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Provider Remittance Advice (RA) Messages




News


Message from the Director: Adult Enhanced Dental Program Funding Restored


I’m happy to inform you that funding for the Alaska Medicaid adult enhanced dental program has been restored. Reinstatement of the program will occur on December 31, 2019 retroactively to October 1, 2019. The adult enhanced dental was previously defunded effective October 1, 2019. Medicaid recipients have been notified via direct mail that funding has been restored. For more information, refer to the December 17, 2019 provider flyer Message from the Director: Adult Enhanced Dental Program Funding Restored, available on the Provider Updates page.

  

Sincerely,


Renee Gayhart, Director


Posted: 12/17/2019



Adult Enhanced Dental Program Reinstated Effective December 31, 2019


On December 13, 2019, the Alaska Department of Health and Social Services issued a press release announcing the reinstatement of the Alaska Medicaid adult preventive dental program (also known as the Adult Enhanced Dental Program) effective December 31, 2019. Prior to the effective date a remittance advice message will be issued to provide you with more details.


Posted: 12/13/2019



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


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



Public Scoping Meeting: Medicaid Pharmacy Covered Outpatient Drug Coverage and Reimbursement Methodology


A public scoping will held on February 21, 2020 at the Frontier Building, 3601 C Street, Suites 880, Anchorage, AK 99503. The meeting will begin at 12:30 p.m. AKST and will end at 2:00 p.m. AKST. Written suggestions, ideas, and other input will be accepted until 5:00 p.m. AKST on February 28, 2020. For more information, the Notice of Public Scoping Meeting is available at Alaska Online Public Notices.


Posted: 02/05/2020



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



Proposed Regulations: Community First Choice Personal Care Services, Home & Community-Based Waiver Services Regulations


On January 16, 2020, the Department of Health and Social Services proposed changes to Community First Choice Personal Care Services Home & Community-Based Waiver Services regulations. The public comment period ends on March 9, 2020 at 5:00 p.m. AKT. The proposed regulations are available at Alaska Online Public Notices.


Posted: 01/17/2020



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



Public Hearing: Medicaid Care Management Program

A public hearing regarding proposed changes to Medicaid Care Management Program regulations will be held from 3:30 p.m. – 4:30 p.m. AKT on February 12, 2020 at the Frontier Building, Room 880/890, 3601 C Street, Anchorage, AK 99503, at which time oral and written comments will be accepted. The public hearing notice, notice of proposed regulations, and additional information are available at Alaska Online Public Notices.

Posted: 12/27/2019



Proposed Regulations: Medicaid Care Management Program


On December 26, 2019, the Department of Health and Social Services proposed changes to Medicaid Care Management Program regulations. The public comment period ends on February 25, 2020 at 5:00 p.m. AKT. The proposed regulations are available at Alaska Online Public Notices.


Posted: 12/27/2019



Medicaid Regulations Filed: Medicaid Behavioral Health, 1115 Waiver, and Substance Use Disorder Waiver Services

New Medicaid behavioral health, 1115 Waiver, and substance use disorder services regulations were adopted by the Department of Health and Social Services, filed by the Lieutenant Governor, and are effective November 10, 2019 (previously effective July 1, 2019 by emergency regulation). The signed regulations are available at Alaska Online Public Notices.


Posted: 10/16/2019



Medicaid Regulations Filed: Medicaid Mental Health Physician Clinic Services

New Medicaid mental health physician clinic services regulations were adopted by the Department of Health and Social Services, filed by the Lieutenant Governor, and are effective November 10, 2019. The signed regulations are available at Alaska Online Public Notices


Posted: 10/16/2019



Archived Regulations and Public Notices


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