Your Comprehensive

Alaska Medicaid

Guide

Published on
January 10, 2024
Last updated
January 10, 2024
Written by
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Katie Wilkinson
Reviewed by
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Quick Overview of Alaska Medicaid

Medicaid is a healthcare program that offers medical coverage to Alaskans with low incomes. The program assists low-income children, pregnant women, families, adults without dependent children between the ages of 19 and 64, the elderly, the blind, and the permanently disabled. There is no time limit for enrollment, and many working families may be eligible for assistance. The Division of Public Assistance is responsible for determining the eligibility criteria for Medicaid.

Benefits you get with Alaska Medicaid

The covered services under Alaska Medicaid include:

  • Ambulatory Surgical Center services
  • Behavioral health services
  • Community behavioral health services
  • Inpatient psychiatric hospital and residential psychiatric treatment services
  • Breast and cervical cancer checkups
  • Chiropractic services (for both children and adults)
  • Community first choice program
  • Dental services (for both adults and children)
  • Orthodontia
  • Dialysis/end-stage renal disease
  • Emergency care
  • Family planning services and supplies
  • Hearing services (for both adults and children)
  • Repairs and replacements (related to hearing services)
  • Home and community-based waiver services
  • Home health services
  • Hospice care
  • Hospital services
  • Lab/X-ray services
  • Long-term care facilities
  • Medical equipment and supplies (including durable medical equipment and prosthetic devices)
  • Home infusion therapy
  • Respiratory therapy assessment visits
  • Nutrition services
  • Personal care services
  • Pharmacy services (including prescription drugs and related copayments)
  • Physician and advanced practice registered nurse services
  • Podiatry services
  • Pregnancy and postpartum care
  • Private duty nursing (for both adults and children)
  • Rural health clinics and federally qualified health center services
  • School-based services
  • Surgery
  • Therapy services (including physical, occupational, and speech-language therapy)
  • Non-emergency travel (including local ground transportation, EPSDT transportation, and travel outside your home community)
  • Vision services

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Alaska Medicaid eligiblity rules

Eligibility for Medicaid in Alaska encompasses various groups:

Medicaid Expansion

This covers Alaskans ages 19 to 64 not eligible for other Medicaid types and have incomes below 138% of the Federal Poverty Level.

Family Medicaid

Aimed at low-income families with dependent children.

Denali KidCare (DKC)

Offers comprehensive health care for:

  1. Adults: Postpartum care for pregnant women meeting income guidelines.
  2. Children and Teens: Health care coverage for those under age 18, based on family or parent income guidelines.

Ladies First Breast and Cervical Cancer Program

For women screened by a Ladies First provider and diagnosed with a precancerous condition or cancer of the breast or cervix, meeting specific income guidelines.

Long-Term Care

For recipients needing nursing care in facilities such as skilled nursing facilities (SNF), intermediate care facilities (ICF), or facilities for individuals with intellectual and developmental disabilities (IDD).

Home and Community-Based Waiver Services (HCBW)

Covers additional services for individuals in groups like the aged, physically disabled, intellectually and developmentally disabled, and children with complex medical conditions.

TEFRA (Disabled Children at Home)

For disabled children ineligible for SSI cash assistance due to parental income, based on the child's income and need for a specific level of care.

Adult Public Assistance Related Medicaid

For needy, aged, blind, and disabled persons receiving adult public assistance (APA), including those 65 or older or with a severe, long-term disability.

Under 21 Medicaid

Provides health care coverage for individuals aged 19 to 21 who meet income and resource guidelines but don't qualify under other Medicaid categories.

Chronic and Acute Medical Assistance Program (CAMA)

For Alaskans aged 21 to 65 not eligible for Medicaid but needing help with specific illnesses like terminal illness, cancer requiring chemotherapy, diabetes, chronic hypertension, mental illness, or seizure disorder. CAMA covers physician services, limited prescriptions, and certain medical supplies for covered conditions.

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How to apply for Alaska Medicaid

To apply, visit my.Alaska.gov and use the ARIES Self-Service Portal. You can also apply over the phone through the Virtual Contact Center at 800-478-7778.

Alternatively, Complete a paper Application for Services and send it by mail, fax, email, in-person/lobby drop box, direct secure messaging (requires a DSM account), or through a fee agent.

How to renew Alaska Medicaid

Starting April 1, 2023, Alaska resumed its pre-pandemic process for annual Medicaid renewals, requiring recipients to reconfirm their eligibility.

To ensure continuous coverage, individuals must update their contact information with the Division of Public Assistance, mainly if there have been changes in the past three years. This can be done online through the Medicaid Information Update Form or by calling the Medicaid Information Update Hotline at 833-441-1870.

Additionally, recipients should watch for a letter from the Division in the next 12 months, indicating either renewal confirmation or the need for a response. If a renewal form is received, it should be completed and returned promptly.

Additional programs through Alaska Medicaid

These programs are available to help family caregivers get paid for caring for loved ones on Alaska Medicaid.

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