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News


Qualis Health is Now Comagine Health

Effective February 11, 2019, Qualis Health officially became Comagine Health. The names “Qualis Health” and “Comagine Health” will be used interchangeably until the name change has been fully implemented (e.g., provider portal, links, email addresses). The corporate address and phone numbers will remain the same. In April 2019, email addresses will change to Comagine Health, however, until further notice current Qualis Health email addresses will remain active and will be automatically forwarded to the appropriate recipient. Watch your RA messages for further updates.

Questions? Contact Susan Dunkin at susan.dunkin@alaska.gov.


Posted: 3/11/2019



Contemporaneous Documentation Requirements: Update

On November 13, 2018, the American Medical Association (AMA) adopted documentation standards, Resolution 804 (I-18) Arbitrary Documentation Requirements for Outpatient Services (Policy D-320.985, for AMA members). The Department of Health and Social Services has determined that physician application of AMA standards D-320.985 meets the contemporaneous documentation requirements of 7 AAC 105.230(d)(7).


Posted: 2/22/2019



Notice of Alaska's Health Care Price Transparency Law (SB 105)


Alaska’s new health care price transparency law requires health care providers and facilities to post the prices of their most common procedures. Despite the law’s effective date of January 1, 2019, the Department of Health and Social Services will allow health care providers and facilities more time to comply with the law until implementing regulations are in effect.

For more information, see the Notice of Alaska's Health Care Price Transparency Law. For the full text of the enrolled bill, see SB105.



Selected Providers No Longer Required to Obtain Service Authorizations


For calendar year 2019, a select group of providers will not be required to obtain prior authorization from Conduent State Healthcare or Qualis Healthcare for services rendered to Alaska Medicaid recipients. Alaska Medicaid is introducing this new initiative to recognize providers who have made every effort to ensure requested services were medically necessary and documentation submitted was complete and free of errors. Providers selected for this exemption maintained a 99 percent or higher approval rate for authorization requests submitted over the past two years. Authorizations will be reviewed annually for future inclusion. Participants are reminded that there will be a post-payment review to ensure provided services are medically necessary. Visit Provider Updates to view the complete list of exempt providers. Golden Ticket FAQs are also available.



Administrative Relief in Response to Earthquake in Southcentral Alaska


The Department of Health and Social Services is granting flexibility and administrative relief to Medicaid-enrolled providers in Southcentral Alaska who were impacted by the November 30, 2018 earthquake. For more information, please visit the Medicaid Program Integrity page (http://dhss.alaska.gov/Commissioner/Pages/ProgramIntegrity/default.aspx) to view the Administrative Relief to Providers in the Earthquake Affected Areas and the Provider Attestation Form: Medical Records Destroyed by Disaster documents.



CMS Declares Alaska Public Health Emergency


In response to the 7.0 earthquake that occurred in southcentral Alaska on December 3, 2018, U.S. Health and Human Services Secretary Alex Azar declared a public health emergency in Alaska following the President’s emergency declaration on November 30, 2018. This declaration allowed the Centers for Medicare and Medicaid Services to grant an 1135 Waiver to aid healthcare facilities in providing uninterrupted care and long-term care facilities in providing care to Alaskans who are elderly or disabled.

 



Archived News Items



Training


Opioid Training/CEU Opportunity for Licensed Professionals


New Alaska legislation requires a minimum of two hours of continuing education in pain management, opioid use, and addiction for prescribing providers (unless you do not hold a valid DEA registration). For information on applicable courses, view the following flyers:



Medicaid Provider Training Schedule


Regulations and Public Notices


Notice of Amended Version of Material Previously Adopted by Reference: HCPCS

On March 6, 2019, the Department of Health and Social Services issued a public notice announcing the adoption of the Healthcare Common Procedure Coding System (HCPCS), 2019 Edition, effective January 1, 2019. The notice and additional information are available at Alaska Online Public Notices.

Posted: 03/11/2019



Notice of Amended Version of Material Previously Adopted by Reference: CPT

On March 6, 2019, the Department of Health and Social Services issued a public notice announcing the adoption of the Current Procedural Terminology (CPT) Standard Edition, 2019, effective January 1, 2019. The notice and additional information are available at Alaska Online Public Notices.


Posted: 03/11/2019



Notice of Amended Version of Material Previously Adopted by Reference: Federal Poverty Guidelines

On March 6, 2019, the Department of Health and Social Services issued a public notice announcing the adoption of the 2019 Federal Poverty Guidelines, effective January 31, 2019. The notice, 2019 Federal Poverty Guidelines, and additional information are available at Alaska Online Public Notices.

Posted: 03/11/2019



Notice of Amended Version of Material Previously Adopted by Reference: ICD-10-CM


On March 6, 2019, the Department of Health and Social Services issued a public notice announcing the adoption of the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM), 2019 Edition, effective January 1, 2019. The notice and additional information are available at Alaska Online Public Notices.

Posted: 03/11/2019



Public Hearing: Mental Health Physician Clinic Coverage Proposed Regulations

On March 5, 2019, the Department of Health and Social Services issued a notice of public hearing regarding proposed regulation changes to mental health physician clinic coverage. The public hearing will be held from 10:00 a.m. – 12:00 p.m. AKT on April 12, 2019 at 3601 C Street, Room 880, Anchorage, AK 99503, at which time oral and written comments will be accepted.


The public hearing notice, notice of proposed regulations, and additional details are available at Alaska Online Public Notices.


Posted: 03/07/2019



Proposed Regulations: Mental Health Physician Clinic Coverage

On March 5, 2019, the Department of Health and Social Services issued a public notice announcing proposed regulation changes to mental health physician clinic coverage. The public comment period ends on May 7, 2019 at 5:00 p.m. AKT.


The proposed regulations and additional details are available at Alaska Online Public Notices.


Posted: 03/07/2019



Medicaid Regulations Filed: Coverage and Payment and Medicaid End Stage Renal Disease Facility Enrollment Requirements and Rates

New Medicaid end stage renal disease regulations were adopted by the Department of Health and Social Services, filed by the Lieutenant Governor, and are effective March 24, 2019. The signed regulations are available at Online Public Notice website.


Posted: 02/25/2019



Medicaid Regulations Filed: Payment Rates for Behavioral Health Services


New Medicaid behavioral health services rate regulations were adopted by the Department of Health and Social Services, filed by the Lieutenant Governor, and are effective January 1, 2019. The signed regulations are available at Online Public Notice website.


Posted: 11/19/2018



DHSS Regulations Filed: Disease Monitoring, Control, and Reporting

New and revised regulations related to the monitoring, control, and reporting of diseases of public health importance were adopted by the Department of Health and Social Services, signed by the Lieutenant Governor, and are effective November 30, 2018. A copy of the signed regulations is available at Online Public Notice website.


Posted: 11/19/2018



Archived Regulations and Public Notices



Provider Resources



Medicaid State Plan


The Medicaid State Plan is an agreement between the state and the federal government describing how the state administers the Medicaid program.



How to Request AK-04 Travel Voucher Forms


Providers may request supplies of the AK-04 Travel Voucher form by completing a Healthcare Forms Order Request (available on the Conduent Forms page) and submitting it via one of the following methods:



Requests must include provider name, provider Alaska Medicaid ID number, quantity requested, and delivery address. The AK-04 is a controlled form, each bearing a distinct identifying number. Providers must keep these controlled forms in a secure location.



New Lead-Free Alaska Webpage Now Available


The Division of Public Health’s new information campaign titled “Get the Lead Out” seeks to educate Alaskans on child lead exposure and testing. As part of the Lead-Free Alaska initiative, a new webpage detailing the dangers of lead poisoning, blood lead testing recommendations, and exposure prevention tips is now available at Get the Lead Out.


Enhanced Automated Voice Response System


Call 855.329.8986 to access the following information:

 

- Member Eligibility
- Claim Status
- Provider Remittance Advice
- Service Authorization Schedule
- Fee Schedules
- Service Limits

 

The new AVR system is available 24 hours per day, seven days per week, aside from scheduled maintenance periods. Callers must identify themselves using an active provider number and Personal Identification Number (PIN). Your PIN is assigned as part of the Provider Enrollment process and can be maintained via the AVR.

To learn more about the AVR system, the computer based training module AVR Overview is available on the Alaska Medicaid Learning Portal. You may also reference the Enterprise Quick Reference - AVR.


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