These videos give an overview of the various Home and Community-Based Services (HCBS) available in Alaska for providers who want to learn how to start or operate an HCBS agency in the state. Each video explains the purpose of the service, provider requirements, licensing process, and how the program functions in Alaska. Use these videos to better understand the responsibilities, standards, and steps involved in becoming or working with approved HCBS providers in Alaska. Explore each section to find the service that best matches your goals or area of interest.
Respite Care
Respite Care Services in Alaska are designed to provide short-term relief for primary caregivers of individuals with disabilities, chronic conditions, or age-related needs. These services allow caregivers to take essential breaks while ensuring their loved ones continue to receive safe, supportive care. Respite Care is available through Alaska’s Home and Community-Based Services (HCBS) Waivers and governed by the Alaska Department of Health and its Division of Senior and Disabilities Services (SDS).
Residential Care Services
Residential Care Services in Alaska provide structured living environments for individuals who need 24-hour support or supervision due to intellectual or developmental disabilities, chronic health conditions, or age-related limitations. These services are delivered through the Alaska Home and Community-Based Services (HCBS) Medicaid Waiver programs and are overseen by the Alaska Department of Health’s Division of Senior and Disabilities Services (SDS). The focus is on promoting independence, dignity, and quality of life in a home-like setting.
Employment Services
Supported Employment Services in Alaska assist individuals with intellectual and developmental disabilities (IDD) and other qualifying conditions in preparing for, obtaining, and maintaining meaningful employment in community-based settings. Offered under Alaska’s Home and Community-Based Services (HCBS) Medicaid Waiver programs, these services promote independence, self-sufficiency, and full participation in the workforce through individualized job supports.
Chores Services
Chore Services in Alaska are designed to assist individuals with disabilities, chronic conditions, or functional limitations in maintaining a safe and sanitary living environment. These services support people enrolled in Alaska’s Home and Community-Based Services (HCBS) Waiver programs by addressing essential tasks that the individual cannot safely perform on their own and that are not otherwise covered under other services.
Personal Emergency Response System
Personal Emergency Response System (PERS) Services in Alaska provide individuals with a direct line to emergency assistance, helping them maintain independence and safety in their homes and communities. These services are authorized under Alaska’s Home and Community-Based Services (HCBS) Medicaid Waiver programs and are designed to offer peace of mind for participants, family members, and caregivers by ensuring timely support during emergencies.
Skilled Nursing
Skilled Nursing Services in Alaska are designed for individuals with ongoing medical needs that require professional nursing care as part of their Medicaid Waiver plan. These services ensure the health and safety of clients through timely, qualified interventions by licensed nursing professionals. Authorized under Alaska’s Home and Community-Based Services (HCBS) Medicaid Waivers, skilled nursing supports individuals in maintaining independence while receiving medical oversight outside of institutional settings.
Day Habilitation
Day Habilitation Services in Alaska provide structured, person-centered support to individuals with intellectual and developmental disabilities, focusing on building skills, fostering independence, and promoting active participation in the community. These services are part of Alaska’s Home and Community-Based Services (HCBS) Medicaid Waiver programs and are delivered in non-residential settings such as community centers, provider-operated hubs, or local businesses.
Adult Companion Services
Adult Companion Services in Alaska provide supportive, non-medical care focused on assisting individuals with disabilities, chronic conditions, or age-related challenges. These services are authorized under Alaska’s Home and Community-Based Services (HCBS) Medicaid Waiver programs and are designed to promote socialization, emotional support, and daily living assistance in the participant’s home or community.
Shared Care Services
Shared Care Services in Alaska provide a supportive, shared living arrangement for two or more individuals with intellectual and/or developmental disabilities (IDD) who live together and receive coordinated care and habilitation services. These services are authorized under Alaska’s Home and Community-Based Services (HCBS) Medicaid Waiver programs and focus on promoting independence, social interaction, and community integration while maintaining the safety and dignity of each individual.
Environmental Modification
Environmental Modification Services in Alaska provide physical adaptations to a person’s home that enable greater independence, accessibility, and safety. These services are part of the Alaska Home and Community-Based Services (HCBS) Medicaid Waiver programs, specifically designed to support individuals with disabilities or chronic conditions who choose to live in their own homes or family settings. All modifications must be medically necessary, cost-effective, and authorized within the individual’s person-centered plan.
Family Habilitation
Family Habilitation Services in Alaska provide a supportive, structured home environment for individuals with intellectual and developmental disabilities (IDD) who cannot live with their biological families or independently. Under Alaska’s Home and Community-Based Services (HCBS) Medicaid Waiver programs, individuals live with qualified provider families or extended relatives in community settings where they receive care, life skills training, and emotional support as part of daily family life.
Group Home
Group Home Services in Alaska provide structured, 24-hour residential care in a licensed setting for individuals with intellectual and developmental disabilities (IDD) who require ongoing support. Offered under Alaska’s Home and Community-Based Services (HCBS) Medicaid Waiver programs, group homes ensure safety, personal development, and community integration in a shared-living environment that promotes choice, independence, and person-centered care.
In Home Support Services
In-Home Support Services in Alaska provide essential assistance to individuals with disabilities, chronic conditions, or functional limitations who require help with daily living activities but wish to remain in their own homes. These services are authorized under Alaska’s Home and Community-Based Services (HCBS) Medicaid Waiver programs and are designed to support health, safety, independence, and community participation.
Care Coordination
Care Coordination Services in Alaska play a vital role in the Home and Community-Based Services (HCBS) Medicaid Waiver system by ensuring that individuals with disabilities, chronic health conditions, or age-related needs receive the support and services they are entitled to. Care Coordinators help develop person-centered service plans, monitor service delivery, and link individuals to appropriate community resources. These services are essential to maintaining continuity, accountability, and quality of care across all waiver programs in Alaska.
Transportation Assistance
Transportation Services in Alaska support individuals enrolled in Home and Community-Based Services (HCBS) Medicaid Waiver programs by providing non-emergency transportation to medical appointments, habilitation services, employment, and community integration activities. These services are critical for enabling independence, preventing isolation, and ensuring individuals can access the resources outlined in their person-centered service plans.
Home Health
Home Health Care Services in Alaska provide medically necessary, in-home services for individuals with chronic illnesses, disabilities, or recovery needs under Alaska’s Medicaid programs and Home and Community-Based Services (HCBS) Waiver programs. These services are designed to prevent unnecessary institutionalization by offering skilled nursing, therapeutic, and medical support directly in the individual's residence, supporting safety, healing, and independence.
Meal Delivery
Meal Services in Alaska are designed to ensure that individuals receiving Home and Community-Based Services (HCBS) through Medicaid Waiver programs have consistent access to nutritious, appropriate meals that meet their dietary and health needs. These services may include home-delivered meals or meal preparation support and are essential for maintaining independence, promoting wellness, and preventing malnutrition or health decline.
Supported Living Services
Supported Living Services in Alaska offer individualized, 24/7 care for people with intellectual and developmental disabilities (IDD) who require ongoing support but prefer to live alone or with minimal housemates in a non-congregate setting. These services are authorized under Alaska’s Home and Community-Based Services (HCBS) Medicaid Waiver programs and focus on promoting self-determination, dignity, and full participation in community life through stable, individualized housing arrangements.
Adult Day
Adult Day Services in Alaska provide structured, community-based programs during daytime hours for adults with intellectual and developmental disabilities (IDD), physical disabilities, or chronic medical conditions. These services, authorized under Alaska’s Home and Community-Based Services (HCBS) Medicaid Waiver programs, promote health, safety, independence, and social engagement in a supervised, supportive environment outside the home.
Specialized Medical Equipment
Specialized Medical Equipment Services in Alaska provide individuals with disabilities and chronic conditions the equipment and supplies they need to function more independently and safely in their homes and communities. These services are offered under Alaska’s Home and Community-Based Services (HCBS) Medicaid Waiver programs and must be prescribed based on medical necessity and included in the individual’s person-centered service plan.