Department of Health and Social Services

State of Alaska

Official Website: http://dhss.alaska.gov

The mission of the Department of Health and Social Services is to "promote and protect the health and well-being of Alaskans."

Provides to all eligible Alaskans access and oversight to the full range of appropriate Medicaid services. We also protect Alaska’s most vulnerable populations through our certification and licensing sections.

Forms & Documents

Browse all Department of Health and Social Services government forms

41 - 60 of 112 forms

Form Title Topics
Long Term Care Facility Authorization
Material Improvement for ALI/APDD
Material Improvement for CCMC
Material Improvement for IDD Recipients Age 3 and Older
Material Improvement for IDD Recipients Under Age 3
Mini-grant application
NOCM Nursing Care Plan
Notice of Adverse Action & Fair Hearing Rights
Notice of Appointment or Change of Program Administrator
Notice Of Use Of Private Health Care Information
Notification of Transfer Form
Notification of Transfer Form
Nursing Facility Transition Grant Application
Originating Site Facilitation Fee Invoice (sample)
PCA-02/CFC-05 Personal Care Services/CFC Personal Care Services Request for Passive Range of Motion
PCA-08-A PCA Renewal Application
PCA-08 PCA Application
PCA-09 Limited Power of Attorney
PCS Representative Designee
Personal Care Services Amendment to Service Plan

Contact Information & Office Locations

All 3 contact points

Main Office

Address:
350 Main Street
Room 404
PO Box 110601
Juneau, AK 99811-0601

Phone numbers:
  • (907) 465-3030

Address:
Administration
P.O. Box 110620
Juneau, AK 99811-0620

Phone numbers:
  • (907) 465-8202
Fax numbers:
  • (907) 465-2185

Address:
Behavioral Health Office
3601 C Street
Suite 878
Anchorage, AK 99503

Phone numbers:
  • (907) 269-3600
Fax numbers:
  • (907) 269-3623

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