Review Guidelines and Questionnaires
- Alaska Medicaid Prior Authorization List (February 2023)
- Alaska Medicaid Prior Authorization List (June 2022)
- Alaska Medicaid Prior Authorization List (March 2021)
- Imaging Questionnaire (April 2021)
Comagine Health Provider Portal
The Comagine Health Provider Portal is a web-based application for electronically submitting utilization management review requests.
Getting Started: Register
Get started by registering to use the Comagine Health Provider Portal. Complete the appropriate forms in the registration packet and email or fax them to Comagine Health. We will contact you after we receive your registration packet.
Download the Comagine Health Provider Portal Registration Packet
Guides
- User Guide (June 5, 2023)
- Administrator Guide (June 5, 2023)
- Quick Start Guide — Inpatient Requests
- Quick Start Guide — Outpatient Requests
Training
- Comagine Health Provider Portal Upgrade Training Webinar (May 2023)
Recording | Slides - Comagine Health Provider Portal Upgrade Training Webinar (April 2023)
Recording | Slides
Provider Manual
Provider Forms
- Concurrent Request for Review
- Retrospective Request for Review
- Case Management Referral Request Physical Rehabilitation
- Physical Rehabilitation Concurrent Request