Alaska Medicaid Reimbursement Rates 2027: Fee Schedules

Searching for Alaska Medicaid reimbursement rates 2027? Start here: Alaska doesn’t run on one universal payment rate. There’s no single number that covers every service.

Rates shift by service, provider type, procedure code, unit, and payment methodology. Alaska publishes separate rate charts for different corners of its Medicaid program, and mixing them up is one of the easiest billing mistakes to make.

There’s also a date trap worth knowing about. Alaska Medicaid FY2027 runs July 1, 2026 through June 30, 2027. So when someone searches “2027 Medicaid rates,” they’re often actually looking for a fiscal year that technically began in 2026.

Alaska Medicaid FY2027 Rates at a Glance

Service area	FY2027 rate resource	Effective period
Waiver services	FY27 waiver rate charts	From July 1, 2026
LTSS / Target Case Management	FY27 LTSS/TCM schedules	From July 1, 2026
Personal Care Services / CFC	FY27 PCS/CFC schedules	From July 1, 2026
Behavioral health	FY27 behavioral-health rate charts	From July 1, 2026
Autism services	FY27 autism rate schedule	From July 1, 2026
Psychologist services	FY27 provider-specific schedule	Check current state schedule

The Alaska Department of Health currently lists FY2027 behavioral health, autism, and other provider-specific rate resources. Its broader payment-rate library covers waiver services, LTSS/TCM, and PCS/CFC separately.

What Does FY2027 Mean for Alaska Medicaid?

FY2027 means State Fiscal Year 2027 — not the calendar year most people picture when they hear “2027.”

That distinction matters more than it sounds like it should. A provider hunting for a “2027 rate” might land on a document that took effect back on July 1, 2026, and never realize it.

Before you trust any rate document, check:

• Effective date
• Fiscal year
• Procedure code
• Modifier
• Service unit
• Provider type
• Coverage and authorization requirements

Don’t default to an old FY2026 schedule just because it’s the one that shows up first in your search results.

Is There One Alaska Medicaid Fee Schedule?

No. Alaska runs on multiple schedules and multiple payment methodologies at once. A physician chasing a CPT reimbursement rate needs a different resource than a provider billing for waiver services, behavioral health, personal care, autism treatment, or long-term services and supports. These aren’t interchangeable.

The Alaska Medicaid State Plan lays out separate payment methodology provisions for different care types — inpatient hospital, skilled nursing, intermediate care facility services, and more each get their own treatment.

Identify the service and provider type first. Then go find the schedule that actually applies to it.

Alaska Medicaid Reimbursement Rates by Service

Physician and Professional Services

Physicians, APRNs, physician assistants, and other professionals typically need procedure-specific reimbursement data — not a general overview.

For a CPT-based question, the code description alone won’t cut it. Check the setting, the modifier, provider qualifications, and the billing instructions tied to that specific code.

Alaska’s provider resources bundle together Medicaid fee schedules, billing manuals, forms, and other tools through its provider portal.

Behavioral Health and Mental Health

Behavioral health is one of the biggest reimbursement categories in the system, and it’s split into several distinct resources.

Alaska’s Department of Health publishes separate materials for Community Behavioral Health Services, Mental Health Physician Clinics, Behavioral Health Reform 1115 services, autism services, and independent psychologists. Current FY2027 resources include schedules effective July 1, 2026.

Mental-health providers, substance-use-disorder providers, psychologists, and other behavioral-health professionals will all find something relevant here — but not the same thing.

Waiver Services and HCBS

Alaska’s Medicaid waiver programs cover care coordination, supported living, habilitation, respite, and other home- and community-based services.

The correct rate depends on the specific waiver, the service, the procedure code, and the unit. Don’t assume a rate for one HCBS service transfers to another — it usually doesn’t.

LTSS and Targeted Case Management

Long-Term Services and Supports (LTSS) and Targeted Case Management (TCM) run on their own payment resources entirely.

These can connect to waiver or Community First Choice programs. Verify the current FY2027 chart directly rather than leaning on historical rates you’ve used before.

Personal Care Services and Community First Choice

Personal Care Services (PCS) and Community First Choice (CFC) have dedicated Medicaid rate resources too.

This matters a lot for providers delivering care in someone’s home or community. Alaska also publishes PCS/CFC forms and service-request materials — a reminder that reimbursement here is tied to service authorization and program requirements, not just a dollar figure on a chart. If you’re trying to figure out whether a beneficiary even qualifies before billing, the Alaska Medicaid income limits page is worth checking first.

Dental, Therapy, DME and Transportation

Other categories worth knowing about:

• Dental services
• Physical therapy
• Occupational therapy
• Speech therapy
• Laboratory services
• Durable medical equipment
• Medical transportation
• Nursing facility services
• Home health
• FQHC services

Payment methods differ across these categories, sometimes significantly. Use the Alaska Medicaid resource built for your specific service — borrowing a rate from a neighboring category is a mistake that shows up fast in denied claims.

How to Look Up an Alaska Medicaid Reimbursement Rate

Need an Alaska Medicaid CPT, HCPCS, or other procedure rate? Run through this:

1. Identify the provider and service

Figure out whether you’re dealing with a physician, therapist, psychologist, behavioral-health provider, waiver provider, PCS/CFC provider, dentist, or another category entirely.

2. Identify the billing code

Find the applicable CPT, HCPCS, CDT, NDC, or other procedure code for the service.

3. Find the FY2027 schedule

Go to the Alaska Department of Health’s current provider and payment-rate resources. The state maintains dedicated fee schedules and billing resources built for exactly this purpose.

4. Check the unit and modifier

Rates get listed per 15 minutes, per hour, per day, per month, per procedure — the unit changes the math entirely. Modifiers can shift how a service gets billed or reimbursed, too.

5. Check authorization and coverage rules

A published rate isn’t a guarantee. Coverage limitations, service authorization, documentation requirements, and provider enrollment status can all affect whether a claim actually pays out at that listed amount.

How Alaska Medicaid Sets Reimbursement Rates

Alaska doesn’t stick to one reimbursement methodology — it uses several, depending on the service in question.

Payment can involve fee schedules, Medicare-linked methodologies, cost-based approaches, rate studies, geographic adjustments, or other methods established through Medicaid rules and the State Plan.

The Office of Rate Review evaluates Medicaid payment methodologies and provider costs across the system. Its broader rate-review work weighs provider costs, geographic differences, and service-specific payment models against each other.

So no — it’s misleading to say every Alaska Medicaid rate simply follows one percentage bump each year.

Did Alaska Medicaid Rates Increase for FY2027?

Some FY2027 rates and methodologies changed. There was no single across-the-board increase applied to every service, though.

Alaska’s rate-review work includes service-specific FY2027 benchmarks. Published LTSS rate-evaluation materials, for instance, show proposed FY2027 benchmark rates moving differently from one service to the next — some up, some flat, some adjusted in other ways.

Behavioral-health resources follow the same pattern: service-specific schedules, not one universal Medicaid payment number.

Compare the exact service and procedure code before you decide whether something increased from FY2026 to FY2027. Anything less specific is guesswork.

Do Alaska Medicaid Rates Vary by Location?

Some Alaska Medicaid services do include geographic considerations — and given the size of the state, that’s not surprising.

Historical rate materials have factored in regional differences for areas like Anchorage, Fairbanks, Juneau, Kodiak, Bethel/Dillingham, the Arctic region, and the Aleutian region.

But don’t assume a geographic adjustment applies across the board. Check the FY2027 schedule and methodology for your specific service before you build that into your billing.

Alaska Medicaid Reimbursement vs. Medicare

Alaska Medicaid and Medicare are separate programs. Different rules, different payment logic, different everything.

Some Alaska Medicaid methodologies reference Medicare rates or Medicare-related benchmarks as a starting point. That doesn’t mean Alaska Medicaid pays the Medicare rate for every service — far from it.

The Alaska Medicaid State Plan holds the state’s formal payment methodologies. When you need to understand how a category actually gets paid, that’s the document to go to. If you’re comparing how Alaska stacks up against other states, this Medicaid reimbursement rates by state comparison is a useful next stop.

Common Billing Mistakes to Avoid

• Using an FY2026 rate for an FY2027 claim
• Confusing fiscal year 2027 with calendar year 2027
• Using the wrong provider-specific schedule
• Ignoring modifiers
• Confusing a per-unit rate with a total claim payment
• Overlooking authorization requirements
• Assuming every service has a standard fee-schedule rate
• Treating third-party rate databases as a substitute for the current official Alaska schedule
• Failing to verify the effective date
• Assuming a rate applies statewide when a geographic adjustment or different methodology applies

The Alaska Department of Health’s provider resources exist precisely to help providers avoid these traps — billing manuals, fee schedules, forms, and more, all in one place.

Official Alaska Medicaid Rate Resources

Start with the Alaska Department of Health, not a third-party database, if you want the most current numbers.

The department’s provider resources include fee schedules and billing information. Its behavioral-health provider page carries specialized FY2027 rate charts on top of that.

The Alaska Medicaid State Plan matters here too — it’s the document behind the formal methodology for any given payment category.

FAQs: Alaska Medicaid Reimbursement Rates

What are Alaska Medicaid reimbursement rates for 2027?

They vary by service, provider type, procedure code, and payment methodology. No single rate covers every Medicaid service in the state.

When do Alaska Medicaid FY2027 rates take effect?

Generally July 1, 2026, running through the fiscal year that ends June 30, 2027. Always confirm the effective date on the specific chart you’re using.

Where can I find the Alaska Medicaid fee schedule?

The Alaska Department of Health provides Medicaid provider resources, including fee schedules and billing information. Behavioral health and waiver services often have their own separate charts.

How do I look up an Alaska Medicaid CPT reimbursement rate?

Identify the CPT code, determine the provider/service category, locate the FY2027 schedule that applies, then check the unit, modifier, authorization, and billing instructions.

Does Alaska Medicaid use Medicare rates?

Some methodologies reference Medicare rates or benchmarks, but Alaska Medicaid doesn’t simply mirror Medicare reimbursement across every service. Check the applicable State Plan and service-specific methodology.

Are Alaska Medicaid reimbursement rates the same for every provider?

No. Service, provider type, procedure code, and methodology all drive differences in the rate.

What are Alaska Medicaid PCS and CFC rates?

PCS and Community First Choice have their own dedicated payment resources. Check the current FY2027 PCS/CFC schedule directly rather than estimating from another service.

Are Alaska Medicaid waiver rates different from regular Medicaid rates?

Yes, often. Waiver services can carry their own rate schedules and rules — confirm the specific waiver, service, procedure code, and unit before billing.

Can I use an old Alaska Medicaid fee schedule?

Only for historical comparison. Never assume it reflects the current FY2027 reimbursement amount — verify the effective date and the current official schedule every time.

Conclusion

Alaska Medicaid reimbursement rates 2027 aren’t one number you can memorize. They’re a web of service- and provider-specific schedules, and the providers who avoid billing headaches are the ones who check the right chart before they submit anything.

Identify the provider type, the service, the billing code, and the schedule that actually applies. Then verify the effective date, unit, modifier, and authorization requirements — every single time, even for services you bill often.

Official Resources

• Check Current Fee Schedules — Alaska Dept. of Health
• Verify Your State Plan Rules — Medicaid.gov
• Find Provider Billing Manuals — Alaska Medicaid Provider Portal
• See National Rate Comparisons — CMS.gov

Disclaimer: Medicaid rates and billing rules in Alaska shift more often than people expect. Treat this article as a starting point, not the final word — the Alaska Department of Health’s current fee schedule, official regulations, and provider guidance always take precedence over anything written here.