Skip to content
Caregiver Scheduling

Alaska Medicaid waivers that pay for home care

Last verified October 17, 2026 · All Alaska resources

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.
Services covered
  • respite
  • adult day
  • care coordination
  • adult host home care
  • residential supported living
  • meals
  • environmental modification
  • transportation
  • specialized private duty nursing
Billing format
Not specified
Prior authorization
Required
Open waiver page (opens in a new tab)

Adults with Physical and Developmental Disabilities (APDD) Waiver

Population
Adults 21 and older with physical and developmental disabilities who need nursing facility level of care.
Services covered
  • respite
  • adult day
  • care coordination
  • day habilitation
  • residential habilitation
  • residential supported living
  • employment services
  • meals
  • transportation
Billing format
Not specified
Prior authorization
Required
Open waiver page (opens in a new tab)

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.
Services covered
  • respite
  • care coordination
  • day habilitation
  • residential habilitation
  • employment services
  • meals
  • transportation
Billing format
Not specified
Prior authorization
Required
Open waiver page (opens in a new tab)

Individualized Supports Waiver (ISW)

Population
People of any age with autism, developmental disabilities, or intellectual disabilities who meet ICF/IID level of care and accept a total cost limit.
Services covered
  • respite
  • care coordination
  • day habilitation
  • residential habilitation
  • adult host home care
  • employment services
  • transportation
Billing format
Not specified
Prior authorization
Required
Open waiver page (opens in a new tab)

Sources

More for Alaska

Medicaid waiver lookup: other states

Related guides

Authorizations

How to Become a Medicaid Provider for Home Care

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.

These free tools are made by the team behind Caregiver Scheduling, caregiver scheduling software for home care agencies.

Simple pricing

From $199 /month

Up to 10 caregivers on Starter, 50 on Growth.

More than 50 caregivers? We'll put together a custom Scale plan for your agency.