Medicaid Eligibility: Process and Program Requirements
In Alaska, there are several ways to pay for services that can be provided in your home. Medicaid is the primary payment source for many individuals. The services vary in each community depending on your needs and the availability of providers in your specific location. This section will provide information regarding the Alaska Medicaid application process. This is reference information.
Medicaid is provided through the State of Alaska Department of Public Assistance (DPA) with money that is matched by the State of Alaska with U.S. Federal Government funding. The Medicaid program is one of many entitlement programs that are based on an individual’s income, assets, demographics, and level of need. Medicaid is a health insurance program to assist with medical expenses.
Medicaid Application Process
Be sure to prepare before applying:
- Bank statements for all accounts for the last 6 months, DPA can ask for up to last five years.
- Income verification letters/paystubs from all sources of unearned and earned Income
- ID Card, Birth Certificate, passport
- Immigration or naturalization documents
- Medicare Card, medical bills
- Bills for childcare, shut-off notices, child support obligations
To Apply:
1. Application for Medicaid using form GEN50C Application for Services , Elders and applicants with disabilities are encouraged to use the paper application. Medicaid can be applied for online through www.heathcare.gov, through www.my.alaska.gov through the ARIES Self-Portal under individual services, or by phone eligibility at 1-800-478-7778. The application process requires the completion of a phone interview with the staff at the Division of Public Assistance.
2. Prepare for your phone interview. DPA will mail a notice to you with a date and time for a scheduled interview. It is critical not to miss this appointment. A missed appointment may mean that you will have to start the process over again to apply for benefits.
Tips when Applying:
- Complete as much information as possible in the application.
- Submit, if possible, back up documentation outlined on page two of the application, ID card, banking statements, income verification letters etc. If not submit what you can with the application and gather records prior to your interview.
- Watch for the interview letter in the mail. Make sure to keep the appointment via the phone number listed in the letter or call to make changes prior to the appointment. Missing the interview is a direct denial of services.
- Keep a watch on the mail for letters. If the letter is confusing seek support via the ADRC, Case managers, social workers, navigators etc. in your community.
- Follow up to send any additional information in a timely manner. Often, DPA will request additional bank statements or ask to clarify a large purchase with receipts/explanation.
- If denied, you can Appeal. You must follow the instructions on your denial letter. Alaska Legal Services and/or Disability Law Center can assist with appeals and the creation of Miller Trust documents, if needed.
The Medicaid Program is made of several smaller programs based on your specific needs.