Alaska Public Website
Accessing Your Alaskan Medicaid Claims Information
For the best browsing experience, use Chrome, Firefox, Safari, or Microsoft Edge
The Alaska Department of Health’s mission is promoting health, well-being, and self-sufficiency of Alaskans. The Department of Health oversees health care services, payment, eligibility determinations and payments of public assistance program benefits, and public health. The Divisions of Behavioral Health, Health Care Services, and Senior and Disabilities Services provide regulatory oversight, claims processing, facility licensing, and enforcement of Medicaid and state regulations. The Department of Health actively engages with stakeholders to find opportunities for innovation within Medicaid and to improve health outcomes for all Alaskans.
As such, the Alaska Department of Health has made it easier to access your personal health information through innovative efforts. Having access to your information supports Alaskans with informed decisions about health care and enables health, well-being, and self-sufficiency.
The Department of Health has enabled the sharing of Alaska’s Medicaid claims information with Medicaid recipients via an approved mobile application listed below.
In addition, Alaskans can now access their immunization information via the mobile application Docket. Click here for more information on Docket.
Why should I access my Medicaid Claims information?
Some healthcare decisions are easy, like getting a cast if you break your arm. But other situations are more complicated. Does your medical history mean surgery might be risky? Can your caregiver share your complete health history with a new doctor?
By accessing your Medicaid Claims and other health information through a convenient app, you can:
- Get control over your health information
- Make it easy to share your health information with doctors, caregivers, or anyone you choose
- Get help managing and improving your health through a wide range of apps and other computer-based services
How do I access my Medicaid Claims information?
- Find the app you want to use in this list of approved applications
- Download the app
- Complete the registration process
- Use the app's menus and prompts to connect the app to your health plan
- Provide your consent to share your health information with the app
- Report any issues that may arise directly to the app
Is my Medicaid claims information private and secure?
As with any interaction over the internet, there is some risk. Your health plan takes your privacy and the security of your health information as seriously as you do. That's why your data will never be shared without your express permission. Your health plan safeguards your data carefully. However, once your data are shared with an application, your health plan does not have control of your data and is no longer responsible for the security of that data. This is why it is important to understand the privacy and security policies for any application you choose to share your data with. It is also important to protect your devices from threats like theft, phishing, and hacking. You should keep your device's security settings current. Make sure you choose a health information app with clear privacy and security policies.
You can decide whether to access your Medicaid claims information via an approved mobile application.
Why is the Alaska Department of Health allowing apps to connect to my Medicaid claims information?
The Alaska Department of Health is committed to your health, and to helping you manage your own health. This new way to help you access your information is a federal government requirement. The federal government, the healthcare industry, and your health plan are working toward these goals:
- Patient Access - ensuring patients are well-informed about their own health and health care
- Interoperability - making it easier to share information between patients, doctors, caregivers, and other people and organizations working to improve and maintain your health
These goals and rules are covered by a federal law, the 21st Century Cures Act. This is the law that requires and allows Alaska Department of Health to make your health information easier for you to access.
To keep your information secure, make sure to update your cell phones, laptops, and other devices and applications on a regular basis and to not share your passwords.
What is the signup process like?
The first time you choose to share your data with an application, you must set up an account. You will need your Name, Date of Birth, Plan Member ID, Zip Code, and a valid, unique email address. Your app will walk you through a process like this:
What Should I Know about 3rd Party Apps?
- See FAQs for some questions you may wish to ask
Where can I get more information?
More detail is available:
- On the Health Plan Member Page
- Frequently Asked Questions
- In the app store description of the app(s) you are considering using
AMA & ADA Copyright Notices
AMA Copyright Notice: CPT codes, descriptors and other data only are copyright 1999 by the American Medical Association (or such other date of publication of CPT). All Rights Reserved. Applicable FARS/DFARS apply.
ADA Copyright Notice: Current Dental Terminology, (CDT)(including procedure code, nomenclature, descriptors and other data contained therein) is copyright by the American Dental Association. ©2002, 2004 American Dental Association. All rights reserved. Applicable FARS/DFARS apply.
Additional Information
This page describes the Centers for Medicare and Medicaid (CMS) Patient Access Application Programming Interface ( API) Mandate for Health Plan members, why it is a benefit to members, and outlines support channels for issues with sharing member data with 3rd party apps.
What is an API?
Application programming interfaces are messengers that relay information back and forth between different applications and servers. For example, each time you type a website address into google chrome or another web browser you are using an API.
In December 2016, a bill called the 21st Century Cures Act was signed into law, with several important goals, including improved interoperability between health information systems, and increased patient access to their own health data. This law also empowered the Centers for Medicare & Medicaid Services to create regulations to further this goal, which it did with the creation of the CMS Interoperability and Patient Access final rule (CMS-9115-F). To increase patients' access to their health data, the rule prohibits information blocking and requires health insurance plans to give members access and the ability to share.
What Does This Mean for You and Your Health Plan?
What this set of regulations means is that your health plan must make available all of your claims and clinical data contained in their systems via an API endpoint, where you can share these data with third-party applications of your choosing. Your health plan has contracted with Gainwell and 1upHealth, an industry leader in healthcare data integrations and data standards, to give you access and the ability to share your data. When you wish to integrate your healthcare data with 3rd-party applications, such as MyCharts, Apple Health, or FitBit, you will connect through these applications to the 1upHealth platform, where you will confirm your identity to 1upHealth and your health plan by answering a few demographic questions and providing your email that is on file with your health plan. Once your identity is authenticated, your health plan will share your healthcare data with the 3rd-party application you have chosen, through the 1upHealth platform.
Why Share Your Data? Benefits and Risks
There are a host of benefits to this new ability to access and share your data. Look at our App Gallery, for a sampling of the 3rd party applications that are being developed to help you leverage this information. Some apps allow you to aggregate your data from multiple health systems to create a complete record of your interactions with different doctors and hospitals, and even combine it with data you generate on your own from wearable devices like glucose meters, pedometers, or heart rate monitors. Some other common uses include prescription drug management, chronic disease management, nutrition tracking, and care coordination. Data sharing empowers you to have greater ownership of and visibility into your health data and has the potential to improve both your health and the quality of care you receive from the health care system.
As with any interaction over the internet, these tremendous benefits are not without some level of risk. Your health plan takes your privacy and the security of your health information as seriously as you do. That is why your data will never be shared without your express permission. Your health plan safeguards your data throughout the process of sharing it in several ways, including using challenge questions and multi-factor authentication to confirm you - and no one else - can access and share your data. It is important to understand though, that once your data is shared with a 3rd party application, your health plan does not have control of your data and is no longer responsible for the security of that data. Therefore, it is important to read the privacy and security policies for any application you choose to share your data with, to ensure you understand how it is protected and used by that application.
How to Report Identity Theft and Fraud
If you believe an application that you've shared your data with is misusing that information in violation of their stated privacy policy, contact the Federal Trade Commission to investigate the matter by going to ReportFraud.ftc.gov or calling (877)-382-4357.
If you believe the privacy of your health care data has been violated, contact the federal Department of Health and Human Services Office of Civil Rights.
