top of page
Search


Billing Model Transition Notice | Effective April 1, 2026
Over the past several years, maternity reimbursement structures have shifted significantly, particularly with the transition away from global maternity billing toward individual claim billing models. These changes increase claim volume, payment posting complexity, statement processing, and secondary insurance coordination. To ensure long-term sustainability, regulatory clarity, and fair alignment between administrative workload and compensation, I will be transitioning from a

Emily Pasternak
Feb 272 min read


Global Maternity Care Eliminated in 2027
Critical Billing Changes for Midwives & Maternity Providers Updated February 2026 1. Introduction This bulletin provides essential guidance on upcoming changes in maternity billing practices for providers in Alaska, effective January 1, 2027 . The traditional global obstetric billing model used in the United States is being restructured , and providers must understand how to prepare for the transition to ensure accurate claims and fair reimbursement. 2. What’s Changing in 20

Emily Pasternak
Feb 274 min read


Alaska Medicaid Provider Message | Newborn Care 0-28 days
I'm attaching a message from Medicaid posted 8/30/2024 in case you may have missed it. "The Department issues new guidance, effective...

Emily Pasternak
Sep 5, 20241 min read


Rate Reduction
I have been testing discounts and seasonal rate reductions over the past 2 years to see if this was manageable for my business as well as...

Emily Pasternak
May 29, 20241 min read
Alaska Medicaid CDM Non-Covered Services
The services listed below are non-covered for direct-entry midwives. This list is representative of non-covered services and procedures...

Emily Pasternak
Apr 27, 20241 min read


Alaska Medicaid Provider Audit
I have received multiple texts, calls and emails from several midwives this weekend with concerns about Certified Direct-Entry Midwives...

Emily Pasternak
Apr 27, 20243 min read

Emily Pasternak
Dec 8, 20230 min read


Alaska's 80th Percentile Rule Repealed
I wanted to share what information I have on the repealing of the 80th Percentile Rule as of October, 2023 including direct links, FAQs,...

Emily Pasternak
Nov 27, 20232 min read


New Mass Superbill
For providers needing to submit multiple office or home visits at once, you can use the electronic superbill form or print and fill the...

Emily Pasternak
Oct 3, 20231 min read


Medicaid Birth Verification Forms and Contact Information
Medicaid offices are no longer accept provider birth verification forms, and instead request members to contact the public assistance...

Emily Pasternak
May 23, 20231 min read


Notice of Proposed 80th Percentile Regulation Change in Alaska
Please visit the links below for a complete overview of the proposed changes to 3AAC 26.110. http://notice.alaska.gov/209678...

Emily Pasternak
Mar 30, 20231 min read



Emily Pasternak
Feb 20, 20230 min read


Billing After Hours
There are some codes available to bill for after hours services. Medicaid will reimburse for code 99050 with records. These codes should...

Emily Pasternak
Dec 14, 20221 min read


Medicaid & Provider Licenses
If you are renewing your professional licenses this year, Medicaid will require a copy of your updated license copies by no later than...

Emily Pasternak
Dec 1, 20221 min read


December Hours & Closures
Regular in-office hours are 10-4 Monday - Thursday. Days and Times I will be out-of-office: December 26th - Christmas Day Observed...

Emily Pasternak
Dec 1, 20221 min read


Newborn PKU Pricing Increase
Effective 11/25/2022 the AK NB Screening fee will increase from $159.50 to $190.50. I have sent an email to Everyone letting you know...

Emily Pasternak
Nov 7, 20221 min read


Medicaid Coverage for Pregnancy, Postpartum & Newborns
I wanted to do a special announcement for all Medicaid providers and families about Denali Care's Pregnancy and Newborn coverage. A lot...

Emily Pasternak
Oct 3, 20221 min read


Alaska Medicaid Provider Self-Audits Due 12/31/2022
If you have not already received your audit report from me, you can expect it within the next few weeks. I will provide the full...

Emily Pasternak
Sep 28, 20222 min read


Medicaid Travel Authorizations
If you have a Medicaid patient who may require travel reimbursement (out-of-area or within their community), they may be eligible for...

Emily Pasternak
May 5, 20221 min read
2022 Provider Contract Updates
A summary of updates and an opportunity for feedback was emailed to everyone on March 10th, 2022 for the following: Incomplete patient...

Emily Pasternak
Mar 30, 20222 min read
bottom of page
