Medicaid Related Information

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

• Alaska Administrative Code (AAC) Regulations
• DBH AAC Regulation Location Reference Document for Providers
• Medicaid Billing and Provider Information
• Optum Provider Webpage

Section 1115 Medicaid Waiver Services Administrative Manuals

• Alaska Behavioral Health Provider Standards and Administrative Manual for BH Provider Services June 30, 2021
• Alaska Behavioral Health Provider Standards and Administrative Manual for BH Provider Services October 4, 2020
• Alaska Behavioral Health Provider Standards and Administrative Manual for SUD Provider Services October 4, 2020

Services and Rates

• Chart of 1115 Medicaid Waiver Services (Effective March 26, 2023)
• Chart of 1115 Medicaid Waiver Services (Effective June 30, 2021)
• Chart of 1115 Medicaid Waiver Services (Effective October 4, 2020)

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

• 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)
• Services and Rates (Effective July 1, 2020)

Autism Services

• 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)
• Autism Services and Rates (Effective July 1, 2020)

Independent Psychologist

• 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 December 23, 2022)
• Fee Schedule: Independent Psychologist (Effective July 1, 2021)
• Fee Schedule: Independent Psychologist (Effective July 1, 2020)

Independent Licensed Clinical Social Worker (LCSW)

• Fee Schedule: Independent LCSW (Effective December 23, 2022)
  
• Fee Schedule: Independent LCSW (Effective July 1, 2022)
  
• Fee Schedule: Independent LCSW (Effective July 1, 2021)
• Fee Schedule: Independent LCSW (Effective July 1, 2020)
• Fee Schedule: Independent LCSW (Effective April 24, 2020 TO June 30, 2020)

Independent Licensed Marital and Family Therapist (LMFT)

• Fee Schedule: Independent LMFT (Effective December 23, 2022)
  
• Fee Schedule: Independent LMFT (Effective July 1, 2022)
  
• Fee Schedule: Independent LMFT (Effective July 1, 2021)
• Fee Schedule: Independent LMFT (Effective July 8, 2020)

Independent Licensed Professional Counselor (LPC)

• 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 September 4, 2022)
  
• Alaska Psychiatric Residential Treatment Facility In-State Interim Rates (Effective October 4, 2020)
• Alaska Psychiatric Residential Treatment Facility Rate (Effective July 1, 2020) (Updated July 22, 2020)​