Effective August 15, 2022, claims for Personal Care and Community First Choice Personal Care services will be processed as follows:
- Claims will be reviewed against Electronic Visit Verification (EVV) data submitted to the state EVV aggregator.
- If there is not EVV data in the aggregator to support the claim submitted at the time of adjudication, the claim will be denied.
- New exception codes have been created related to EVV data and will appear on provider remittance advices going forward.
As part of the 21st Century Cures Act, Alaska implemented Electronic Visit Verification (EVV) on January 1, 2021, for Personal Care and Community First Choice Personal Care services. This required providers to electronically collect required data at the time-of-service delivery and not submit a claim for payment under 7 ACC 125.010 – 7 AAC 125.199 without also submitting the EVV data to support the claim.
For additional information, please see Alaska Medicaid Billing Guidance: Personal Care and Community First Choice Personal Care Services Require Electronic Visit Verification on the Provider Updates page.
Questions? Please contact EVV Project Team, Department of Health at 907-269-3666 or by DSM at firstname.lastname@example.org.
You Are Invited: Classic Optical Open House for Vision Care Providers
On Tuesday, September 13, 2022, Classic Optical will host the annual Vision Open House for both new and veteran vision providers and their staff who provide services to Alaska Medicaid and Denali KidCare recipients. You are welocme to attend one of the two virtual sessions. Sessions are limited to 25 attendees. For more information, including how to register, please see the 8/10/22 flyer titled Classic Optical Open House, available on the Provider Updates page, or contact Zerlyna Lacanlale, Vision Services Program Manager, at email@example.com or 907.334.2419