Alaska
LLC
Website link to register:
https://www.commerce.alaska.gov/web/cbpl/Corporations.aspx
Naming conventions
Certain words like “Bank” or “Trust” require regulatory approval.
Must include “Limited Liability Company,” “LLC,” or “L.L.C.” PLLCs are required for licensed professionals and must include “PLLC.”
Licensing Requirements
Professional licenses are required for all members. Apply through the Alaska Medical Board. Proof of malpractice insurance required. Additional permits for dispensing medications may be needed.
Required documentation for medical practices
Articles of Organization, Proof of Insurance, Facility Permits, Professional Licenses
Filing Fee: $250
Annual/Biennial Fee: $100 (Biennial)
Additional Notes: Biennial report due January 2 every other year.
Medicaid
Program Name: Alaska Medicaid
Official Website: http://dhss.alaska.gov/dpa/Pages/medicaid/default.aspx
Legislation: Alaska does not have specific legislation defining or regulating Direct Primary Care (DPC) agreements.
Private Contracting
Permitted for non-Medicaid-covered services. For covered services, subject to state and federal regulations.
Restrictions
No explicit state-level restrictions on DPC practices working with Medicaid families; federal requirements apply.
Medicaid Program
Alaska Medicaid provides health coverage to eligible low-income residents, including children.
Notification Requirements
Written notification advised but not explicitly required.
Provider Enrollment Requirements
Providers must enroll in Medicaid to order, refer, or prescribe services to Medicaid beneficiaries.
Enrollment Options
No "Ordering and Referring Only" status available.
Ordering, Referrals, and Testing
Non-enrolled DPC physicians may face challenges with Medicaid recognition of orders and referrals.
Designated PCP Restrictions
DPC physicians cannot be designated PCPs for Medicaid patients.
Billing and Reimbursement
DPC practices do not bill Medicaid for services under direct agreements. Billing for covered services must follow Medicaid policies.
Managed Care Plan Exemptions
Not specified.
Billing Clarity
Cannot bill Medicaid patients for covered services unless documented consent is obtained.
CMS Guidance
CMS guidelines emphasize streamlined enrollment processes.
Opportunities for Collaboration
Collaboration opportunities may exist with Managed Care Organizations (MCOs) or other healthcare initiatives.
State-Specific Notes
Collaboration opportunities exist with Medicaid Managed Care Organizations.
Dispensing Medication
Board of Pharmacy Official Link: https://www.commerce.alaska.gov/web/cbpl/ProfessionalLicensing/BoardofPharmacy.aspx
State Licensing
Physicians may dispense medications with proper state licensure; controlled substances require DEA registration.
Scope of Practice
Physicians may dispense medications directly within their scope of practice.
Inventory Management
Maintain accurate medication logs and ensure secure storage.
Record-Keeping
Detailed records must be maintained and available for inspections.
Dispensing Standards
Labels should include patient name, medication, and dosage instructions.
Controlled Substances
DEA registration required for controlled substances. Mandatory reporting to the Alaska PDMP.
Billing and Reimbursement
Billing regulations must comply with state and federal anti-kickback laws.
Federal Compliance
Compliance with federal regulations, including FDA, DEA, and OSHA standards.
State Pharmacy Laws
Physicians dispensing controlled substances must register with state and federal agencies.
Patient Consent
Patient consent is required, especially for controlled substances.
Insurance and Liability
Liability insurance must include coverage for any risks associated with dispensing.
Training Requirements
Continuing education is encouraged for dispensing medications and controlled substances.
Audits and Inspections
Inspections are conducted by state medical boards, with penalties for non-compliance.