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Provider Certification & Compliance Unit


Notice to Providers!
Before applying for certification or certification renewal, please read the amended regulations, Conditions of Participation and certification application instructions and forms. Additional instructions and guidance on use of the new forms is now posted at this site.

In the Division of Senior and Disabilities Services (DSDS), the Provider Certification & Compliance Unit serves the function of ensuring that providers of all services are qualified and are in compliance with all relevant policies and regulations. To ensure the delivery of quality services, the Provider Certification & Compliance Unit provides technical assistance through the certification process, desk or on-site review process, and during complaint investigation procedures.

The Provider Quality Assurance Unit values collaboration and strives to strengthen the information network among consumers, service providers and DSDS staff.

The Provider Certification & Compliance Unit conducts the following:

  • Certification of Home and Community Based Medicaid Waiver Providers and Personal Care Assistance Medicaid Agency Providers
  • Recertification of Home and Community Based Medicaid Waiver Providers and Personal Care Assistance Medicaid Agency Providers
  • Processes changes related to provider administrators, address, phone number, and other information
  • Processing reported changes related to certification, including closures
  • Investigation of provider related complaints and noncompliance
  • Critical Incident Report (CIR) Investigation as related to Provider compliance
  • Provider desk and on-site reviews which are selected randomly, based on complaints, or directed by management and are related to provider quality and compliance
  • Background Variance Request coordination and processing
  • Review and determination of Requests for PCA Training Waivers

 

*Please note that the Provider Certification & Compliance Unit certifies providers. For information about the provider Medicaid enrollment process, please contact http://medicaidalaska.com. In order for a provider to be qualified to provide services, the first step is certification, followed by enrollment. Both steps are required in order to provide services.

 

Provider Certification & Compliance Staff Contacts

Fax number: 907.754.3475

Lisa McGuire – Unit Manager/Health Program Manager III,  lisa.mcguire@alaska.gov, 269-3681
Oversees all functions of the Provider Certification & Compliance Unit, handles provider related noncompliance issues, provides technical assistance

Jamie Kaiser – Medical Assistance Administrator II,  jamie.kaiser@alaska.gov, 269-5026
Processes closures, changes in ownership, and other reportable changes, primary SDS contact with Xerox, technical assistance, quality controls of provider certification processes

Leigh Copeland Health Program Manager II, leigh.copeland@alaska.gov, 269-3664
Performs initial certifications for Providers that begin with the letters A-D, processes out of state providers, processes PCA first aid/CPR waiver requests, monitors Care Coordinator training expirations, technical assistance

Brad LentzMedical Assistance Administrator I, brad.lentz@alaska.gov, 375-6439
Performs certification renewals for providers that begin with the letters E-M, technical assistance

Kimberly Burton – Medical Assistance Administrator I, kimberly.burton@alaska.gov, 269-3657
Performs certification renewals for Providers that begin with the letters N-Z, technical assistance

Christy Knight - Health Program Manager II, christy.knight@alaska.gov, 269-3663
Provider desk and on site reviews, technical assistance, processes background variance requests

Chris Mossholder – Health Program Manager II, chris.mossholder@alaska.gov, 269-6067
Provider desk and on site reviews, technical assistance, processes background variance requests

Snezana Ivanoska - Health Program Manager II, snezana.ivanoska@alaska.gov, 754-3512
Provider on site reviews, technical assistance, processes background variance requests

Sue Darby- Senior Services Technician, sue.darby@alaska.gov, 334-2639
Supports provider certification & re-certification application process, clerical support, technical assistance

Megan Conner- Office Assistant II, megan.conner@alaska.gov, 269-3088
Supports provider certification & re-certification application process, clerical support, technical assistance


Resources

  • Use the Tell Us About It link to give us positive or negative feedback about providers or services and to lodge formal complaints.

  • Use the following link to submit certification related emails, requests for PCA training waivers, variance application materials and any certification related questions:

DSDSCertification@alaska.gov

The State of Alaska Division of Senior and Disabilities Services uses Direct Secure Messaging (DSM)
for all Personal health information (PHI). As a provider of Medicaid and/or HCBW Services, you are expected to use DSM. Contact the Alaska eHealth Network (AeHN) at 1-866-966-9030 or email info@ak-ehealth.org to request an account.