Programs

Initiatives

Office of Rate Review 

• Integrity – “We believe in and conduct ourselves with integrity and believe to do so is vital to the work we perform; we are open and honest with each other, our partners and stakeholders, and treat each with dignity and respect.”
• Professionalism – “We believe in executing our work with the utmost professionalism and our work product exemplifies this.”
• Transparency – “We believe in being transparent with each other and with our partners and stakeholders; this allows us to work efficiently and be highly productive.”
• Collaboration – “We believe collaboration in our work and relationships is vital to our success; therefore sharing of information and working closely with each other, our partners and stakeholders is highly prioritized.”
• Innovation – “We believe in innovation and strive to learn and evolve in the work that we do; we are open to all opportunities to expand our knowledge base.”
  
  

• Certificate of Need
  The Certificate of Need (CON) program is a review process used to promote responsive health facility and service development, rational health planning, health care quality, access to health care, and health care cost containment.
• Supplemental Emergency Medical Transport
  The Supplemental Emergency Medical Transport (SEMT) program is a voluntary program that will allow eligible publicly owned and operated Medicaid providers to voluntarily submit annual reports to be reimbursed Medicaid supplemental payments. 

• Medicaid Rate Review
  The Medicaid Rate Review project is a comprehensive effort to evaluate certain rate methodologies and develop recommendations for improving those payment methodologies for Alaska Medicaid that enhance access to care, address Alaska’s unique challenges, reduce administrative burdens, and ensure budget sustainability.
• Diagnosis Related Groups
  The Diagnosis Related Groups (DRG) project is an effort to move from a cost-based per diem prospective payment system for inpatient hospital services to a DRG system based on the intensity of services provided.
• Skilled Nursing Facility
  The Skilled Nursing Facility (SNF) Case Mix Based Payment Methodology project is an effort to move from a cost-based per diem payment system to a case mix reimbursement payment system based on patient case mix indices (CMI) or acuity.