Section 1115 Waiver Update e-Memo
Alaska Department of Health sent this bulletin at 12/16/2021 09:55 AM AKSTDear 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 https://manuals.medicaidalaska.com/docs/dnld/Form_Update_Provider_Information.pdf
If you have any additional questions, please email the MPASSunit@alaska.gov.
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.
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