Alaska Department of Health and Social Services - Division of Health Care Services - Medicaid Section


Please Note

We are a service company that can help you file with the Alaska Department of Health and Social Services - Division of Health Care Services - Medicaid Section. We are not associated with this nor any other government agency. We offer paid services and software to help you file. You are not required to purchase our service to file - you may file directly with this agency without using our service.


Contact Information

Phone: (800) 770-5650

Web: Home File online

Licenses

We track the following licenses with the Alaska Department of Health and Social Services - Division of Health Care Services - Medicaid Section in order to provide compliance services to our clients. As a client, you see this and other Compliance Core™ data in License Manager in-line with your licenses.

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Alaska Medicaid Group Provider Enrollment

Agency:Alaska Department of Health and Social Services - Division of Health Care Services - Medicaid Section
Foreign Qualification is Prerequisite:No
Registered Agent (Special Agency) Required?No

Initial Registration

Form:

Group/Facility Provider Agreement and Tax Certification

Filing Method:

Mail or online.

Agency Fee:

$599

Turnaround:

4-6 weeks

Notes:
  • Providers that have already paid an application fee to Medicare or another state’s Medicaid or CHIP program do not need to pay the application fee.
  • There are additional fee exemptions. See Provider Application Fee FAQs for details.

Registration Renewal

Form:

Group/Facility Revalidation Application

Agency Fee:

$599

Due:

Every 3 or 5 years depending on the type of services provided. Revalidation applications must be submitted within 30 days of receiving a revalidation letter.

Related Government Agencies

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