Medicaid Provider Assistance Information

Medicaid related questions and/or assistance should be directed to mpassunit@alaska.gov. This email box is monitored by multiple individuals in our division so your questions can be answered in a timely fashion

Applications

• Department Approval New Provider Application (May 2022)
• Provider Attestation Form (May 2022)
• Self Evaluation for Providers  (June 2, 2022)
• 1115 BH Waiver Facility Application (Effective April 1, 2021)
• 1115 SUD Waiver Facility Application (Effective October 2020)
• 1115 Waiver Provisional Provider Application (Effective October 2020)

Medicaid Related Information

• Crisis Services Form
• DBH AAC Regulation Location Reference Document for Providers
• Medicaid Billing and Provider Information
• Optum Provider Webpage​
  

Provider Service Manuals

• ​Alaska Behavioral Health Providers Services Standards & Administrative Procedures for Behavioral Health Provider Services​ - Updated October 9, 2023
  
• Alaska Behavioral Health Provider Service Standards & Administrative Procedures For SUD Provider Services​ - Updated October 9, 2023
  
• [Archived] Alaska Behavioral Health Providers Services Standards & Administrative Procedures for Behavioral Health Provider Services​ - Updated August 4, 2020
• [Archived] Alaska Behavioral Health Provider Service Standards & Administrative Procedures For SUD Provider Services - Updated August 4, 2020​
  

Services and Rates​

• ​Chart of Behavioral Health Reform ​1115 Medica​id Services Rates (Effective November 8, 2024)
  
• Chart of 1115 Medicaid Waiver Services (Effective February 2​, 2024)
• Chart of 1115 Medicaid Waiver Services (Effective March 26, 2023)
• Chart of 1115 Medicaid Waiver Services (Effective June 30, 2021)
  

Community Behavioral Health Services (CBHS) and Mental Health Physician Clinics (MHPC)

• Services and Rates (Effective January 5, 2025)
  
• Services and Rates (Effective July 1, 2024)
• Services and Rates (Effective July 1, 2023)
• Services and Rates (Effective December 23, 2022)
• Services and Rates (Effective July 1, 2022, updated July 13, 2022)
  
• Services and Rates (Effective July 1, 2021)

Autism Services

• Autism Services and Rates (Effective July 1, 2024)
• Autism Services and Rates (Effective July 1, 2023)
• Autism Services and Rates (Effective May 25, 2022; Updated July 1, 2022)
  
• Autism Services and Rates (Effective May 25, 2022) 
• Autism Services and Rates (Effective July 1, 2021)

Independent Psychologist

• Fee Schedule: Independent Psychologist (Effective January 5, 2025)
  
• Fee Schedule: Independent Psychologist (Effective July 1, 2024)
  
• Fee Schedule: Independent Psychologist (Effective July 1, 2023)
• Fee Schedule: Independent Psychologist (Effective July 1, 2022 corrected April 28, 2023)
• Fee Schedule: Independent Psychologist (Effective July 1, 2022 corrected April 21, 2023)
• ​ Fee Schedule: Independent Psychologist (Effective July 1, 2021)

Independent Licensed Clinical Social Worker (LCSW)

• ​Fee Schedule: Independent LCSW (Effective January 5, 2025)
  
• Fee Schedule: Independent LCSW (Effective July 1, 2024)
  
• Fee Schedule: Independent LCSW (Effective July 1, 2023)
  
• Fee Schedule: Independent LCSW (Effective December 23, 2022)
  
• Fee Schedule: Independent LCSW (Effective July 1, 2022)
  
• Fee Schedule: Independent LCSW (Effective July 1, 2021)

Independent Licensed Marital and Family Therapist (LMFT)

• Fee Schedule: Independent LMFT (Effective January 5, 2025)
  
• Fee Schedule: Independent LMFT (Effective July 1, 2024)
• Fee Schedule: Independent LMFT (Effective July 1, 2023)
• Fee Schedule: Independent LMFT (Effective December 23, 2022)
• Fee Schedule: Independent LMFT (Effective July 1, 2022)
  
• ​ Fee Schedule: Independent LMFT (Effective July 1, 2021)

Independent Licensed Professional Counselor (LPC)

• Fee Schedule: Independent LPC (Effective January 5, 2025)
  
• Fee Schedule: Independent LPC (Effective July 1, 2024)
  
• Fee Schedule: Independent LPC (Effective July 1, 2023)
• Fee Schedule: Independent LPC (Effective December 23, 2022)
• Fee Schedule: Independent LPC (Effective July 1, 2022)
  
• Fee Schedule: Independent LPC (Effective August 27, 2021)

Alaska In-State Level V and VI PRTF

• Alaska Psychiatric Residential Treatment Facility In-State Rates (Effective July 1, 2024)
• Alaska Psychiatric Residential Treatment Facility In-State Rates (Effective July 1, 2023)