices will be published on the Alaska Medicaid Health Enterprise home page as approved waivers are implemented.



Conduent Offices Closed to Outside Visitors and Documentation Drop-Offs

Effective April 3, 2020, the Conduent offices will be closed to any outside visitors or documentation drop-offs . Providers may continue to mail or electronically submit any documentation necessary to conduct Alaska Medicaid business. Documents may be mailed to the following address:

Conduent
P.O. Box 240769
Anchorage, AK 99524-0769

Providers may schedule one-on-one meetings via telephone or web conferencing through Provider Inquiry at 907.644.6800, option 1, 1 or toll-free in Alaska at 800.770.5650, option 1, 1, 1.



COVID-19 Preparedness – Alaska Medicaid Pharmacy Update #3

Alaska Medicaid has issued pharmacy guidelines to assist providers with navigating through the challenges related to COVID-19. The 04/01/2020 Pharmacy Update is available on the Provider Updates page.


Questions? Please contact Chuck Semling at charles.semling@alaska.gov or 907.334.2458



Revised Temporary Expansion of Medicaid Telehealth Coverage


Alaska Medicaid has issued a revised temporary expansion of telehealth coverage guidelines, effective immediately. The 03/30/2020 Temporary Expansion of Medicaid Telehealth Coverage, version 2, document is available on the Provider Updates page.


Questions? Please contact Carrie Silvers at carrie.silvers@alaska.gov or 907.269.4576.



Medicaid 1135 Waiver Request

On 03/27/2020, the Dept. of Health and Social Services (DHSS) submitted a Medicaid 1135 Waiver Request to the Centers for Medicare and Medicaid Services to ensure flexibility to respond to the COVID-19 pandemic. Waivers were requested to address all possible scenarios. Not all requested waiver provisions will be approved at the same time, and some may not be approved.

DHSS will implement approved waiver provisions on an as needed basis, and will notify providers of the effective date of each change. Because RA messages are issued weekly, and changes are occurring on a daily basis, notices will be published on the Provider Updates page as approved waivers are implemented.



COVID-19 Preparedness – Alaska Medicaid Pharmacy Update #2

Alaska Medicaid has issued pharmacy guidelines to assist providers with navigating through the challenges related to COVID-19. The 03/26/2020 Pharmacy Update is available on the Provider Updates page.


Questions? Please contact Chuck Semling at charles.semling@alaska.gov or 907.334.2458



COVID-19 Health Mandate: Elective Procedures Restrictions

On March 19, 2020 Governor Dunleavy issued Health Mandate 005: Elective Medical Procedures requiring all non-urgent and elective procedures to be postponed for three months. The mandate includes recommended actions and resources for practitioners.



DMEPOS Temporary Guidelines During COVID-19 Outbreak

Alaska Medicaid has issued temporary guidelines regarding service authorizations, quantity limits and shipping/delivery of DMEPOS items and services during the COVID-19 outbreak. The 03/20/2020 DMEPOS guidelines are available on the Provider Updates page.


Questions? Please contact Karen Benson at Karen.benson@alaska.gov.



COVID-19 Preparedness – Alaska Medicaid Pharmacy Update

Alaska Medicaid has issued pharmacy guidelines to assist providers with navigating through the challenges related to COVID-19. The 03/20/2020 Pharmacy Update is available on the Provider Updates page.


Questions? Please contact Chuck Semling at charles.semling@alaska.gov or 907.334.2458.



COVID-19 Health Mandate: Oral Health Restrictions


On March 19, 2020 Governor Dunleavy issued Health Mandate 006: Elective Oral Health Procedures, in concurrence with recommendations from the American Dental Association, requiring all non-urgent dental procedures to be postponed for one month. The mandate includes recommended actions and resources for practitioners.



Non-Urgent and Elective Procedures

The Division of Public Health issued an advisory requesting that all hospitals and surgical facilities in Alaska to postpone non-urgent and elective procedures for three months. 



Travel Restrictions for Non-Urgent and Elective Services


The Alaska Medicaid program is limiting Medicaid travel to only those services that cannot be postponed for 3 months (e.g., facility discharges, emergency ambulance transports, acute psychiatric events, urgent surgery). This decision follows the Alaska State Chief Medical Officer’s advisory requesting that providers postpone non-urgent and elective services. Please contact your medical provider if you have any questions or concerns.



Aetna Offers Referral Service for Non-Members

March 18, 2020 – Aetna has graciously extended its Resources for Living program to non-Aetna members during the COVID-19 outbreak, similar to what they provided during the earthquake. Anyone can call Aetna to speak with a consultant who can assist with referrals to local resources.

To access this service, call 888.327.2386 if you are not an Aetna beneficiary; if you are currently an Aetna member, call the telephone number on the back of your card.



Alaska Medicaid and Coronavirus (COVID-19)



Posted: 03/06/2020; last updated 04/03/2020



Provider Self-Audits Due June 7, 2020

All Medicaid providers are required to conduct a self-audit once every two years and submit a Provider Self-Audit Attestation form by June 7, 2020. For self-audit forms and more information, visit Provider Self-Audits and Medicaid Program Integrity.


Posted: 02/27/2020



Emergency Room Behavioral Health Hold Extended; Changes to Claim Submission Requirements


Providers were previously notified that Alaska Medicaid’s temporary expanded coverage for behavioral health observation bed services would end effective 01/01/2020. Coverage has now been extended through the end of SFY2020, terminating effective 07/01/2020. Reimbursement is limited to 120 hours per hold.


Effective for dates of service on and after 01/01/2020 – 06/30/2020, report the first 24 hours using revenue code 0762; all hours in excess of the initial 24 hours must be reported using revenue code 0900.


For example, a claim for a 72-hour hold must be submitted as follows: revenue code 0762 – 24 hours; revenue code 0900 – 48 hours.


Hours in excess of 24 reported for revenue code 0762 will be reduced to the 24 hour maximum. Hours in excess of 96 reported for revenue code 0900 will be reduced to the 96 hour maximum.


Questions? Please contact Sherri LaRue at sherri.larue@alaska.gov or 907.334.2656.


Posted: 12/10/2019



Alaska Medicaid Introduces Well-Child Transportation Bus Pass Program


The Department of Health and Social Services and the Municipality of Anchorage are excited to introduce the new Well-Child Transportation Bus Pass Program. Beginning February 1, 2020, free People Mover bus passes will be issued to Medicaid/Denali KidCare-eligible children and pregnant women through the Municipality of Anchorage’s mTicket application. For more information, refer to provider flyer Alaska Medicaid Introduces Well-Child Transportation Bus Pass Program available on the Provider Updates page.


Questions? Please contact the Well-Child Transportation Program at 907.269.4575.


Posted: 12/06/2019



Archived News Items



Training



Opioid Training/CEU Opportunity for Licensed Professionals


New Alaska legislation requires a minimum of two hours of continuing education in pain management, opioid use, and addiction for prescribing providers (unless you do not hold a valid DEA registration). For information on applicable courses, view the following flyers:



Medicaid Provider Training Schedule


Regulations and Public Notices


Medicaid Regulations Filed: Behavioral Health Services

New Medicaid behavioral health regulations are effective 04/24/2020.


Posted: 3/27/2020



Proposed Regulations: Medicaid Noncovered Services


On February 21, 2020, the Department of Health and Social Services issued a public notice announcing proposed changes to Medicaid noncovered services regulations. The public comment period ends on April 6, 2020 at 5:00 p.m. AKT. The proposed regulations are available at Alaska Online Public Notices.


Posted: 02/24/2020



Notice of Amended Version of Material Previously Adopted by Reference: HCPCS, CPT, ICD-10-CM


On February 7, 2020, the Department of Health and Social Services issued a public notice announcing the adoption of the following materials, effective January 1, 2020: Healthcare Common Procedure Coding System (HCPCS), 2020 Edition; Current Procedural Terminology (CPT) Standard Edition; and the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM), 2020 Edition. All notices and materials are available at Alaska Online Public Notices.


Posted: 02/10/2020



Notice of Amended Version of Material Previously Adopted by Reference: Federal Poverty Guidelines

On February 7, 2020, the Department of Health and Social Services issued a public notice announcing the adoption of the 2020 Federal Poverty Guidelines, effective January 14, 2020. The notice, 2020 Federal Poverty Guidelines, and additional information are available at Alaska Online Public Notices.


Posted: 02/10/2020



Proposed Regulations: Health Facility Employee Tuberculosis Screening and Testing


On January 31, 2020, the Department of Health and Social Services issued a public notice announcing proposed changes to health facility employee tuberculosis screening and testing regulations. The public comment period ends on March 17, 2020 at 5:00 p.m. AKT. The proposed regulations are available at Alaska Online Public Notices.


Posted: 01/31/2020



Medicaid Regulations Filed: Provider and Recipient Participation; Duty of Provider


New Medicaid provider and recipient participation and duty of provider regulations are effective February 6, 2020. The new regulations are available at Alaska Online Public Notices.


Posted: 01/09/2020




Archived Regulations and Public Notices


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