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Medicaid Waiver Guide – Alaska

What is Alaska Medicaid?

Alaska currently has four waivers that are open to children. Three are HCBS 1915(c) Medicaid waivers and one is a TEFRA program. While the TEFRA program waives parental income, we do not know whether the other waivers count parent income or not. See this brochure for an overview of Alaska’s waiver programs or this page on HCBS waivers. Alaska also has a Community First Choice Program that may allow some children with disabilities to access additional personal care services.
Eligibility and Application.

Check out this brochure for more information.

Types of Waivers

TEFRA

  • Description: Provides Medicaid coverage only.
  • Online State Information: This brochure or Alaska TEFRA from Comagine Health
  • How to Apply: Contact the Department of Public Assistance or use this link. Once you apply through Public Assistance, you will be contacted by Comagine Health. You may also contact the Statewide Specialized Medicaid Unit at (907) 465-3382 or 1-800-478-7778.

Children With Complex Medical Conditions

  • Description from medicaid.gov: Provides care coordination, day habilitation, employment services, residential habilitation, respite, environmental modifications, meals, nursing oversight and care management, specialized medical equipment, and transportation for individuals who are medically fragile ages 0-21.
  • Online State Information: Alaska Waivers
  • Official Federal Information
  • How to Apply: Contact the Division of Senior and Disability Services at 1-907-269-3666 or 1-800-478-9996 or Aging & Disability Resource Centers (ADRC) at 1-855-565-2017. For more information see this brochure.

People with Intellectual and Developmental Disabilities

  • Description from medicaid.gov: Provides care coordination, day habilitation, employment services, residential habilitation, respite, environmental modifications, intensive active treatment, meals, nursing oversight and care management, specialized medical equipment, specialized private duty nursing, and transportation for individuals with autism, developmental disabilities, and intellectual disabilities ages 0 to no maximum age.
  • Online State Information: Intellectual and Developmental Disabilities Waiver Unit
  • Official Federal Information
  • How to Apply: Contact the Division of Senior and Disability Services at 1-907-269-3666 or 1-800-478-9996 or Aging & Disability Resource Centers (ADRC) at 1-855-565-2017. For more information see this brochure.

Individualized Supports Waiver

  • Description from medicaid.gov:Provides care coordination, day habilitation, employment services, residential habilitation, respite, intensive active treatment, and transportation services to individuals with autism, developmental disabilities, or intellectual disabilities ages 0 or older who meet an ICF/IID level of care.
  • Official Federal Information
  • How to Apply: Contact the Division of Senior and Disability Services at 1-907-269-3666 or 1-800-478-9996 or Aging & Disability Resource Centers (ADRC) at 1-855-565-2017. For more information see this brochure.

Other online resources:

Telephone resources:

Check out this link for contact information for medicaid

Ordering Goally with a Medicaid Waiver

If you already have been approved for a waiver program, please have your case manager reach out to: [email protected] to place your order on your behalf.

Who Can Apply?

Circumstances/Diagnosis: Any child under 19 who is diagnosed with any type of disability (this includes autism). The state requires that individuals need at least an intermediate care facility level of care to qualify. This has a technical definition but essentially just means that the individual is unable to get through their day without a lot of supervision.
Income: Income eligibility is only based on the child’s income and not the parents income. This means that your child is financially eligible for the waiver if they don’t have an income.

What do I get?

The way TEFRA Programs work is that they allow families with higher incomes to receive medicaid benefits for their child because eligibility is based on the child income. This means that you will be able to receive dental care, emergency and non-emergency transportation, inpatient and outpatient treatment, medical equipment, occupational therapy, pharmacy, physical therapy, vision.

How do I apply?

Call your region”s Division of Public Assistance
Contact your local member of the Developmental Disabilities Resource Connection Roster to get help applying and finding the correct program for you.

This post was originally published on 02/16/2021. It was updated on 03/13/2025.