Alaska Online Public Notices #225360

Alaska Medicaid School-Based Services Coverage Updates

The Alaska Department of Health is proposing updates to Medicaid coverage rules for services provided to students in school settings. - Government buyer: State of Alaska, Department of Health; the notice identifies the Department’s Commissioner’s Office in Anchorage. - Opportunity type: Public comment on a proposed Medicaid State Plan Amendment, not a procurement or contract solicitation. - Proposed coverage clarifications: Medically necessary services delivered to Medicaid-enrolled students by qualified practitioners may be eligible for reimbursement when provided under an IEP, IFSP, Section 504 Plan, or another individualized health or behavioral health plan. - Clarifies EPSDT coverage for physical, occupational, and speech therapy in applicable school settings. - Addresses potential reimbursement for qualifying services not tied to an IEP. - Policy basis: House Bill 343 (2023). - Funding impact: The notice estimates no federal or state funding impact for either of the two identified state fiscal years. - OEMs, vendors, products, and contract services: None identified.

Description

The Alaska Department of Health intends to seek CMS approval for a Medicaid State Plan Amendment with a January 1, 2027 effective date. The amendment revises specified sections of the Medicaid State Plan and clarifies reimbursement eligibility for medically necessary services delivered in school-based settings to Medicaid-eligible students by qualified practitioners. It also clarifies EPSDT provisions for certain therapies and qualifying services not related to an IEP. The notice invites public comments through 5:00 PM on October 30, 2026; estimated costs for SFY 2027 and SFY 2028 are $0 in federal funds and $0 in state funds.

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