Alaska Medicaid Program Overview
Enrollment, funding, and managed care facts for Alaska Medicaid.
Get Alaska's Medicaid Fee Schedule →Enrollment
Alaska Medicaid covered approximately 0.21-0.24M people. Two independent sources give different-period figures for total Alaska Medicaid/CHIP enrollment: KFF's state indicator (207,612, May 2026) and CMS's 2024 Medicaid Managed Care Enrollment and Program Characteristics report (236,414; Alaska does not operate managed care, so CMS used total Medicaid enrollment as of June 1, 2024 from the Medicaid Budget and Expenditure System). Consistent with continued post-pandemic 'unwinding' enrollment decline between mid-2024 and mid-2026, not a data error. Reported as a range rather than a single false-precision number.
Funding & federal match
Alaska has adopted ACA Medicaid expansion, effective 2015-09-01.
For FFY2026 (Oct 1, 2025 - Sep 30, 2026), Alaska's Federal Medical Assistance Percentage (FMAP) is 52.42%.
Delivery system & managed care
A large share of Alaska Medicaid is delivered through managed care organizations (MCOs) rather than fee-for-service — estimates range from 0% of Medicaid enrollees.
Waivers
Alaska operates Medicaid managed care under the Alaska Substance Use Disorder and Behavioral Health (SUD-BH) Demonstration, a Section 1115 demonstration waiver. Tests a data-driven, integrated behavioral health system for children and adults with serious mental illness, severe emotional disturbance, and/or substance use disorder. SUD component approved effective January 1, 2019; full SUD-BH demonstration approved September 3, 2019 for a period through December 31, 2023. Renewal status beyond that date was not independently re-verified this pass.
Has Alaska expanded Medicaid under the ACA?
Yes. Alaska has adopted ACA Medicaid expansion. Effective 2015-09-01.
How many people are enrolled in Alaska Medicaid?
Approximately 0.21-0.24M people.
What percentage of the federal Medicaid match does Alaska receive?
52.42% for FFY2026 (Oct 1, 2025 - Sep 30, 2026) — meaning the federal government pays roughly 52 cents of every Alaska Medicaid dollar, and the state pays the rest.
Is most of Alaska Medicaid delivered through managed care?
Estimates range from 0% of Medicaid enrollees in managed care.
What Medicaid waivers does Alaska operate under?
Alaska Substance Use Disorder and Behavioral Health (SUD-BH) Demonstration, a Section 1115 demonstration waiver. Tests a data-driven, integrated behavioral health system for children and adults with serious mental illness, severe emotional disturbance, and/or substance use disorder. SUD component approved effective January 1, 2019; full SUD-BH demonstration approved September 3, 2019 for a period through December 31, 2023. Renewal status beyond that date was not independently re-verified this pass.
Get Alaska's Free Medicaid Fee Schedule
Request actual Alaska Medicaid reimbursement rates by billing code — free, delivered as a CSV.
Sources
- KFF State Health Facts - Total Monthly Medicaid & CHIP Enrollment
- CMS - Medicaid Managed Care Enrollment and Program Characteristics, 2024
- Federal Register / GPO - Federal Financial Participation in State Assistance Expenditures, FFY2026 FMAP Notice (2024-27910)
- KFF State Health Facts - Federal Matching Rate (FMAP) for Medicaid
- KFF - Status of State Action on the Medicaid Expansion Decision
- healthinsurance.org - Medicaid eligibility and enrollment in Alaska
- MACPAC - MACStats Medicaid and CHIP Data Book, Exhibit 29 (Percentage of Medicaid Enrollees in Managed Care by State, July 1, 2022)
- Alaska Department of Health - 1115 Behavioral Health Medicaid Services
- Medicaid.gov - Alaska Substance Use Disorder and Behavioral Health (SUD-BH) Program, Mid-Point Assessment
Data last verified 2026-09-17. Also see our free Medicaid Fee Schedule tool.