Alaska Medicaid Travel Voucher at Traveling

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How to Complete the Travel Voucher (AK04)
How to Complete the Travel Voucher (AK04) from manuals.medicaidalaska.com

Dhcs contracts with conduent to serve as its medicaid fiscal agent. Indicate your desired method (fax or email) to receive a copy of a completed travel itinerary. 4501 business park boulevard, suite 24.

How to Complete the Travel Voucher (AK04)

• beginning on july 1, 2019, providers will need to record use of issued travel vouchers to allow ak medicaid to better control and account for travel voucher forms • documentation of previously issued voucher use will need to be included with requests. It is required that all travelers provide the information below. Complete and submit this form via one of following: If you have complicated travel arrangements, please don’t hesitate to call the ctm medicaid office at 1.800.514.7123.