Department of Health and Social Services

Official Website: http://dhss.alaska.gov

The mission of the Department of Health and Social Services is to "promote and protect the health and well-being of Alaskans."

Provides to all eligible Alaskans access and oversight to the full range of appropriate Medicaid services. We also protect Alaska’s most vulnerable populations through our certification and licensing sections.

Forms & Documents

Browse all Department of Health and Social Services government forms

61 - 80 of 112 forms

Form Title Topics
Personal Care Services Provider Certification Application
Person Centered POC Questionnaire
Plan of Care Amendment all Waivers
Pre-Admission Screening and Resident Review
Property Owners Consent to Environmental Modification
Provider Certification Application for Additional Service
Provider Certification Assurance on Policies
Qualifying Diagnosis Certification Form
Recipient Change of Status, All Programs
Recipient Rights & Responsibilities
Release of Information
Renewal Application for General Relief Assisted Living Care
Report of Change: Care Coordinator Information
Report of change: Provider Agency Information
Report of Harm
Request for Cost Estimate-Bathroom Accessibility
Request for Cost Estimate-Blank
Request for Cost Estimate-Door Accessibility
Request for Cost Estimate-Elevated Toilet with Grab Bars
Request for Cost Estimate-Hand Rails and Grab Bars

Contact Information & Office Locations

All 3 contact points

Main Office

Address:
350 Main Street
Room 404
PO Box 110601
Juneau, AK 99811-0601

Phone numbers:
  • (907) 465-3030

Address:
Administration
P.O. Box 110620
Juneau, AK 99811-0620

Phone numbers:
  • (907) 465-8202
Fax numbers:
  • (907) 465-2185

Address:
Behavioral Health Office
3601 C Street
Suite 878
Anchorage, AK 99503

Phone numbers:
  • (907) 269-3600
Fax numbers:
  • (907) 269-3623

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