How to become a Medicaid provider in Alaska
To bill Alaska Medicaid, enroll through Alaska Medicaid Health Enterprise portal (online provider enrollment), run by HMS Gainwell. The process has 6 steps, listed below with the documents the state asks for.
- Enrollment portal
- Alaska Medicaid Health Enterprise portal (online provider enrollment)
- Steps
- 6
- Documents
- 7
- Plans listed
- —
On this page
Alaska Medicaid enrollment at a glance
To bill Alaska Medicaid, enroll through Alaska Medicaid Health Enterprise portal (online provider enrollment), run by HMS Gainwell. The process has 6 steps, listed below with the documents the state asks for.
- Program
- Alaska Medicaid (Alaska Medical Assistance)
- Fiscal agent
- HMS Gainwell (Gainwell Technologies) — provider enrollment and fiscal agent services; the Health Enterprise MMIS is a Conduent system
- Application fee
- Alaska requires group providers and sole proprietors to pay the application fee (with an attestation form) at enrollment and again at revalidation, subject to the federal exceptions; a hardship waiver can be requested with a justification letter and financial records. Federal rule (42 CFR 455.460): the state must collect the CMS application fee from institutional providers that are newly enrolling or re-enrolling; individual physicians and non-physician practitioners are exempt, as are providers already enrolled in (or that already paid the fee to) Medicare or another state's Medicaid/CHIP. CMS set the fee at $750 for calendar year 2026.
- Fingerprinting
- Federal rule (42 CFR 455.434, 455.450(c)): providers the state places in the 'high' categorical risk level, and anyone owning 5% or more of such a provider, must submit fingerprints for a criminal background check.
- Site visit
- Alaska applies pre- and post-enrollment site visits to moderate- and high-risk group providers and sole proprietors at enrollment, revalidation and service-location changes; the site-visit date feeds into the enrollment effective date. Federal rule (42 CFR 455.432, 455.450(b)-(c)): the state must do site visits before and after enrollment for providers in the 'moderate' or 'high' risk levels, and any enrolled provider must allow unannounced on-site inspections.
- Revalidation
- Alaska sets each provider's revalidation timing by its risk level; providers that miss their due date have payments held until the revalidation is processed. Federal rule (42 CFR 455.414): every enrolled provider must be revalidated at least once every 5 years.
- Provider manual
- Provider manual
Steps
- Obtain an NPI and (for in-state entities) an Alaska business license
- Enroll each service location online through Alaska Medicaid Health Enterprise as an individual or group provider
- Sign the provider agreement and any provider-type addenda or attestations
- Pay the application fee with the attestation form if a group or sole proprietor (unless exempt)
- Answer the exclusion/sanction questions and complete any required site visit
- Receive a Medicaid contract ID and welcome letter; request backdating within 30 days if needed
Documents the state asks for
Joining managed-care plan networks
- Credentialing
- Alaska Medicaid is fee-for-service: the Department of Health pays enrolled providers directly and does not contract with managed care organizations, so there are no plan networks to credential with. Centralized credentialing: not applicable.
Frequently asked questions
How do I become a Medicaid provider in Alaska?
To bill Alaska Medicaid, enroll through Alaska Medicaid Health Enterprise portal (online provider enrollment), run by HMS Gainwell. The process has 6 steps, listed below with the documents the state asks for.
Is there an application fee to enroll in Alaska Medicaid?
Alaska requires group providers and sole proprietors to pay the application fee (with an attestation form) at enrollment and again at revalidation, subject to the federal exceptions; a hardship waiver can be requested with a justification letter and financial records. Federal rule (42 CFR 455.460): the state must collect the CMS application fee from institutional providers that are newly enrolling or re-enrolling; individual physicians and non-physician practitioners are exempt, as are providers already enrolled in (or that already paid the fee to) Medicare or another state's Medicaid/CHIP. CMS set the fee at $750 for calendar year 2026.
How often must Alaska Medicaid providers revalidate?
Alaska sets each provider's revalidation timing by its risk level; providers that miss their due date have payments held until the revalidation is processed. Federal rule (42 CFR 455.414): every enrolled provider must be revalidated at least once every 5 years.