# Alaska Online Public Notices #225360

Alaska Medicaid School-Based Services Coverage Updates

**Posted:** October 01, 2026
**Respond By:** October 31, 2026
**Identifier:** 225360

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.

[View original listing](https://aws.state.ak.us/OnlinePublicNotices/notices/View.aspx?id=225360)