Department of Health and Social Services

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

81 - 100 of 112 forms

Form Title Topics
Request for Cost Estimate-Ramp Access
Request for Cost Estimate-Ramp Cover
Request for Cost Estimate-Roll In Shower
Request for Cost Estimate-Stair Lift
Request for Cost Estimate-Vertical Lift
Request for Exception, Day Habilitation In-Residence
Request for Expedited Consideration
Request for QDC
Request for Waiver of In-Person Review of Services
Request to Select Cost Estimate other than Lowest
Revocation of Authorization for Release of Information
Service Declaration: Adult Day Services
Service Declaration: Care Coordination Services
Service Declaration: Chore Services
Service Declaration: Day Habilitation Services
Service Declaration: Environmental Modification Services
Service Declaration: Intensive Active Treatment Services
Service Declaration: Meal Services
Service Declaration: Nursing Oversight & Care Management
Service Declaration: Residential Habilitation Services

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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