Alaska Medicaid — Alaska Medicaid (DenaliCare)
| Program name | Alaska Medicaid (DenaliCare) |
|---|---|
| Provider portal | https://medicaidalaska.com |
| FFS claims payer ID | No single canonical ID — routing is fiscal-intermediary-specific. Verify per clearinghouse. |
| Medicaid timely filing | 365 days from date of service |
The federal ceiling for Medicaid timely filing is 12 months under 42 CFR §447.45; most states set a shorter window. Always verify the current policy on the Alaska Medicaid provider portal before filing a late-billing appeal.
BCBS licensee in Alaska
The Blue Cross Blue Shield Association licensee in Alaska is Premera Blue Cross Blue Shield of Alaska. This licensee is not yet in the QuickIntell payer registry. See the full payer directory or the BCBSA national site for a provider-portal link.
Top commercial payers in Alaska
The dominant commercial insurers operating in Alaska, in approximate order of lives covered. Click through for per-payer claims payer IDs, timely filing windows, prior-authorization rules, and appeal procedures.
Medicaid MCOs in Alaska
Alaska Medicaid MCO data has not yet been populated in the registry.
Medicare contractor and active LCDs in Alaska
Noridian Healthcare Solutions, LLC is the Medicare A/B MAC for Alaska: Part A and Part B fee-for-service claims from Alaska go to it, and its Local Coverage Determinations decide local medical necessity. Durable medical equipment and supply claims go to Noridian Healthcare Solutions, LLC as the DME MAC. Home health and hospice claims are processed by Wellpoint Federal. In the current Medicare Coverage Database export, 171 active LCDs from these contractors apply to Alaska claims.
- Noridian Healthcare Solutions, LLC
A/B MAC (Part A and Part B claims); DME MAC (durable medical equipment and supplies)
- Wellpoint Federal
Home health and hospice MAC
Selected active Noridian Healthcare Solutions, LLC policies for Alaska
A selection, not the full list: policies with measured search demand come first, then those on topics that more contractors publish LCDs for.
- L38814 MolDX: Minimal Residual Disease Testing for Cancer
- L39240 Epidural Steroid Injections for Pain Management
- L38902 Wound and Ulcer Care
- L34211 Trigger Point Injections (TPI)
- L35526 B-type Natriuretic Peptide (BNP) Testing
- L38709 Computed Tomography Cerebral Perfusion Analysis (CTP)
- L40255 Temporary Nontherapeutic Ambulatory Cardiac Monitoring Devices
- L34194 Blepharoplasty, Eyelid Surgery, and Brow Lift
- L34215 Lab: Flow Cytometry
- L35136 Spinal Cord Stimulators for Chronic Pain
- L36538 Treatment of Males with Low Testosterone
- L36678 Lab: Bladder/Urothelial Tumor Markers
Equipment, home health and hospice policies that apply in Alaska
- L33822 Glucose Monitors
- L33789 Power Mobility Devices
- L33318 Knee Orthoses
- L33686 Ankle-Foot/Knee-Ankle-Foot Orthosis
- L33718 Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea
- L33792 Wheelchair Options/Accessories
- L33797 Oxygen and Oxygen Equipment
- L33393 Hospice - Determining Terminal Status
Steps to confirm which LCD governs a claim · Every active LCD by contractor
State-specific regulations affecting Alaska billing
- AS §21.36.905 (Alaska Balance Billing / OON protections, 2023 updates)
- AS §21.36.125 (unfair claim settlement practices — prompt pay 30 days clean claim)
- AS §47.07.036 (Alaska Medicaid — copayment, coverage, and claim appeal)
Provider licensing & enrollment in Alaska
Providers enroll via Alaska Medicaid Health Enterprise (AKMHE) Conduent portal. Tribal health claims route through IHS-contracted facilities.
Major health systems headquartered in Alaska
| Health system | Headquarters |
|---|---|
| Providence Alaska Medical Center | Anchorage, AK |
| Alaska Native Medical Center (ANTHC / Southcentral Foundation JV) | Anchorage, AK |
| Alaska Regional Hospital (HCA) | Anchorage, AK |
| Mat-Su Regional Medical Center (LifePoint) | Palmer, AK |
| Fairbanks Memorial Hospital (Banner Health) | Fairbanks, AK |
Frequently asked questions — Alaska billing
What is the Alaska Medicaid program called?
Alaska's Medicaid program is known as Alaska Medicaid (DenaliCare). Providers enroll and manage claims through the provider portal at https://medicaidalaska.com.
What is the Alaska Medicaid timely filing limit?
Alaska Medicaid (DenaliCare) requires initial claims to be filed within 365 days from the date of service. The federal ceiling is 12 months under 42 CFR §447.45; Alaska's 365-day window is set by the state provider manual. Late-billing exceptions may be allowed with good-cause documentation — verify on the state portal before filing an appeal.
Does Alaska Medicaid publish a single claims payer ID?
No single canonical claims payer ID is published for Alaska Medicaid (DenaliCare). Claims route through the state's fiscal intermediary; look up the correct submitter ID in your clearinghouse directory (Availity, Change Healthcare/Optum, Waystar) and route managed-care claims by the member's MCO assignment.
Who are the largest commercial insurers in Alaska?
The dominant commercial payers in Alaska include Aetna, UnitedHealthcare, Cigna, Humana, Regence, along with the BCBS licensee Premera Blue Cross Blue Shield of Alaska. Each payer's claims routing, timely filing, and prior-auth rules differ — see the per-payer guides linked above.
What Medicaid managed-care organizations operate in Alaska?
Alaska Medicaid MCO data has not yet been populated in the registry. Consult the state Medicaid portal for the current MCO roster.
What state-specific billing regulations apply in Alaska?
Alaska has 3 tracked state-level statutes that affect medical billing and RCM: AS §21.36.905 (Alaska Balance Billing / OON protections, 2023 updates); AS §21.36.125 (unfair claim settlement practices — prompt pay 30 days clean claim); AS §47.07.036 (Alaska Medicaid — copayment, coverage, and claim appeal). These sit on top of federal protections such as the No Surprises Act, HIPAA, and 42 CFR §447.45.
Run cleaner claims in Alaska with QuickIntell
QuickRCM, QuickAuth, and QuickERA are tuned to Alaska Medicaid (DenaliCare) and the commercial payers on this page — eligibility, prior auth, claim scrubbing, and ERA posting all run on real payer rules, not generic adapters.
Disclaimer
This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. State Medicaid policies, MCO contracts, and payer rules change without notice — always verify against the current provider manual from Alaska Medicaid and the member ID card before submission.