bethel medicaid travel

Taxis in Alaska city no longer accepting Medicaid vouchers

BETHEL, Alaska (AP) — Taxi companies in an Alaska city have decided to stop accepting Medicaid vouchers for payment.

Taxis are a main form of transportation for people who travel to Bethel from area communities for healthcare appointments, KYUK-AM reported Thursday.

Mitchell Forbes, the Yukon-Kuskokwim Health Corporation director of communications, confirmed that all of Bethel’s cab companies have decided not to accept Medicaid vouchers.

“Just in Bethel’s case, there was the one vendor who is accepting the transportation vouchers,” Forbes said. “They are no longer accepting that voucher.”

The corporation was informed last week by Kusko Cab owner Naim Shabani that the Medicaid vouchers were too expensive.

Medicaid’s growing list of regulations was the main reason the company decided to stop accepting vouchers that cover the cost of a ride in the southwest Alaska city on the Kuskokwim River.

Kusko Cab was losing money on the vouchers because of the amount of work required to ensure the company followed regulations, Shabani said.

“There’s a roughly 100-page handbook on being a Medicaid transportation provider,” Shabani said.

Kusko Cab is one of three taxi companies in Bethel and Shabani said the other companies are following Kusko’s lead.

A call to another company, Alaska Cab, was not immediately returned.

The corporation is compensating by offering more shuttle services to Medicaid patients instead of vouchers to hotels where they stay, as well as adding hours to its airport shuttle service for all patients.

Medicaid patients will continue to receive their full benefits, Forbes said.

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Cabs in Bethel, a destination for medical appointments, are refusing to take Medicaid vouchers

Taxis are a main form of transportation to and from medical appointments for people who travel to Bethel for healthcare, but cab companies in Bethel have decided to stop accepting Medicaid vouchers for payment.

The Yukon-Kuskokwim Health Corporation got a call last week from Kusko Cab owner Naim Shabani, who said that the Medicaid vouchers were too expensive. Shabani said that Medicaid’s growing list of regulations was the main reason they decided to stop accepting those vouchers.

“There’s a roughly 100-page handbook on being a Medicaid transportation provider. There’s a lot of regulations, so there’s not a specific regulation, but just over the years that they had to implement more and more and again,” Shabani said.

Shabani claimed that the cab company was losing money on the cab vouchers because of the amount of work it took to make sure the company followed regulations. Kusko Cab and Alaska Cab are the two main companies in Bethel. Shabani said Alaska Cab would follow his lead. Alaska Cab did not return a call in time for publication.

YKHC is now offering more shuttle services to Medicaid patients instead of vouchers that would cover the cost of a cab. Mitchell Forbes, the director of communications at YKHC, confirmed that all of Bethel’s cab companies have decided not to accept Medicaid vouchers. He said that Medicaid patients will still see their full benefits.

“Just in Bethel’s case, there was the one vendor who is accepting the transportation vouchers; they are no longer accepting that voucher,” Forbes said.

Forbes said that YKHC has added shuttle service to hotels where Medicaid patients stay in addition to adding more hours to its airport shuttle service for all YKHC patients. He said that will be the solution for the future.

Krysti Shallenberger, Alaska's Energy Desk - Bethel

Related articles more from author, aurora activity set to spike this weekend with possible alaska display, dunleavy declares disaster amid historic breakup flooding on the kuskokwim river, veteran musher ramey smyth to rebuild iditarod’s collapsed burled arch in nome.

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Medicaid Prior Authorization Specialist I at Yukon-Kuskokwim Health Corp in Bethel, Alaska

Job description:.

Medicaid Prior Authorization Specialist I

Bethel, Alaska

The vision: Through Native Self-Determination and Culturally Relevant Health Systems, we strive to be the healthiest people.

At the Yukon-Kuskokwim Health Corporation (YKHC) we administer a comprehensive healthcare system throughout 58 rural communities with a mission of Working Together to Achieve Excellent Health.

YKHC serves 58 federally-recognized Tribes and operates 41 Village Clinics. Our five larger communities are served by five Sub-Regional Clinics. All communities in our service area are served by the 55 bed regional hospital in Bethel.

For more information about our hospital or the region please visit Yukon-Kuskokwim Health Corporation – We Strive to be the Healthiest People ( www.ykhc.org )

Position Summary:

Medicaid Prior Authorization Specialist I under normal supervision, assists in providing transportation/logistical assistance to Alaska Medicaid Recipients traveling to and from the Yukon Kuskokwim Health Corporation (YKHC) service area by determining if the burden of medical necessity has been met by documenting these findings in detail through the appropriate computer systems.

Level 1 employees perform work under close supervision, may only perform simple or routine aspects of the position, and generally require a good deal of instruction and/or training. Senior lead employees perform high level, complex and responsible tasks within this position and generally work with minimum supervision and follow-up from their supervisor.

The following duties are intended to provide a representative summary of the major duties and responsibilities and ARE NOT intended to serve as a comprehensive list of all duties listed and may be required to perform additional, position-specific duties.

REPRESENTATIVE DUTIES

For Medicaid eligible patients and/or escorts, works with clinical providers to determine if medical necessity has been met prior to transportation services. Also, serves as the liaison between the YKHC and the State of Alaska regarding Medicaid Transportation Services. Gathers all information requested by the Alaska State Medicaid Representative by utilizing various computer systems and by communicating to all parties involved so that all prior authorization requests can be handled in a timely manner.

Work collaboratively with patient on eligibility issues. Must be knowledgeable about when to refer patient to the YKHC Medicaid Enrollment department and/or Alaska Division of Public Assistance (DPA) to move authorization along in an expeditious manner.

This position will draw upon experience and general knowledge; will review documentation or contacts the provider or requestor when necessary in order to prove medical necessity for the authorization.

This position will also ensure that there is appropriate documentation to prove the medical necessity of the travel authorization. All submitted authorizations should reflect the correct CPT and diagnosis codes. All authorizations numbers should be reflective of the dates authorized and should correspond to the services authorized.

This position will coordinate with or will assume the function of Prior Authorization, Provider Inquiry and Claims Resolution units to ensure provider/claims resolution.

• Answer provider inquires in writing and verbally
• Submit claims, adjustments, voids, etc., electronically and in paper formats
• Perform and/or evaluate Prior Authorization on-line updates ensuring that notes are accurate and demonstrate the medical necessity for the authorization approval and/or denial.
• Perform and/or evaluate, and/or resolve process claims.

Maintain a database of information reflecting problems found and actions taken. Analyze findings and advise supervisor of significant system or provider problems/concerns. Work closely with State entities involved with provider claims. Work closely with YKHC office assistants/ health aides and providers, ANTHC/YKHC Medicaid Travel Office’s and the State of Alaska to coordinate the customers lodging and travel needs. May be required to work outside the traditional work schedule. Performs other duties as assigned.

KNOWLEDGE and SKILLS

• Knowledge of customer service concepts and practice.
• Knowledge of the Privacy Act of 1974 and HIPAA Privacy Rule Act of 1966.
• Knowledge of state, federal and public/private insurance, including Medicaid/Medicare.
• Skill in accuracy with data entry and the ability to make detailed notes
• Skill in grammar, spelling, sentence structure and effective business letter writing.
• Skill in establishing and maintaining cooperative working relationships with others.
• Skill in operating a personal computer utilizing a variety of software applications and be able to retain multiple passwords.

Position Qualifications:

• High school diploma or equivalent. Computer literacy required.
• Non-supervisory – Two (2) years of clerical AND customer service experience. An equivalent combination of relevant education and/or training may be substituted for experience.
• Basic computer/excel skills.
• 10 touch experience preferred.
• Must take the State of Alaska HIPAA test.
• Copiers, print, fax machines, and multi-line telephones. Be able to access multiple computer programs simultaneously.
• Be able to work in a fast paced office independently. Be able to multi-task between different computer programs, retaining different passwords as needed.

Benefits Include :  

• Generous PTO – beginning at 4.5 weeks
• Ten paid holidays
• Comprehensive healthcare coverage
• Life and Disability Insurance
• Flexible Spending Account
• Retirement plans
• Employee Wellness Center  

Additional Information: ID:13036Location:BethelDepartment:Medicaid Prior AuthorizationEmployment Duration:80 Full timeTemporary Status:Not ApplicableHours per Week:40 Yukon Kuskokwim Health Corporation is an Affirmative Action/Equal Opportunity Employer. All qualified individuals will receive consideration for employment without regard to race, ethnicity, age, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status and any other basis protected by law. Individuals with disabilities needing assistance in the recruitment process are encouraged to contact Human Resources directly.

Under P.L. 93-638, preference is given to Alaska Native/American Indian applicants.

For more information, please contact the YKHC Recruitment Department at [email protected] or phone (907) 545-6060 and ask to speak with a recruiter.

To view more positions available please visit YKHC Career Center ( https://chu.tbe.taleo.net/chu01/ats/careers/v2/jobSearch?org=YKHC&cws=41 )

Clipped from: https://www.disabledperson.com/jobs/35803883-medicaid-prior-authorization-specialist-i?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

Welcome to the online Montana Medicaid Transportation Request Application.

Please sign in to start your transportation request. If you do not already have a Microsoft account, please create an account to get started.

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Taxi companies in Bethel say they’ll no longer accept Medicaid vouchers

A Kusko Cab dispatcher keeps track of his fleet on a board listing sections of town, August 28, 2014, in Bethel. (Erik Hill / ADN)

BETHEL - Taxi companies in an Alaska city have decided to stop accepting Medicaid vouchers for payment.

Taxis are a main form of transportation for people who travel to Bethel from area communities for health care appointments, KYUK-AM reported Thursday.

Mitchell Forbes, the Yukon-Kuskokwim Health Corp. director of communications, confirmed that all of Bethel’s cab companies have decided not to accept Medicaid vouchers.

"Just in Bethel's case, there was the one vendor who is accepting the transportation vouchers," Forbes said. "They are no longer accepting that voucher."

The corporation was informed last week by Kusko Cab owner Naim Shabani that the Medicaid vouchers were too expensive to deal with.

Medicaid's growing list of regulations was the main reason the company decided to stop accepting vouchers that cover the cost of a ride in the southwest Alaska city on the Kuskokwim River.

Kusko Cab was losing money on the vouchers because of the amount of work required to ensure the company followed regulations, Shabani said.

"There's a roughly 100-page handbook on being a Medicaid transportation provider," Shabani said.

Kusko Cab is one of three taxi companies in Bethel and Shabani said the other companies are following Kusko's lead.

The corporation is compensating by offering more shuttle services to Medicaid patients instead of vouchers to hotels where they stay, as well as adding hours to its airport shuttle service for all patients.

Medicaid patients will continue to receive their full benefits, Forbes said.

YK Pay Travel

Only eligible for beneficiaries (non-beneficiaries are not eligible for YK Pay)

YK Pay Guidelines

POLICY: Pre-Authorization Travel (links to MCN)

PROCEDURE on Pre-Authorization Travel (links to MCN)

YK Pay travel tips for Patient/Escort (you can print this document to give to individuals who are traveling by YK pay to help with their travel arrangements.)

Medicaid Travel

Visit the YKHC Travel Management Information Page

• This page was last edited on 23 August 2021, at 21:55.
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Decades-old law limits access to Wegovy for Medicaid beneficiaries

Della McCullough has been struggling with her weight since she was 11, when she remembers her mother telling her she was "big boned." Now 53, she says she's tried supplements, diet and exercise — even an all-fruit diet once. None of them worked.

"Still, I'm not doing well," says McCullough, a semiretired school bus driver in Colorado. "I have done nutrition counseling, trauma counseling, meditation, positive affirmation therapy, and still I am almost 300 pounds again and sad and unhappy."

She is interested in new blockbuster drugs that help people with overweight and obesity.

But she and her husband found themselves on Medicaid for the first time last year. Colorado's Medicaid plan won't cover Wegovy for her, an obesity medicine made by Novo Nordisk that she'd like to try.

Wegovy contains the same active ingredient as Novo Nordisk's Ozempic, a diabetes drug, but Wegovy is specifically approved for obesity and weight loss.

An old law complicates Medicaid coverage

Medicaid doesn't have to cover Wegovy and drugs like it because of a decades-old law excluding medicines that treat anorexia, weight gain and weight loss from required coverage.

McCullough is frustrated. "I'm not ashamed of the fact that I am on state assistance, and I can say that what assistance they provide is not adequate, especially if you do have obesity," McCullough says.

Robin Feldman, a professor at the University of California Law in San Francisco , says when the law excluding weight-related drugs was passed in the 1990s, everyone thought diet and exercise were the key to losing weight and keeping it off — even though the evidence doesn't support that. "So in that context, being overweight was viewed as lacking willpower and dedication."

While state Medicaid programs don't have to cover weight loss drugs, 16 do right now.

Cost is a factor limiting coverage. Wegovy's list price is more than $1,300 dollars a month . Even if Medicaid programs get a big discount, which they typically do, the total spending could be significant.

Researchers at Brown University found that people on Medicaid are 27% more likely to have obesity compared with people who have commercial insurance.

And people may take these drugs for years.

"States are always having to grapple with, you know, this investment or that investment," says Kate McEvoy, executive director of the National Association of Medicaid Directors . "There are a lot of other preventive health issues, notably around maternal health, issues for children. And so examining the relative merits of those investments is kind of where states are right now."

More Medicaid plans are considering Wegovy

Some state Medicaid programs, like Minnesota's, cover Wegovy because they're required to under state law. Others, like Louisiana's, don't cover Wegovy at all but cover an old weight loss drug, Orlistat , which is considered less effective.

In North Carolina, Kody Kinsley, the state's Secretary of Health and Human Services says he hopes the Medicaid program will cover Wegovy by this summer.

"We have a kind of a standard policy process," he says. "We go through to consider the actuarial impacts, the negotiation of rebates, the value of adding the drugs, all of which we don't really go through for any other drug because they're required to be covered. But for these, because of that federal carve out, we are going through that process."

He says Wegovy would not be the most expensive drug North Carolina's Medicaid program covers and won't bankrupt it.

Advocates say policies that exclude treatments to help people lose weight need to change. "Research shows us that obesity is a complex chronic disease," says Tracy Zvenyach , director of policy strategy and alliances at the Obesity Action Coalition , a national nonprofit organization that is trying to expand access to evidence-based treatments for obesity. "The science is clear that obesity is driven by powerful biology, not by choice," Zvenyach says.

In Colorado, where McCullough lives, Medicaid doesn't cover Wegovy for weight loss.

However, Wegovy was recently approved by the Food and Drug Administration to reduce risk of cardiovascular death, heart attack and stroke for people with cardiovascular disease and who are overweight or obese. That means Medicaid would be required to cover it for some people since it's not just a weight loss drug anymore.

"In Colorado, Wegovy is currently covered by Colorado Medicaid when it's used to reduce the risk of major cardiovascular events in adults with established cardiovascular disease and either obesity or overweight as approved by the FDA," says Marc Williams, a spokesman for the Colorado Department of Health Care Policy and Financing.

But McCullough doesn't have cardiovascular disease and wouldn't qualify.

She says people with obesity are treated differently from people with other health conditions. I ask her if that felt personal.

"You know, I never would have thought that, but now that I'm in that situation, it does feel very personal," she says. "Like, 'She's just fat,' you know? 'It's her problem. She'll figure something out.' Or 'She'll need to change whatever she does.' "

She hopes the policies eventually catch up to the science.

Copyright 2024 NPR

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KTOO 360TV & ARCS interruptions for some viewers Saturday due to critical maintenance.

Coronavirus  | Economy  | Health  | Southwest  | Western

Bethel hospital warns of layoffs after ‘devastating’ revenue loss due to pandemic

April 16, 2020 by Anna Rose MacArthur, KYUK - Bethel

Update (April 26) —  Anna Rose MacArthur, KYUK – Bethel

The Yukon-Kuskokwim Health Corp. will begin furloughing and laying off 300 employees. YKHC employs over 1,400 people across the Yukon-Kuskokwim Delta region. ( Read more )

Original story

A dramatic drop in patient visits has plunged the Yukon-Kuskokwim Health Corp. into a steep financial decline.

The organization’s leadership warns that the large revenue loss could soon lead to furloughs and layoffs.

On April 6, YKHC announced the first case of COVID-19 in the region.

Two days later, on April 8, YKHC employees received an email from YKHC CEO and President Dan Winkelman, warning that some of them could soon lose their jobs.

“The pandemic,” he wrote, “is devastating our financials.”

Few people are seeking health care: Winkelman wrote that patient visits have dropped by 70%. More than half of YKHC’s revenue comes from Medicaid, and the state of Alaska has canceled essential Medicaid travel from most villages. Normal appointments are not happening either, as the hospital has suspended elective procedures, optometry and dental visits.

YKHC began telemedicine, but usage has been “low,” he said. To bring in the few patients who do come to Bethel, YKHC is having to pay for expensive charters due to cuts in air service.

These hard economic times are occurring despite YKHC receiving funding from the CARES Act. Winkelman said that the funds will only cover “several weeks” of operation. Winkelman wrote that if patient numbers do not ”substantially increase over the next couple of weeks, YKHC will be forced to reduce our expenses significantly — which means a furlough and/or a reduction in force.”

YKHC would not talk to KYUK about this financial situation, or provide more details about potential job losses.

In his email to employees, Winkelman thanked the staff for their months of preparing YKHC to respond to the pandemic. He also wrote that if a surge of COVID-19 patients occurs, “we will have much more work to do and it will be an all hands on deck approach.”

Bartlett is losing $250,000 a day in revenue after ban on non-urgent surgeries

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My YKHealth

Ciuniurumauten. Welcome.​​

The Yukon-Kuskokwim Health Corporation, commonly referred to as YKHC, is a Tribal Organization that administers a comprehensive healthcare delivery system for 58 rural communities in southwest Alaska.

Each of the communities in our service area is home to a federally-recognized Tribe, whose governing council has authorized YKHC to provide health services on behalf of the federal Indian Health Service (IHS).

YKHC’s healthcare delivery system includes community clinics, sub-regional clinics in five of the area’s larger communities, a regional hospital, dental and optometry services, behavioral health services, counseling and treatment for individuals with substance use disorders, health promotion and disease prevention programs, and environmental health services.

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The Yukon-Kuskokwim Health Corporation has earned the Joint Commission's Gold Seal of Approval.​

YKHC Facebook Feed

National Nurses Week begins each year on May 6 and ends on May 12, Florence Nightingale’s birthday. Florence Nightingale (1820-1910) was an English social reformer, statistician and the founder of modern nursing. Quyana! Thank you! Dogidinh to all our nurses, for all the work you do every day! Your professionalism and compassionate care make a profound difference in the lives of patients and their families. We appreciate you and all you bring to YKHC! ... See More See Less

• Comments: 1

1 Comment Comment on Facebook

Thank you guys so much for doing what you do! I could never handle it, and my hat goes off to you 1000%

It's important to take care of our caretakers. In April, health aides from villages across the Yukon-Kuskokwim Health Corporation’s service area gathered for a Health Aide Retreat. The focus of this retreat was enhancing wellness and resilience, particularly within the context of Alaska Native culture. The staff were presented culturally-relevant coping strategies for dealing with stress and trauma, which emphasized the importance of cultural resilience. Interactive exercises were integrated throughout the sessions to enhance learning and support the adoption of positive behavioral practices. Quyana! Thank you! Dogidinh to the health aides who participated! And to the YKHC staff who coordinated this event. ... See More See Less

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Every spring, water from rivers, lakes and streams becomes abundant as the ice and snow melt when we transition to warmer weather. Sometimes, we have

2023 Health Aide of the Year awarded to Mountain Village Health Aide Deborah Johnson

YKHC is pleased to announce Deborah Johnson as the recipient of the 2023 Health Aide of the Year Award. This award establishes regional recognition and

Travel safety tips to review before your next snowmachine ride

Travel to and from communities within the YK Delta is an essential part of life, whether you’re on your way to see relatives, going to

Contact YKHC

Yukon-kuskokwim health corporation.

Box 528, Bethel, Alaska 99559 Phone: 907-543-6000

Customer feedback: [email protected] or click here .| Media Inquiries: [email protected] Employment Verification: [email protected] Medical records request: [email protected] or call 907-543-6388 YKHC Medicaid Travel : 833-543-6625

ACCESS YOUR MEDICAL INFORMATION

myYKHealth is an online portal that allows our customers to view medical information and connect with their care team.

To enroll in MyYKHealth or if you have questions about MyYKHealth, call MyYKHealth Enrollment Specialist at 907-543-6947 or Registration at 907-543-6315 or email [email protected] .

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Schedule an appointment, bethel outpatient clinics.

Bethel or a cell phone: 907-543-6442 Landline or phone outside Bethel: 1-800-478-3321 ext 6442

Dental Clinic: 907-543-6229 Optometry Clinic: 907-543-6336

SUB-REGIONAL CLINICS

Aniak: 907-675-4556 Emmonak: 907-949-3500 Hooper Bay: 907-758-3500 St. Mary’s: 907-438-3500 Toksook Bay: 907-427-3500

In order to ensure we offer timely appointments to all of our patients, we ask customers to register 30 minutes before your scheduled appointment time. If you are unable to keep or make your appointment, please call YKHC Scheduling to cancel or reschedule.

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When a military installation or Government - related facility(whether or not specifically named) is located partially within more than one city or county boundary, the applicable per diem rate for the entire installation or facility is the higher of the rates which apply to the cities and / or counties, even though part(s) of such activities may be located outside the defined per diem locality.

City Pair airfares

Visit City Pair Program to learn about its competitive, federally-negotiated airline rates for 7,500+ domestic and international cities, equating to over 13,000 city pairs.

• Search for contract fares

Note: All fares are listed one-way and are valid in either direction. Disclaimer - taxes and fees may apply to the final price

Taxes and fees may apply to the final price

Your agency’s authorized travel management system will show the final price, excluding baggage fees. Commercial baggage fees can be found on the Airline information page.

Domestic fares include all existing Federal, State, and local taxes, as well as airport maintenance fees and other administrative fees. Domestic fares do not include fees such as passenger facility charges, segment fees, and passenger security service fees.

International

International fares do not include taxes and fees, but include fuel surcharge fees.

Note for international fares: City codes, such as Washington (WAS), are used for international routes.

Federal travelers should use their authorized travel management system when booking airfare.

• E-Gov Travel Service for civilian agencies.
• Defense Travel System for the Department of Defense.

If these services are not fully implemented, travelers should use these links:

• Travel Management Center for civilian agencies.
• Defense Travel Management Office for the Department of Defense.

GSA lodging programs

Shop for lodging at competitive, often below-market hotel rates negotiated by the federal government.

FedRooms provides federal travelers on official business with FTR compliant hotel rooms for transient and extended stays (up to 29 days). The program uses FEMA and ADA-compliant rooms with flexible booking terms at or below per diem rates. Federal employees should make reservations, including FedRooms reservations, via their travel management service.

Visit GSALodging for more details on FedRooms and for additional programs offering meeting space, long term lodging, and emergency lodging.

Privately owned vehicle (POV) mileage reimbursement rates

GSA has adjusted all POV mileage reimbursement rates effective January 1, 2024.

* Airplane nautical miles (NMs) should be converted into statute miles (SMs) or regular miles when submitting a voucher using the formula (1 NM equals 1.15077945 SMs).

For calculating the mileage difference between airports, please visit the U.S. Department of Transportation's Inter-Airport Distance website.

Plan a trip

Research and prepare for government travel.

Per diem, meals & incidental expenses (M&IE) Passenger transportation (airfare rates, POV rates, etc.) Lodging Conferences/meetings Travel charge card State tax exemption

Services for government agencies

Programs providing commercial travel services.

Travel Category Schedule (Schedule L) E-Gov Travel Service (ETS) Emergency Lodging Services (ELS) Employee relocation

Travel reporting

Federal Travel Regulation Table of contents Chapter 300—General Chapter 301—Temporary Duty (TDY) Travel allowances Chapter 302 - Relocation allowances