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.
Frequently Asked Questions
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.