Section 1115 Waiver Update e-Memo

Dear Alaska Medicaid Provider,

The Division of Behavioral Health would like to issue a friendly reminder to report ANY changes in the information provided on your Alaska Medicaid enrollment application within 30 days of the change. As per your provider enrollment agreement, this includes but is not limited to, business name, ownership, servicing, billing, or mailing address, phone number, staffing, affiliations, credentials, etc.  Please notify Conduent Provider Enrollment in writing of any changes to your enrollment information by filling out the Alaska Medical Assistance Update Provider Information form found here


If you have any additional questions, please email the


Dear Provider,

This e-mail has been generated by staff from the Division of Behavioral Health. Please do not reply to this e-mail as replies are not monitored.