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Provider Self-Audits

The next self-audit cycle will cover either calendar year 2019 or 2020 that is due no later than December 31, 2022.  The Department will not accept any self-audits for calendar year 2020 until after timely filing has passed in accordance with 7 AAC 160.115(b). 

If your self-audit identifies an overpayment, please DO NOT submit AK-05’s (adjustment/voids form) to Conduent for processing.  Instead, please include a check for the amount of the overpayment made payable to the “State of Alaska”.  This should be submitted with your self-audit or no later than 60 days following submission.   

The self-audits and overpayments are to be sent to:

DHSS/Medicaid Program Integrity
Attn: Provider Self-Audits
3601 C Street, Suite 902
Anchorage, AK 99503

If you need technical assistance, our website provides helpful tools or you can email

Effective June 7, 2018 the Department of Health and Social Services requires all Medicaid providers to conduct a self-audit once every two years, draft a report of the self-audit, sign and submit the self audit attestation form, and to repay all identified overpayments. See Alaska Statute 47.05.235 and Alaska Administrative Code 7 AAC 160.115.

Please submit provider self-audit reports and attestation to Medicaid Program Integrity at:

DHSS, Medicaid Program Integrity
3601 C Street, Suite 902
Anchorage, AK 99503

Or email:

Utilize these resources for these self-audits: