The Key to Care
Finding the right health insurance plan can be a challenge. We’ll help you sign up for the plan that meets your family’s needs.
Medicaid Citizenship and Immigration Eligibility Changes Beginning October 1, 2026
Federal Medicaid rules related to citizenship and immigration eligibility are changing beginning October 1, 2026. Some Medicaid recipients may receive a letter, renewal form, or request for information from the Alaska Division of Public Assistance (DPA).
Receiving a notice does not automatically mean your Medicaid coverage is ending.
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The change may affect some people who qualify for Medicaid based on certain citizenship or immigration categories, including some refugees, asylees, parolees, trafficking victims, and other non-citizens.
Some lawful permanent residents (green-card holders), Cuban/Haitian entrants, and COFA migrants may continue to qualify if they meet other Medicaid requirements.
Not sure which category applies to you? You do not have to figure it out on your own. ANHC can help you understand the Medicaid eligibility categories and your next steps.
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Read the entire notice and check any deadlines.
Respond by the deadline if DPA asks you to renew your coverage or provide additional information.
Keep your contact information current with DPA, including your mailing address, phone number, and email address.
Keep a copy or confirmation of information you send to DPA.
Ask for help if you have questions. ANHC can help you understand the Medicaid eligibility categories, your notice, and the DPA process.
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ANHC’s Outreach, Enrollment, & Eligibility team can help you:
Understand Medicaid eligibility categories.
Review a DPA notice with you.
Complete a Medicaid application or renewal.
Respond to requests for information from DPA.
Understand your next steps and other coverage options when appropriate.
Call or text ANHC OEE at 907-743-7220 for assistance or to schedule an appointment.
Frequently Asked Questions
Medicaid Changes Beginning in 2027
Some Medicaid rules are changing in 2027, including how often eligibility is reviewed for many adults in the Medicaid expansion group and new work and community engagement requirements for some expansion adults.
If you received an advance notice about these changes, it does not mean you are losing Medicaid. Your coverage has not changed because you received the notice, and you do not need to respond to the advance notice itself.
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No. Receiving the advance notice does not mean you are losing Medicaid. Your coverage has not changed because you received the notice, and you do not need to respond to the advance notice itself.
Keep your contact information current with the Division of Public Assistance and watch for future Medicaid notices.
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There are two separate changes planned for adults in the Medicaid expansion group:
More frequent eligibility reviews: Many adults ages 19–64 in the Medicaid expansion group will have their Medicaid eligibility reviewed every 6 months instead of every 12 months.
Work and community engagement requirements: New requirements may apply to some adults ages 19–64 in the Medicaid expansion group.
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No. A 6-month review means the State will check your Medicaid eligibility more often. It does not mean your coverage automatically ends every 6 months.
Alaska Native and American Indian individuals and people eligible for Medicaid based on circumstances such as age, disability, or pregnancy will continue on a 12-month review cycle.
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No. The requirements apply only to some adults ages 19–64 in the Medicaid expansion group.
People enrolled in other Medicaid eligibility groups are not subject to these requirements.
The requirements are currently scheduled to begin January 1, 2027, but Alaska has requested additional time to implement them.
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You may not have to meet the requirements depending on your circumstances. Exclusions may apply to:
Alaska Native and American Indian individuals;
pregnant or postpartum individuals;
certain parents and caregivers;
people who are medically frail or have qualifying serious medical needs;
people participating in qualifying drug or alcohol treatment;
certain people already meeting other public-benefit work requirements;
certain veterans with a total disability;
certain former foster care individuals under age 26;
and certain incarcerated individuals.
Other exceptions and temporary hardships may also apply, including circumstances involving Medicare enrollment during the review period.
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If you received the advance notice:
You do not need to respond to the advance notice itself.
Keep your contact information current with the Division of Public Assistance.
Watch for future Medicaid notices.
If you receive a renewal or a letter asking for information, respond by the deadline shown.
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ANHC’s Outreach, Eligibility & Enrollment team can help you:
Understand a Medicaid notice.
Complete a Medicaid application or renewal.
Respond to requests for information or documentation.
Call or text 907-743-7220 to schedule an appointment with ANHC.
Frequently Asked Questions
Enrollment Services
We’re here to help you connect with the health insurance plan that’s right for you.
This year, there’s a shortage of Health Insurance Navigators and a higher demand for enrollment assistance across the community. To make sure everyone can get covered, we encourage you to start with self-enrollment using our educational materials below.
Completing self-enrollment not only helps you move forward more quickly but also allows our team to focus on patients who may need additional support with technology or language access. Your efforts make a meaningful difference — thank you for helping us serve more people in our community!
Option 1: Self-Enrollment
If you’re comfortable applying on your own, our step-by-step guides and checklists make the process easy.
Resources for Self-Enrollment:
Health Insurance Education Guide (English PDF | Spanish PDF | Korean PDF) – Learn about Marketplace coverage, key insurance terms, and what to expect during Open Enrollment.
Self-Enrollment Marketplace Checklist (English PDF | Spanish PDF | Korean PDF) – Gather everything you’ll need before, during, and after applying on HealthCare.gov.
How to Browse Health Plans on Marketplace (English PDF | English Video | Spanish PDF | Korean PDF) – Follow step-by-step instructions for comparing plans and estimating savings.
How to Create an Account on Marketplace (English PDF | English Video | Spanish PDF | Korean PDF) – Learn how to get started with your own Marketplace account.
Option 2: Group Enrollment Sessions
Our Outreach, Enrollment, & Eligibility (OEE) Team is primarily offering group enrollment sessions this Open Enrollment season. These sessions allow multiple patients to receive guided support together. To request an appointment, call or text “TEXT ME” to 907-743-7220 to connect with our OEE Team.
At your session:
Laptops are available at the clinic
You can bring a family member or friend to assist you
Resources for Group Enrollment
Health Insurance Education Guide (English PDF | Spanish PDF | Korean PDF)
Marketplace and Open Enrollment Checklist (English PDF| Spanish PDF | Korean PDF)
How to Browse Health Plans on Marketplace (English PDF | English Video | Spanish PDF | Korean PDF)
How to Create an Account on Marketplace (English PDF | English Video | Spanish PDF | Korean PDF)
Option 3: 1-on-1 Appointment
Limited 1-on-1 appointments are available for patients who need additional help, including language or technology support. To request an appointment, call or text “TEXT ME” to 907-743-7220 to connect with our OEE Team.
Resources for 1-on-1 Appointments:
Health Insurance Education Guide (English PDF | Spanish PDF| Korean PDF)
Marketplace and Open Enrollment Checklist (English PDF| Spanish PDF | Korean PDF)
How to Browse Health Plans on Marketplace (English PDF | English Video | Spanish PDF | Korean PDF)
How to Create an Account on Marketplace (English PDF | English Video | Spanish PDF | Korean PDF)
Before Your Appointment
View a list of required documents.
Eligibility
Please note that eligibility for the following programs depends on your household size and income:
Medicaid
Denali KidCare
Health Insurance Marketplace
Medicare
Learn More
You can watch the following videos to learn more about how you can prepare for your enrollment appointment.