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Department of Health (State of Alaska)·Alaska

NOTICE OF PROPOSED CHANGES ON MEDICAID COVERAGE FOR SCHOOL-BASED SERVICES.

Closes 11/23/2026$500k – $5MRequest for Information
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Description

The Alaska Department of Health is proposing amendments to Title 7 of the Alaska Administrative Code to expand Medicaid coverage for school‑based health services. The changes remove the requirement that a child have an Individualized Education Program (IEP) or documented disability to qualify, allowing any Medicaid‑eligible student to receive services if the service is listed on the student’s current treatment plan (or if it is an evaluation, screening, assessment, or medication service). The rule revisions also update billing nomenclature, align fee schedules with the State Fiscal Year 2027 fee schedule, and clarify provider scope‑of‑practice requirements for physical, occupational, speech‑language, hearing, behavioral health, and medication services delivered in schools. Public comments are accepted until November 23 2026, with an oral hearing on November 16 2026 via Zoom. • Expands Medicaid eligibility for school‑based therapies, assessments, and medication services. • Removes the IEP/disability prerequisite; eligibility based on Medicaid status and treatment plan. • Updates payment rates to reference the FY 2027 fee schedule (max 85 % of standard rates). • Clarifies provider licensing and scope‑of‑practice for PT, OT, SLP, audiology, behavioral health, and nursing staff. • Public comment period: Sep 15 2026 – Nov 23 2026; oral hearing Nov 16 2026 (Zoom).

Attached files

Contact

Sarah Dahlen(Division of Health Care Services)

[email protected]

(907) 310-2769

Key dates

Opened
9/15/2026
Closes
11/23/2026

Last updated

Details

Type
Request for Information
Industry
Healthcare and Medical Services
NAICS
621999
Solicitation №
2026200279

Budget estimate

$500,000 – $5,000,000

No direct contract award or fee is listed. However, the rule will affect reimbursement for school‑based services statewide. Assuming an average of 1,200 school districts in Alaska, each providing an average of 500 billable service units per year at an average Medicaid rate of $80 per unit, annual Medicaid budgets could range from roughly $48 million to $120 million. The client (e.g., a health‑service provider or consulting firm) could capture a portion of this through billing or advisory contracts, plausibly earning between $500 k and $5 M annually depending on market share and service mix.

AI estimate from the solicitation

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