Written Comment Deadline: Medicaid Coverage for School-Based Services Regulation Changes

The Alaska Department of Health has issued a notice of proposed regulation changes to Title 7 of the Alaska Administrative Code regarding Medicaid coverage for school-based services. These changes are designed to implement HB344 (2024), which aligns state law with federal standards by allowing Medicaid coverage for school-based services for children without requiring an Individualized Education Program (IEP) or a documented disability. The proposed amendments to 7 AAC 115, 7 AAC 145, and 7 AAC 160 include removing the disability requirement, mandating that services be provided under a treatment plan identifying medical necessity (unless an IEP, screening, or assessment exists), and updating nomenclature. The department also proposes adopting the State Fiscal Year 2027 Fee Schedule for School-Based Services by reference. The Department of Health states that these changes are not expected to require an increased appropriation. Public comments are being accepted until 5:00 p.m. on November 23, 2026, and an oral hearing is scheduled for November 16, 2026, via Zoom.