Archived News Items
Medicaid Budget Supplemental Prevents Medicaid Payment Delays
On May 28, 2019, the Department of Health and Social Services announced that Medicaid payments during the last 3 weeks of June would be delayed until the first week of July due to a budget shortfall. The department is pleased to announce that the requested supplemental to cover the budget shortfall has been approved. At this time, no payments have been delayed and the department expects to pay all Medicaid claims based on normal processing times with no budget shortfall delays.
Posted: 06/11/2019 Archived: 07/01/2019
Letter from the Director: Budget-Pended Payments
Dear Medicaid Provider,
As the Department of Health and Social Services approaches the end of the state fiscal year, again we are challenged by a budget shortfall. In order to manage this projected deficit between the authorized budget for the current fiscal year ending June 30, 2019 and claims received from enrolled providers, the department has modified the weekly provider payment schedule.
Over the final three weeks of the fiscal year, the department will delay issuance of payments for some claims to 30 days as allowed under federal regulations (42 C.F.R. 447.45) which require payment of 90 percent of claims within 30 days of receipt and 99 percent of claims within 90 days of receipt.
Providers whose claims are delayed will see affected claims on the weekly remittance advice (RA) with the status of "O", and "Budget Funded". Because billed charges and Medicaid reimbursement amounts often differ, the total of all "O" delayed claims may not equal the cumulative total shown on the summary page.
Please continue to submit claims to expedite payment once payments resume in full. All claims will continue to be processed under standard adjudication rules. More information is available at http://manuals.medicaidalaska.com/docs/updates.htm (see "Budget-Delayed Medicaid Payments FAQs").
I will keep you informed of our progress through additional remittance advice messages. In the interim, please forward any comments, suggestions, or questions you may have to Susan Dunkin at firstname.lastname@example.org. Thank you for the services you continue to provide to Alaska's most vulnerable residents, and for your patience and cooperation as we work together to navigate Alaska's fiscal challenges.
Posted: 05/28/2019 Archived: 06/11/2019
Provider Revalidation Open House May 28 - 31
Did you receive an Alaska Medicaid provider revalidation notice? If so, have you completed your revalidation? Alaska Medicaid is offering an open house to assist providers who have not yet completed their required revalidation. The open house will be held daily, May 28 - 31, from 1:30 p.m. - 4:30 p.m. at 1835 Bragaw St. Suite 300. Staff members will be available to answer questions and assist you with your revalidation forms. If you have any questions or are unsure if you are required to revalidate your enrollment, please contact Provider Enrollment at AK-Enrollment@conduent.com, 907.644.6800, option 2, or 800.770.5650, option 1, 3.
Posted: 05/21/2019 Archived: 06/03/2019
UnitedHealthcare: Alaska Managed Care Plan Update
Senate Bill 74 (2016) established the Coordinated Care Demonstration Project, to test the efficacy of new models of care in Alaska. In compliance with this initiative, the Department of Health and Social Services has contracted with UnitedHealthcare to provide managed care for Medicaid members within the Municipality of Anchorage and the Matanuska-Susitna Borough. The anticipated go-live date for this program is October 1, 2019. For more information regarding this managed care project, please see the April 1, 2019 flyer “UnitedHealthcare - Alaska Managed Care Plan” available on the Provider Updates page.
Posted: 04/01/2019 Archived: 07/01/2019
Notice of Alaska's Health Care Price Transparency Law (SB 105)
Alaska's new health care price transparency law requires health care providers and facilities to post the prices of their most common procedures. Despite the law's effective date of January 1, 2019, the Department of Health and Social Services will allow health care providers and facilities more time to comply with the law until implementing regulations are in effect.
For more information, see the Notice of Alaska's Health Care Price Transparency Law. For the full text of the enrolled bill, see SB105.
Posted: 12/28/2018 Archived: 05/08/2019
Administrative Relief in Response to Earthquake in Southcentral Alaska
The Department of Health and Social Services is granting flexibility and administrative relief to Medicaid-enrolled providers in Southcentral Alaska who were impacted by the November 30, 2018 earthquake. For more information, please visit the Medicaid Program Integrity page (http://dhss.alaska.gov/Commissioner/Pages/ProgramIntegrity/default.aspx) to view the Administrative Relief to Providers in the Earthquake Affected Areas and the Provider Attestation Form: Medical Records Destroyed by Disaster documents.
Posted: 12/18/2018 Archived: 05/08/2019
CMS Declares Alaska Public Health Emergency
In response to the 7.0 earthquake that occurred in southcentral Alaska on November 30, 2018, U.S. Health and Human Services Secretary Alex Azar declared a public health emergency in Alaska following the President's emergency declaration on December 3, 2018. This declaration allowed the Centers for Medicare and Medicaid Services to grant an 1135 Waiver to aid healthcare facilities in providing uninterrupted care and long-term care facilities in providing care to Alaskans who are elderly or disabled.
The following documents provide additional information about the emergency declaration and the 1135 Waiver:
Posted: 12/18/2018 Archived: 05/08/2019
CMS Certifies Alaska Medicaid MMIS
On September 28, 2018, the Centers for Medicare and Medicaid Services approved the Department of Health and Social Services' request for certification of its Medicaid Management Information System (MMIS). Certification allows the department to receive 75 percent Federal Financial Participation (FFP) funds for costs associated with implementation of the system.
Posted: 10/02/2018 Archived: 02/22/2019