Provider Resources

Review Guidelines and Questionnaires

• 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, fax or mail them to Comagine Health. We will contact you after we receive your registration packet.

Download the Comagine Health Provider Portal registration packet

Comagine Health Provider Portal Resources

• User Guide (Aug. 25, 2016)
• Administrator Guide (Aug. 15, 2017)
• Training Videos
  • Registering
  • Logging In and Getting Started
  • Submitting New Requests
  • Searching for Requests
  • Administrator Tasks

Provider Manual

Provider Manual

Provider Forms

• Concurrent Request for Review
• Retrospective Request for Review
• Case Management Referral Request Physical Rehabilitation
• Physical Rehabilitation Concurrent Request