Alaska Medicaid pays for in-home personal care and related services through 4 programs, including the Alaskans Living Independently (ALI) Waiver and the Adults with Physical and Developmental Disabilities (APDD) Waiver. The Division of Senior and Disabilities Services runs all five waivers on a fee-for-service basis; a team builds a support plan that SDS approves. In-home personal care and chore for waiver participants come through CFC/PCS, not the waivers. Confirm EVV and billing requirements with SDS.
Yes. Community First Choice (1915(k)) covers personal care services, chore services, PERS, and case management, and a separate Personal Care Services program offers agency-based and consumer-directed options.
Which Alaska waivers can a home care agency bill?
Each waiver below lists who it covers, the services it pays for, and how providers bill.
Alaskans Living Independently (ALI) Waiver
Population
Adults 21 and older who need the level of care usually provided in a nursing home.
Intellectual and Developmental Disabilities (IDD) Waiver
Population
People of any age with autism, developmental disabilities, or intellectual disabilities who meet ICF/IID level of care; 50 people a year are drawn from the waitlist.
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
Private pay means higher rates and fast payment; Medicaid means steady volume at state-set rates with authorizations and EVV. Compare rates, cash timing and admin before you mix them.
Track units remaining, the end date and the service code for every client, and check them before each schedule change. Hours over the cap are unbillable.
Four units equal one hour. How to convert units to hours, the common HCPCS codes, how states round partial units, and how to stay inside the authorization.
These free tools are made by the team behind Caregiver Scheduling,
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