Provider Agreement (PA) - Safety Net

The Department of Health (DOH) Division of Behavioral Health (DBH) seeks eligible applicants to provide behavioral health crisis services to individuals (all ages) that are uninsured and/or ineligible for Medicaid through the Safety Net Provider Agreement program. All signed Provider Agreements and documentation demonstrating provider eligibility should be sent to: doh.fms.grants.provider.agreements@alaska.govFor questions or further information, please contact: Diane LoRusso, Grants Administrator Grants and Contracts Support Team Department of Health P.O. Box 110650 Juneau, AK 99811-0650 Phone: 907