Alaska Medicaid Beginner’s Guide

Medicaid is both a federal and state-funded program for individuals and families with low income. Eligibility and benefits can change slightly in each state. This guide can help you determine what you are eligible for if you live in Alaska.

Click below to learn more about Alaska Medicaid:

• Alaska Medicaid Coverage
• Alaska Medicaid Eligibility
• How to Apply for Medicaid in Alaska
• Get Both Medicare and Medicaid at the Same Time in Alaska

Alaska Medicaid Coverage

Alaska Medicaid covered services are generally limited to what is medically necessary. Typically, Alaska Medicaid covers: 

• Ambulatory surgeries
• Breast and cervical cancer checkups
• Chiropractic services
• Community behavioral health services
• Dental
• Dialysis/ESRD
• Emergency
• Family planning
• Hearing
• Home health
• Hospice
• Hospital services
• Labs and X-rays
• Long-term care facilities
• Medical equipment and supplies
• Mental health services
• Nutrition
• Personal care
• Physicians and registered nurses
• Podiatry
• Pregnancy/postpartum
• Prescription drugs*
• Private-duty nursing
• Rural health clinics
• School-based services
• Therapy (physical, occupational, speech-language)
• Travel for non-emergency medical services
• Vision
• Well-child exams (medical, dental, vision)

*If you have both Medicare and Medicaid, your prescription drug coverage will come from Medicare instead of Medicaid. You should not owe a premium or deductible for Medicare Part D.

Denali Care

Denali KidCare is for kids through age 18 and pregnant women who meet the income guidelines. Applications will be reviewed every 12 months. You can apply for Denali Care in the same way that you would apply for Alaska Medicaid. Effective 4/19, the income requirements for Denali Care can be found here: http://dhss.alaska.gov/dhcs/Documents/denalikidcare/applicationsdenalikidcare/dkc_income_guidelines.pdf.

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Alaska Medicaid Travel Benefits

Medicaid may cover your transportation if your tests or treatment are not available locally. To start, your local doctor will have to refer you and call First Health to get authorization. Once you have authorization from Medicaid, you can call the Alaska State Travel Office at 1-800-514-7123 to schedule your trip. Always remember to bring your Medicaid ID card when you travel for health services.Back to Top

Alaska Medicaid Eligibility

Eligibility for Alaska medical assistance programs is based largely on your income level and household size. If you have low income and are unable to pay your medical bills, it may be worth applying to find out if you are eligible. Applying is the only way to know for sure.

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Alaska CAMA

If you don’t quite meet the Alaska Medicaid eligibility requirements, but you have little income and lack health insurance, you might qualify for CAMA. CAMA provides identification cards or “coupons” that you can give to your doctor. The “coupon” explains what services are covered. The doctor has to be enrolled with Social Services, and you will owe $1 copayments for drugs and medical supplies.

To apply for CAMA, visit your nearest public assistance office (see our list below!) with proof of your income and assets.

You can get CAMA if:

• You are a U.S. citizen or legal alien
• You have no health insurance
• You have low income and limited resources* and cannot earn more than:
  • $300/month for one person
  • $400/month for two people
  • + add $100/month for every extra family member
• You have a qualifying, doctor-confirmed chronic condition, such as:
  • A terminal illness
  • Cancer requiring chemotherapy
  • Chronic diabetes/diabetes insipidus
  • Chronic seizure disorders
  • Chronic mental illness
  • Chronic hypertension

*Resources cannot total more than $500 and do not include your home, single vehicle, property, etc. but includes cash, bank accounts, and other personal property.

How to Apply for Medicaid in Alaska

You can apply for Alaska Medicaid online at either healthcare.gov or my.alaska.gov. You can also complete a paper application and then either send it in by mail, fax it to an office, or bring it to your local public assistance office. There is a list of Alaska public offices at the bottom of the application, or you can scroll down to “Alaska Medicaid Offices” below.

Alaska Medicaid Portal and myAlaska

The Alaska Medicaid Health Enterprise Portal is a place where doctors, patients, pharmacists, and other users can review their Alaska healthcare information. To be able to register, you must first be accepted to the Alaska Medicaid program, and you must have received a Medicaid ID number. You will also need your Social Security Number or tax ID number to register.

myAlaska is a different tool. You can use myAlaska to apply for various programs in the state.

Alaska Medicaid Offices

You can apply for Alaska Medicaid at any of the following public assistance offices:

BETHEL

P.O. Box 365

560 Ridgecrest Dr., Ste. 121

Bethel, AK 99559

907-543-2686 / FAX: 907-543-2650

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FAIRBANKS

675 7th Ave., Station E

Fairbanks, AK 99701

907-451-2850 / FAX: 451-2923

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GAMBEL

400 Gambel St.

Anchorage, AK 99501

907-269-6599 / FAX: 907-269-6520

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HOMER

3670 Lake St., Ste. 200

Homer, AK 99603

907-226-3040 / FAX: 907-235-6176

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JUNEAU

P.O. Box 110642

10002 Glacier Hwy, Ste. 201

Juneau, AK 99801

907-465-3537 / FAX: 907-465-4657

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KETCHIKAN

2030 Sea Level Dr., Ste. 301

Ketchikan, AK 99901

907-225-2135 / FAX: 907-247-2135

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KODIAK

211 Mission Rd., Ste. 101

Kodiak, AK 99615

907-486-3783 / FAX: 907-486-3116

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MULDOON

1251 Muldoon Rd., Ste. 111B

Anchorage, AK 99504

907-269-0001 / FAX: 907-269-0070

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NOME

P.O. Box 2110

214 E. Front Street

Nome, AK 99762

907-443-2237 / FAX: 907-443-2307

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SITKA

304 Lake St., Ste. 101

Sitka, AK 99835

907-747-8234 / FAX: 907-747-8224

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WASILLA

855 W. Commercial Dr.

Wasilla, AK 99654

907-376-3903 / FAX: 1-877-357-2538

Get Both Medicare and Medicaid at the Same Time in Alaska

In 2017, the Kaiser Family Foundation reported that over 184,000 people in Alaska had Medicaid, and 55% of those people were elderly and disabled. If you qualify for Medicare based on your age or disability status (and also qualify for Alaska Medicaid), you might qualify for a Dual-Eligible Medicare Advantage Special Needs Plan, or DSNP. DSNPs can provide coverage for additional services and often come at no or very little cost.

You can qualify for Medicare by:

• Turning 65
• Getting diagnosed with ALS
• Getting diagnosed with ESRD
• Entering your 25th month of SSDI

Think you’re eligible for both programs? Give us a call at 833-567-3163 for help finding a Special Needs Plan near you.