ABBREVIATED NOTICE OF GENERAL PUBLIC INTEREST Department of HealthState of Alaska PROPOSED ALASKA TRADITIONAL HEALTH CARE PRACTICES 1115 DEMONSTRATION APPLICATION This abbreviated public notice provides information of public interest regarding a proposed Section 1115 demonstration application that the Alaska Department of Health (the Department) intends to submit to the federal Centers for Medicare & Medicaid Services (CMS). Through the proposed Alaska Traditional Health Care Practices (ATHCP) 1115 demonstration, Alaska seeks federal authority to provide Medicaid coverage for traditional health care practices (THCPs) for eligible Alaska Native and American Indian (AN/AI) Medicaid beneficiaries receiving services through participating Tribal health programs within the Alaska Tribal Health System (ATHS). The primary objective of this demonstration is to sustainably provide culturally appropriate Medicaid service options for AN/AI Medicaid beneficiaries to support whole-person health and wellness. All proposed requests are subject to CMS approval. The State proposes that this demonstration would be effective from December 31, 2026, to December 31, 2031, with Medicaid coverage of THCPs beginning no sooner than January 1, 2028. A copy of the proposed demonstration application and full public notice, both posted on October 5, 2026, are available on the Department website at: https://health.alaska.gov/en/services/alaskas-traditional-health-care-practices-1115-demonstration-waiver/. You may request a copy of the proposed ATHCP 1115 demonstration application and/or a copy of submitted public comments related to the ATHCP application by sending a written request to the mailing or email address listed below. Public Review and Comment Process The 30-day public comment period for the proposed Section 1115 demonstration application is from October 5, 2026, through November 4, 2026. All comments must be received no later than 5:00 PM Alaska Time on November 4, 2026, to be assured consideration prior to submission of the ATHCP application to CMS. All information regarding the proposed demonstration application can be found on the Department website at: https://health.alaska.gov/en/services/alaskas-traditional-health-care-practices-1115-demonstration-waiver/. The Department will update this website throughout the public comment process. Hard copies of the demonstration application are available at: Department of Health – Office of the Commissioner 3601 C Street, Suite 902, Anchorage, Alaska 99503 Written comments may be submitted by email or mail: Email: doh.thcp.1115@alaska.gov Mail: Department of Health Commissioner's Office Attn: Christal Hays 3601 C Street, Suite 902 Anchorage, AK 99503 The Department will also host the following public hearings to solicit stakeholder comments. The public hearings will include options for in-person and remote participation. Public Hearing #1 • Date & Time: Wednesday, October 14, 2026, from 3:00 – 4:00PM AKT • Location: Alaska Office Building, 350 Main Street, 4th Floor, Conference Room/Ste. 404, Juneau, AK 99801 • Virtual Option: o Join by Web: https://manatt.zoom.us/j/93797059648?pwd=a9ZcbbqZhsNpSHFGNsCZPM57hb THKI.1; or o Join by Phone (US Toll-free): 833-928-4608 o Meeting Details: * Meeting ID: 937 9705 9648 * Passcode: 996936 Public Hearing #2 • Date & Time: Friday, October 16, 2026, from 3:00 – 4:00PM AKT • Location: Frontier Building, 3601 C Street, 8th Floor, Conference Room/Ste. 898, Anchorage, AK 99503 • Virtual Option: o Join by Web: https://manatt.zoom.us/j/98713551968?pwd=6aMv8PCGiQBHCkTCqtA8dqbrX68qMy.1; or o Join by Phone (US Toll-free): 833-928-4610 o Meeting Details: * Meeting ID: 987 1355 1968 * Passcode: 927995 Individuals with disabilities who require special accommodations to participate in a public hearing should contact doh.thcp.1115@alaska.gov to request assistance. After reviewing comments received during the state public comment period, the Department will submit the demonstration application to CMS. Interested parties will also have an opportunity to provide comments during the federal public comment period following CMS publication of the application. /s/ Emily Ricci Deputy Commissioner, Medicaid Director Department of Health Pub: Oct. 7, 2026