Do you need a license to run a home care agency in Alaska?

No. Alaska does not require a state license for non-medical home care agencies. The state's Health Facilities Licensing and Certification unit licenses home health agencies but lists no license for non-medical personal care, companion, or homemaker agencies. Agencies that bill Medicaid for personal care must be certified by Senior and Disabilities Services under 7 AAC 125.060 (or 7 AAC 127.050 for Community First Choice). Renewal applications are due at least 60 days before the certification period ends.

What are the key facts?

How do you get licensed in Alaska?

1. Submit a complete certification application to Senior and Disabilities Services
2. Prepare written policies, including background checks and employee training
3. Submit a certificate of insurance naming SDS as certificate holder
4. Report your electronic visit verification vendor to SDS
5. Have staff attend the department's personal care services agency training course

What should you confirm with the state?

These requirements apply to agencies certified by Senior and Disabilities Services to bill Medicaid; there is no state license for private-pay non-medical home care. Confirm the certification fee, certification term, and whether the fingerprint check includes an FBI search with Senior and Disabilities Services.

What should you budget for?

The license fee is a small part of startup cost. Insurance, payroll for your first caregivers before clients pay, and office staff usually cost far more. Use the bill rate calculator to check your pricing covers it, and the intake form and care plan templates for the paperwork inspectors ask to see.