Provider Certification & Compliance Unit
Ensures Medicaid procedures and policies are followed and enforced
Who we are
The Provider Certification & Compliance Unit makes sure providers meet the required qualifications and follow rules and policies. They offer support and guidance during the certification process, reviews, and when investigating complaints.
What we do
The Provider Certification & Compliance Unit is responsible to:
- Certify and recertify Home and Community-Based Medicaid Waiver Providers and Personal Care Assistance (PCA) Medicaid Agency Providers
- Update provider information, such as administrator changes, addresses, or phone numbers
Handle changes related to certification, including closures - Investigate complaints and instances of noncompliance involving providers
- Conduct desk and on-site reviews of providers, which may be random, complaint-based, or directed by management, to check for quality and compliance
- Process background check variance requests
- Review and decide on PCA Training Waiver Requests
Important: The Provider Certification & Compliance Unit handles certification, but for Medicaid enrollment, visit Medicaid Alaska. Providers must first complete certification and then enrollment to offer services. Both Steps are required in order to provide services.