# How to Start a NEMT Business in Alaska (2027)

Canonical URL: https://nemtguide.com/states/alaska/ · Updated 2026-09-29

To start a NEMT business in Alaska, form your company, get a $50 state business license, and meet your city's rules, such as Anchorage's vehicle for hire permit and chauffeur licenses. Then enroll with Alaska Medicaid as a taxi or wheelchair van provider. Alaska has no broker: its fiscal agent, HMS, or a tribal travel office approves each trip in advance, and you bill the state directly.

- Alaska has no Medicaid ride broker. You enroll with Alaska Medicaid as a taxi or wheelchair van provider and bill the state directly for each ride.
- Every ride needs a service authorization that the member's health care provider requests, plus a paper travel voucher (form AK-04) for each one-way ride.
- Many trips start with a flight, so a lot of ground work is carrying riders between airports, hotels, patient housing, and appointments.
- From July 1, 2026, Medicaid pays $35 for a wheelchair van trip, plus $0.69 a mile from a rural pickup. Taxis bill their usual fare.
- The state has no passenger permit for small vans, but Anchorage requires a vehicle for hire permit for each vehicle and a chauffeur license for each driver.

## Alaska NEMT at a glance

| Fact | Details |
| --- | --- |
| Medicaid agency | Alaska Department of Health (DOH), Division of Health Care Services, which pays enrolled ride companies fee for service from its own fee schedule |
| How rides work | No broker. The member's health care provider asks the fiscal agent, HMS, or a tribal travel office to approve each trip, often a flight plus local ground rides. |
| Medicaid broker | None. You enroll with Alaska Medicaid and bill it directly. HMS, the state's fiscal agent, approves trips and pays claims. |
| How to join | Apply in the Alaska Medicaid Provider Enrollment Portal as provider type 083 (taxi) or 086 (wheelchair van), with your state business license and the $750 fee for 2026 |
| State registration | No state passenger carrier permit. You need a $50 state business license and your city's permits, such as Anchorage's vehicle for hire permit and chauffeur licenses. |
| Insurance | State minimum $50,000 per person, $100,000 per accident, $25,000 property. Anchorage vehicles for hire need $100,000, $300,000 ($700,000 at 8 or more seats), and $50,000. |
| Drivers | A valid license and no federal exclusion. Anchorage chauffeurs must be 18 or older, hold an Alaska license, and have no DUI or reckless driving conviction in 3 years. |
| Vehicle inspections | No Medicaid inspection. Anchorage has each vehicle for hire inspected before its permit. A yearly state inspection applies at 14,000 pounds or more than 15 passengers. |
| Pay | Medicaid sets the rate. From July 1, 2026, $35 per wheelchair van trip, plus $0.69 a mile from a rural pickup. Taxis bill their usual fare. File within 12 months. |
| EVV | NEMT is not on the list. Alaska's EVV covers personal care services and home health care services. |

Alaska runs Medicaid rides without a broker. The state approves every trip in advance through its fiscal agent, HMS, or a tribal travel office, and pays enrolled taxi and wheelchair van companies directly from its own fee schedule. Many trips start with a flight, so much of the ground work is carrying riders between airports, hotels, and appointments. The rules below follow the Requesting Travel Quick Reference Guide (April 27, 2025), the General Program Information manual (revised November 24, 2025), and the fee schedule effective July 1, 2026.

## How Medicaid rides work in Alaska

The Alaska Department of Health (DOH) runs Medicaid and Denali KidCare, its children's program, through the Division of Health Care Services. Its November 2025 manual says the two cover more than 255,000 people, about 34 percent of Alaskans. There is no NEMT broker. DOH pays each enrolled ride company [fee for service](https://nemtguide.com/glossary/fee-for-service-medicaid/) under 7 AAC 120.400 to 120.490 and its rate rule, 7 AAC 145.440.

| Office | What it does |
|---|---|
| HMS, the fiscal agent | Approves trips, enrolls providers, pays claims |
| Medicaid Travel Office | Books approved airline and ferry tickets |
| Tribal travel offices | Approve and manage travel for their members |

The tribal travel offices are run by the Alaska Native Tribal Health Consortium (ANTHC), Tanana Chiefs Conference (TCC), and the Yukon-Kuskokwim Health Corporation (YKHC). Under 7 AAC 120.405, an American Indian or Alaska Native member may travel to a tribal health program even when another provider is closer.

### What Medicaid pays for

Alaska Medicaid covers local rides by shuttle, taxi or vehicle for hire, bus, and wheelchair van. When a member must leave their home community for care, it also covers ferries, flights, lodging, meals, and prematernal homes, where women from communities without a delivery unit stay before giving birth. Ground rides go to local medical, dental, and behavioral health visits, a pharmacy stop tied to a visit, and between airports, hotels, and appointments on approved out-of-area trips.

HMS approves a trip only when the member is eligible that day, both the referring and receiving providers are enrolled, the care is covered and medically necessary, and the destination is the closest appropriate provider. That last rule does not apply to rides inside the member's home community. Medicaid pays for the least expensive mode that fits the member's condition, and only when the member has no other ride (7 AAC 120.410).

### How trips get booked

Members cannot book Medicaid rides themselves. A health care provider enrolled with Alaska Medicaid asks HMS or a tribal travel office for each trip, at least 10 business days ahead and up to a year in advance. HMS usually decides a simple fax request in one business day, and one that needs a nurse review in up to 10 business days. Urgent travel, needed within the next three days, is requested from HMS by phone. See [prior authorization](https://nemtguide.com/glossary/prior-authorization/) for how approvals work in general.

With each approval, HMS gives a service authorization number and the units for each service, such as 6 units of taxi. The provider who arranged the trip fills in a paper travel voucher (form AK-04) for each ground ride and gives the vouchers to the member, who hands one to you at pickup. Members book their own flights through the Medicaid Travel Office and their own hotels.

Members under 21 and pregnant members can also use a separate program for local rides. Under the September 2020 travel manual, the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) travel program approves taxi rides in Anchorage, the Mat-Su Valley, Kenai, Soldotna, Homer, and Fairbanks, bus passes in Anchorage, and gas money statewide. Requests are due by 4 p.m. one business day ahead. The requester names the taxi company, which gets the authorization and invoices DOH directly.

## How to enroll with Alaska Medicaid

You contract with the state, not a broker. Alaska Medicaid pays only enrolled providers (7 AAC 120.400), and HMS handles enrollment:

1. **Get your licenses first.** The state's NEMT policy manual (March 28, 2019) asks bus, taxi, and wheelchair van providers for proof of a valid Alaska business license and of meeting local transportation rules. Anchorage providers add a vehicle for hire permit.
2. **Apply online.** Submit an application in the Alaska Medicaid Provider Enrollment Portal as provider type 083 (Taxi) or 086 (Wheelchair Van Services), as a group or a sole proprietor.
3. **Send the forms with it.** A company signs the Group/Facility Provider Tax Certification and Provider Enrollment Agreement online, and a sole proprietor signs the individual version. Add your state business license, your Anchorage vehicle for hire permit if you work there, and the Attestation of Application Fee Payment.
4. **Pay the application fee.** Taxi and wheelchair van providers generally owe $750 for calendar year 2026, by check or cashier's check for the exact amount, payable to State of Alaska. If you already paid Medicare or another state's Medicaid program, send proof instead.
5. **Allow for a site visit.** Moderate- and high-risk provider types get one under 42 CFR 455.432, and every provider must allow unannounced inspections.
6. **Ask for an earlier start date if you need one.** File the Request to Backdate form within 30 days of applying. A start date can reach back up to one year from approval.
7. **Set up payment.** After approval you get a Medicaid Contract ID and a welcome letter. Send the Update Electronic Funds Transfer form to be paid by direct deposit.

Federal law requires the state to confirm no ride company or driver is on the [OIG exclusion list](https://nemtguide.com/glossary/oig-exclusion-list/). Report changes within 30 days under 7 AAC 105.210(f), and file a new application if you sell the business or change your tax ID. As of the May 6, 2026 provider list, Provider Enrollment answers at 800-770-5650 or 907-644-6800, option 1, then 2.

### How you get rides once enrolled

No one assigns you trips. Members carry their vouchers to an enrolled ride company, and DOH posts a list of enrolled transportation providers by town. As of May 6, 2026, it showed wheelchair van service only in Anchorage, Fairbanks, and the Mat-Su Valley. Your sales work is with the clinics, hospitals, patient housing, and tribal travel offices that arrange travel. See [how to become a Medicaid transportation provider](https://nemtguide.com/guides/how-to-become-a-medicaid-transportation-provider/) for how enrollment works elsewhere.

## Licenses and registrations

### Your company

Form an LLC or corporation with the Division of Corporations, Business and Professional Licensing (CBPL). The division's forms, as posted in September 2026, list $250 to file articles of organization for a new Alaska LLC, and each biennial report costs $100 (3 AAC 16.065). The report is due before January 2 every other year, in even years for an LLC formed in an even year and odd years otherwise (AS 10.50.760). See [LLC for NEMT](https://nemtguide.com/guides/llc-for-nemt/) for choosing a structure.

Every business in Alaska needs a state business license (AS 43.70.020). It costs $50 a year, or $25 for a sole proprietor who is 65 or older or a disabled veteran (AS 43.70.030). Knowingly doing business without one can bring a civil fine of up to $300.

Get your employer identification number (EIN) from the IRS, free and at once online. Alaska's claims manual treats taxis as atypical providers, exempt from the NPI rules on electronic claims. See [how to get an NPI number](https://nemtguide.com/guides/how-to-get-an-npi-number-for-nemt/) for when facilities ask for one.

### Municipality of Anchorage Transportation Inspection

Alaska has no statewide permit for passenger vans. Two state rules reach only larger vehicles. A vehicle carrying passengers for pay within Alaska with a gross weight rating of 14,000 pounds or more, or built for more than 15 passengers including the driver, needs a yearly safety inspection (AS 19.10.310 and 19.10.399). One over 26,000 pounds, or built for more than 15 passengers, must also file proof of insurance with the state (AS 19.10.300). Drivers of vehicles built for 16 or more passengers, driver included, need a commercial license with the passenger endorsement. Other rules come from your city or borough.

Anchorage's Transportation Inspection Division regulates taxicabs, limousines, and vehicles for hire under Title 11 of the municipal code. The Assembly updated Title 11 in AO 2026-16(S), passed as amended on February 17, 2026 and effective 120 days after passage. The ordinance defines a vehicle for hire as chauffeured passenger transport seating 15 or fewer, driver included, and names non-emergency medical transports as an example.

| You need | For | From |
|---|---|---|
| Vehicle for hire permit | Each vehicle | Transportation Commission |
| Chauffeur license | Each driver | Transportation Inspection |
| Business license | The company | State of Alaska (CBPL) |

The division's Vehicle for Hire Permit checklist, as posted in September 2026, asks for:

- The permit application (form 52-008), sworn before a notary, and the fee, listed as $1,425.
- Fingerprints for each permit holder, and an Alaska DMV driving record.
- A certificate of insurance or binder with the required limits, naming the Municipality of Anchorage as certificate holder.
- A list of everyone with a financial interest in the permit, and a signed statement that you will use only licensed Anchorage chauffeurs.
- Your business policies and procedures, and the vehicle registration (Class 91 or 92).
- A description of the service: vehicle, hours, area, business name, fares, and start date.

The Anchorage Transportation Commission votes on permits at its meeting on the fourth Monday of each month. Before a permit issues, the division checks your insurance, confirms you owe no city taxes, and has the vehicle inspected at a contracted garage for about $80. A vehicle for hire permit cannot be transferred and renews each year on January 1, unless you ask for a temporary permit for a set period of six months or less. The division asks you to book an appointment at 907-786-8525.

Outside Anchorage, ask your city or borough clerk what it requires for carrying passengers for pay. See [NEMT license requirements](https://nemtguide.com/guides/nemt-license-requirements/) for the layers most states use.

## Vehicle rules

Alaska Medicaid leaves vehicle standards to local rules: its manual asks ground providers for proof that local transportation requirements are met. In Anchorage, a vehicle for hire needs:

- An inspection at the contracted garage before the permit. The division can inspect it at any time, and police can inspect any regulated vehicle they believe breaks equipment laws.
- An audio and video camera system with front and rear cameras, plus GPS, recording at least 120 hours of in-service time under AO 2026-16(S).
- A working two-way communication system linking the vehicle to your office.
- Your trade name and the vehicle number the division assigns, at least four inches high on each side, and a notice that video recording is in progress.

Anchorage vehicles for hire may not pick up a street hail. The chauffeur carries a passenger only on a call that your office received and sent to that vehicle.

### Wheelchair and stretcher service

Medicaid approves a wheelchair van only with a medical reason. HMS sends wheelchair van requests for a closer review, and the local travel request form marks the code as needing medical justification. See [wheelchair vans for NEMT](https://nemtguide.com/guides/wheelchair-van-for-nemt/) and [NEMT vehicle requirements](https://nemtguide.com/guides/nemt-vehicle-requirements/) for equipment and securement.

The fee schedule for state fiscal year 2027 has no [stretcher van](https://nemtguide.com/glossary/stretcher-van/) code. Medicaid pays for non-emergency ground ambulance service (A0426 or A0428) when the member's condition warrants an ambulance transfer between facilities. Ground ambulance providers enroll with an advanced life support or emergency medical services certification, so a van company works ambulatory and wheelchair rides.

## Driver rules and training

Federal law, 42 U.S.C. 1396a(a)(87), sets the floor for every Medicaid ride company. No provider or driver may be excluded from federal health care programs, every driver needs a valid license, and your company needs a process for state drug law violations and one for disclosing each driver's driving history to Medicaid.

Anchorage adds a chauffeur license for every driver of a vehicle for hire. The division's requirements sheet, as posted in September 2026, says an applicant must be at least 18, hold a valid Alaska driver license, and pass an exam showing they can read, write, and speak English. These disqualify an applicant:

- In the past three years, a conviction for a moving violation that led to a suspension or revocation, reckless or negligent driving, driving while suspended or revoked, driving under the influence, or a third moving violation.
- A license suspension or revocation in the past year, or a pending charge for a sexual offense.
- In the past seven years, a felony or misdemeanor conviction for prostitution offenses, controlled substances, use or threat of force, burglary, theft, fraud, embezzlement, or sexual abuse or exploitation of a minor.
- A duty to register as a sex offender or child kidnapper.

The sheet lists $65 for fingerprinting, $10 for a three-year DMV record, and $65 for the license, which is paid by cash or check only. A chauffeur license lasts two years. Anchorage also requires written chauffeur policies that ban texting while driving and phone calls with a passenger aboard, with a copy sent to the division. For training beyond the minimums, see [NEMT driver training](https://nemtguide.com/guides/nemt-driver-training/).

### Records to keep

Keep the records behind every claim for at least seven years from the date of service: who rode, the service, the date, who drove, the charge, and each payment. Anchorage vehicle for hire permit holders also keep a daily list of each pickup and drop-off time and place, the passengers, when the reservation came in and who took it, and the chauffeur's name and license number. The [trip log template](https://nemtguide.com/templates/nemt-trip-log-template/) and [driver file checklist](https://nemtguide.com/templates/nemt-driver-file-checklist/) cover both.

## Trip rules and how you get paid

Every ride needs an approved service authorization and a travel voucher:

- One voucher covers one unit: a pickup at one place and a drop-off at a final place. Airport to hospital is one unit. Airport to a clinic, then clinic back to the hotel later, is two units on two vouchers.
- Write the pickup and drop-off points on the voucher, bill one unit per trip, and never bill more units than it authorizes.
- After the ride, fill in the charges, service dates, and your provider details, sign it, and keep it in your records.
- Accept only original vouchers. Copied, scanned, faxed, or emailed vouchers are not valid for payment.

Bill on a CMS-1500 form or an electronic 837P claim. On paper, put the voucher's control number (T followed by seven digits) in field 17, the service authorization number in field 23, place of service 99, and diagnosis code Z75.3 when no diagnosis is known. Under the fee schedule effective July 1, 2026, taxi and bus claims over $89 need a copy of the voucher and the charge slip attached. The [CMS-1500 guide](https://nemtguide.com/guides/cms-1500-for-nemt/) walks through the form.

### What Medicaid pays

DOH sets rates in its Transportation and Accommodation Services fee schedule for state fiscal year 2027, July 1, 2026 to June 30, 2027:

| Service | Code | Most Medicaid pays |
|---|---|---|
| Taxi | A0100 | Your usual fare |
| Bus, ferry, train, other | A0120 | Your usual fare |
| Wheelchair van, urban pickup | A0130 | $35.00 a trip |
| Wheelchair van, rural pickup | A0130 TN | $35.00 plus $0.69 a mile |
| Lodging | A0180 | $110 a night |
| Meals | A0190 | Actual cost, up to $36 a day |

A fare billed to Medicaid can be no more than you charge other passengers, and taxi pay follows local taxi rules. Rural means the pickup point is outside an area the Census Bureau draws as urbanized. An escort riding a taxi or bus bills with the TK modifier, and the member's and escort's charges together cannot exceed the trip's fare. Medicaid does not pay for waiting time, weekend rides it did not authorize, or rides to a provider not enrolled with Alaska Medicaid unless it is a military or veterans' facility. See [A0130](https://nemtguide.com/glossary/a0130/) and [A0100](https://nemtguide.com/glossary/a0100/) for these codes in other states.

### Deadlines and appeals

- **Filing.** Claims are due within 12 months of the date of service under 7 AAC 145.005(c). See [timely filing limit](https://nemtguide.com/glossary/timely-filing-limit/).
- **Payment.** Medicaid pays weekly, by direct deposit or state warrant, with a remittance advice.
- **Corrections.** Adjust a paid claim within the filing limit or within 60 days of processing.
- **Appeals.** Under the November 2025 manual, a first-level appeal of a claim or authorization is due within 180 days of the decision, a recoupment appeal within 60 days, and a second-level appeal within 60 days of the first-level decision.
- **Overpayments.** Repay within 60 days of finding one, unless DOH agrees to a repayment plan.

## Insurance requirements

Alaska Medicaid's enrollment documents for taxis and wheelchair vans are the business license and the local permit, so your insurance limits come from state law and your city. Every Alaska vehicle policy must carry at least these limits, with the same amounts for uninsured and underinsured motorists (AS 28.22.101):

| Coverage | State minimum |
|---|---|
| Injury to one person | $50,000 |
| All injuries in one accident | $100,000 |
| Damage to others' property | $25,000 |

Anchorage vehicles for hire carry the same insurance as taxicabs (AMC 11.20.360 and 11.20.100), set by the vehicle's rated seating:

| Coverage | 7 or fewer seats | 8 or more seats |
|---|---|---|
| Injury to one person | $100,000 | $100,000 |
| All injuries, one accident | $300,000 | $700,000 |
| Property damage | $50,000 | $50,000 |

Uninsured and underinsured motorist coverage must be $100,000 per person, $300,000 per accident, and $50,000 for property at any seating. The policy runs at least a year, names the Transportation Inspection Division as certificate holder, and gives it 30 days' written notice before ending. A lapse suspends your permit automatically.

A vehicle over 26,000 pounds or built for more than 15 passengers, driver included, needs $500,000 for bodily injury and $200,000 for property damage per occurrence, with proof filed with the state (AS 19.10.300). For what other states and brokers ask for, see [NEMT insurance requirements](https://nemtguide.com/guides/nemt-insurance-requirements/).

### Workers' compensation

Alaska requires every employer to carry workers' compensation unless the law exempts it (AS 23.30.075), and an employer is anyone employing one or more people (AS 23.30.395). An LLC member or corporate officer who owns at least 10 percent is not counted as an employee but can be added to the policy (AS 23.30.240), and a sole proprietor can choose coverage (AS 23.30.239). A driver counts as an independent contractor only by meeting the tests in AS 23.30.230(a)(12), such as a written contract, their own licenses, and paying most of their own costs. See [1099 or W-2 NEMT drivers](https://nemtguide.com/guides/nemt-drivers-1099-or-w2/).

## What it costs and how long it takes

These are the fees Alaska and Anchorage set, as of September 2026:

| Item | Cost | Paid to |
|---|---|---|
| EIN | Free | IRS |
| LLC articles of organization | $250 | CBPL |
| LLC biennial report | $100 every two years | CBPL |
| State business license | $50 a year | CBPL |
| Medicaid application fee (2026) | $750 | State of Alaska |
| Anchorage vehicle for hire permit | $1,425 per vehicle | Municipality of Anchorage |
| Anchorage vehicle inspection | About $80 | Contracted garage |
| Anchorage chauffeur license | $65, plus $75 for prints and record | Municipality of Anchorage |

Vehicles, insurance, and equipment depend on your quotes. See [what it costs to start a NEMT business](https://nemtguide.com/guides/how-much-does-it-cost-to-start-a-nemt-business/).

A workable order, from first call to first ride:

1. **Check demand** on the state's list of enrolled transportation providers for your town.
2. **Form your company** with CBPL, get your EIN, and get your state business license online.
3. **Buy insurance** that meets state and local limits, and workers' compensation before you hire.
4. **Meet local rules.** In Anchorage, get chauffeur licenses and a vehicle for hire permit for each vehicle, and allow for the commission's monthly meeting.
5. **Enroll with Alaska Medicaid** as a taxi or wheelchair van provider, with the forms and the $750 fee, and file any backdate request within 30 days.
6. **Set up direct deposit** with the EFT form.
7. **Introduce yourself** to the clinics, hospitals, patient housing, and tribal travel offices that arrange travel near you, and to the EPSDT travel program.

Two steps set the pace: the Anchorage commission votes once a month, and Medicaid sets your start date only after every license, site visit, and background check is done. For the same steps in any state, see [how to start a NEMT business](https://nemtguide.com/guides/how-to-start-a-nemt-business/). For long trips, see [rural NEMT](https://nemtguide.com/guides/rural-nemt/).

## Work beyond Medicaid

Four other sources of rides are worth a call:

- **Waiver transportation.** Alaska's home and community-based waivers pay for rides to waiver services and community resources under 7 AAC 130.290. Only a waiver provider agency certified by DOH can bill it, generally in vehicles it owns or leases. Each trip goes in a travel log, and trips over 20 miles from home need approval in the support plan.
- **Human services transportation grants.** The DOT&PF Alaska Community Transit office funds rides for seniors, people with disabilities, and Alaska Mental Health Trust beneficiaries. For state fiscal year 2028 it expects $4,829,020: $1,393,558 in federal Section 5310 funds and $3,435,462 from the Trust. Only nonprofits and public bodies apply: intents to apply were due September 18, 2026, and applications are due December 18, 2026. Its "purchase of services" projects must buy rides from an outside company, so ask local grantees whether they buy rides, and see [NEMT grants](https://nemtguide.com/guides/nemt-grants/).
- **Veterans.** The VA pays for special mode transportation, such as a specially equipped vehicle, when a VA provider decides a veteran's condition requires it and the trip is approved in advance. Ask the nearest VA facility's beneficiary travel office how it books rides.
- **Facilities and private pay.** Hospitals, dialysis centers, senior living communities, and riders who pay for themselves add work that does not depend on Medicaid vouchers. See [how to get NEMT facility contracts](https://nemtguide.com/guides/how-to-get-nemt-facility-contracts/) and [private pay NEMT](https://nemtguide.com/guides/private-pay-nemt/).

## Frequently asked questions

### Is there a Medicaid NEMT broker in Alaska?

No. Alaska Medicaid runs travel itself. HMS, the state's fiscal agent, approves each trip when a member's health care provider asks for it, the Medicaid Travel Office books flights and ferries, and three tribal travel offices handle travel for the members they serve. Taxi and wheelchair van companies enroll with Alaska Medicaid and bill the state directly for each authorized ride.

### Do I need a license to run a NEMT business in Alaska?

You need a state business license, $50 a year, for any business in Alaska, and Medicaid asks for it when you enroll. The state has no passenger carrier permit, and its inspection and insurance filing rules reach only larger vehicles, so the rest comes from your city. In Anchorage, each vehicle needs a vehicle for hire permit from the Transportation Commission and each driver needs a municipal chauffeur license.

### How much does Alaska Medicaid pay for a wheelchair van ride?

Under the fee schedule effective July 1, 2026, Alaska Medicaid pays up to $35.00 per wheelchair van trip (A0130) from an urban pickup. From a rural pickup, billed with the TN modifier, it pays $35.00 plus $0.69 a mile. Each trip needs an approved service authorization and a travel voucher, and the member's provider must give a medical reason for the wheelchair van.

### How do Alaska Medicaid members pick a ride company?

The provider who arranges the trip fills in a paper travel voucher (form AK-04) for each ground ride and gives the vouchers to the member, who hands one to an enrolled ride company at pickup. The state posts a list of enrolled transportation providers by town. For members under 21 and pregnant members, the EPSDT travel program sends each taxi authorization to the company the requester names.

### Can I do stretcher trips for Alaska Medicaid?

Not as a van company. The fee schedule for state fiscal year 2027 has no stretcher van code. Medicaid pays for non-emergency ground ambulance service, billed as A0426 or A0428, when the member's condition warrants an ambulance transfer between facilities. Ground ambulance providers enroll with an advanced life support or emergency medical services certification.

### How long do I have to bill Alaska Medicaid for a ride?

12 months from the date of service, under 7 AAC 145.005(c). A claim filed later needs proof that the deadline should be extended, such as a later eligibility decision by a court or hearing. Medicaid pays weekly by direct deposit or state warrant, and a first-level appeal of a denied claim is due within 180 days of the denial.

### Do I need workers' compensation for a NEMT business in Alaska?

Yes, from your first employee. Alaska requires every employer to carry workers' compensation unless the law exempts it, and it counts anyone employing one or more people. LLC members and corporate officers who own at least 10 percent are not counted as employees but may be added to the policy. A driver is an independent contractor only if they meet the tests in AS 23.30.230(a)(12).

## Official resources

- [Alaska Medicaid: Provider enrollment forms and document lists](https://extranet-sp.dhss.alaska.gov/hcs/medicaidalaska/Provider/Sites/ProviderResources.html)
- [Alaska Medicaid Provider Enrollment Portal](https://www.medicaidalaska.com/portals/wps/portal/enterprise/provider/providerenrollment/)
- [Alaska Medicaid: Arranging Patient Travel](https://extranet-sp.dhss.alaska.gov/hcs/medicaidalaska/Provider/Sites/Arranging_Patient_Travel.html)
- [Alaska Medicaid: Transportation fee schedule, SFY2027](https://extranet-sp.dhss.alaska.gov/hcs/medicaidalaska/Provider/Fee_Schedules/SFY27_Transportation_and_Accomodation.pdf)
- [Alaska Medicaid: Enrolled transportation providers by town](https://extranet-sp.dhss.alaska.gov/hcs/medicaidalaska/Provider/Updates/Transportation_Providers.pdf)
- [Alaska Medicaid: Billing manuals](https://extranet-sp.dhss.alaska.gov/hcs/medicaidalaska/Provider/Sites/BillingManuals.html)
- [Municipality of Anchorage: Transportation Inspection](https://www.muni.org/Departments/transportation_inspection/Pages/default.aspx)
- [Alaska DCCED: Business Licensing](https://www.commerce.alaska.gov/web/cbpl/BusinessLicensing.aspx)
- [Alaska DCCED: Corporations (LLC filings and biennial reports)](https://www.commerce.alaska.gov/web/cbpl/Corporations.aspx)
- [IRS: Get an employer identification number](https://www.irs.gov/businesses/small-businesses-self-employed/get-an-employer-identification-number)