Alaska Online Public Notices #2026200279

Alaska Medicaid Regulatory Update for School-Based Services (FY2027 Fee Schedule)

• The Alaska Department of Health is proposing regulatory changes to Medicaid coverage for school-based services, implementing HB344 (2024).
• The amendments remove the requirement for an Individualized Education Program (IEP) or documented disability for children to receive Medicaid coverage for school-based services.
• Affected regulations include Title 7 of the Alaska Administrative Code (7 AAC 115, 7 AAC 145, 7 AAC 160.900), updating billing requirements and adopting the FY2027 Fee Schedule for School-Based Services.
• Covered services include:
  • Physical therapy (e.g., splint applications, therapeutic exercises, evaluations)
  • Occupational therapy (e.g., sensory integration, self-care management, wheelchair training)
  • Speech-language pathology (e.g., speech/hearing therapy, device evaluations, swallowing function assessments)
  • Hearing services (e.g., audiometry, cochlear implant follow-ups, hearing tests)
  • Behavioral health services (e.g., emotional support, behavior management, crisis response, psychoeducational services, psychological and neuropsychological testing)
  • Medication services (e.g., medication administration, training, and support by licensed nurses)
• Services are defined by CPT codes and maximum allowable rates in the FY2027 Fee Schedule, with no specific quantities or part numbers for procurement.
• Services must be medically necessary and provided under a current treatment plan unless an IEP exists or the service is an evaluation, screening, assessment, or medication.
• The notice is for regulatory change and public comment, not a solicitation for goods or services.

Government Buyer: - Alaska Department of Health - Alaska Medical Assistance (for fee schedule administration)

OEMs and Vendors: - No specific OEMs or commercial vendors are named; services are provided by licensed healthcare professionals and school-based providers.

Products/Services Requested: - Comprehensive list of school-based health services, each defined by CPT codes (see attachment for full list) - Examples include: Apply long arm splint (29105), Speech/hearing therapy (92507), Pure tone hearing test (92551), Psychological test evaluation (96130), Medication administration (H0033)

Unique/Notable Requirements: - Removal of IEP/disability requirement for Medicaid coverage - Adoption of updated fee schedule for school-based services - Services must be medically necessary and under a treatment plan unless exempted - Detailed CPT codes and maximum allowable rates provided for transparency and billing - No procurement of goods; regulatory change only

Description

The Department of Health in Alaska proposes regulatory changes to Medicaid coverage for school-based services to implement HB344 (2024). The changes remove the requirement for an Individualized Education Program (IEP) or documented disability for children to receive Medicaid coverage for these services. Amendments include revisions to Title 7 of the Alaska Administrative Code, updates to billing requirements, and adoption of the FY2027 Fee Schedule for School-Based Services. Public comments are invited until November 23, 2026, with a public hearing scheduled for November 16, 2026, via Zoom.

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