Behavioral Health Medicaid Provider Assistance
Resources for behavioral health providers
Overview
Find resources for behavior health providers under Medicaid below.
Resources
Services and rates
Applications
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
Medicaid Related Information
Provider Service Manuals
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
Behavioral Health Reform 1115 Medicaid Waiver Services
Behavioral Health Reform 1115 Medicaid Waiver Services
Chart of Behavioral Health Reform 1115 Medicaid 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) Rates
Community Behavioral Health Services (CBHS) and Mental Health Physician Clinics (MHPC) Rates
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 and Rates
Autism Services and Rates
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 Rates
Independent Psychologist Rates
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) Rates
Independent Licensed Clinical Social Worker (LCSW) Rates
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) Rates
Independent Licensed Marital and Family Therapist (LMFT) Rates
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) Rates
Independent Licensed Professional Counselor (LPC) Rates
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 Rates
Alaska In-State Level V and VI PRTF Rates
Alaska Psychiatric Residential Treatment Facility In-State Rates (Effective July 1, 2024)
Alaska Psychiatric Residential Treatment Facility In-State Rates (Effective July 1, 2023)