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 PROVIDER IN ALASKA
SUPPORTING FAMILIES AND INDIVIDUALS WITH DISABILITIES THROUGH TEMPORARY RELIEF SERVICES
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).
1. GOVERNING AGENCIES
Agency: Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Role: Oversees HCBS waiver programs, approves respite care providers, and ensures quality standards
Agency: Alaska Medicaid (under the Department of Health)
Role: Administers Medicaid provider enrollment and claims reimbursement for respite services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures compliance with HCBS waiver regulations
2. RESPITE CARE SERVICE OVERVIEW
Respite care provides temporary support to individuals who normally receive care from a family member or primary caregiver. The goal is to provide relief to caregivers while ensuring continuity of care for the individual.
Approved providers may deliver:
In-home respite care
Out-of-home or facility-based respite (as permitted by plan of care)
Hourly or daily supervision and support
Activities promoting safety, comfort, and well-being
Basic personal care and assistance with ADLs (Activities of Daily Living)
Services must be documented in the individual’s person-centered service plan and meet all health and safety requirements.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Alaska Division of Corporations, Business and Professional Licensing
Obtain EIN from the IRS and NPI (Type 2)
Maintain a physical office or service address in Alaska
Hold applicable business or healthcare licenses as required (e.g., agency-based care license)
Demonstrate ability to hire, train, and manage staff for in-home or community-based care
Establish documentation and time-tracking systems for all care delivered
4. SDS PROVIDER ENROLLMENT PROCESS
Initial Interest and Pre-Application:
Contact SDS to express interest in becoming a Respite Care provider
Attend orientation or informational meetings as offered by SDS
Application & Policy Submission:
Submit a complete provider application to SDS
Include organizational structure, financial stability documentation, and program service description
Submit policies on consumer rights, safety, staff training, and emergency procedures
Background & Operational Readiness:
Criminal background checks for all staff and contractors
Proof of insurance (liability, worker’s comp, auto if applicable)
System for timesheet management, consumer feedback, and incident reporting
Approval & Medicaid Enrollment:
Upon SDS approval, enroll as a Medicaid provider through Alaska’s Medicaid Management Information System (MMIS)
Select appropriate waiver service lines and billing codes for respite care
Complete Medicaid provider agreement and system access setup
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License Certificate
IRS EIN Letter
NPI confirmation
Lease or proof of office location in Alaska
SDS-Compliant Policy & Procedure Manual including:
Eligibility verification and intake procedures
Service documentation and daily activity logs
Client rights and confidentiality protections
Incident, grievance, and complaint resolution procedures
Emergency preparedness and care continuity plans
Staff hiring, training, and supervision policies
Timekeeping and Medicaid billing logs
Signed caregiver consent and care recipient intake forms
6. STAFFING REQUIREMENTS
Role: Program Administrator
Requirements: Experience in caregiving, HCBS services, or health administration; knowledge of Alaska’s Medicaid waiver system
Role: Respite Care Staff
Requirements: High school diploma or GED, experience with caregiving or personal care, background clearance
All staff must complete:
SDS orientation and waiver-specific training
CPR/First Aid certification
Annual training in ethics, confidentiality, and emergency response
Documentation protocols and client rights training
7. MEDICAID WAIVER SERVICES
The following Alaska Medicaid Waivers authorize Respite Care Services:
Alaskans Living Independently (ALI) Waiver
Adults with Physical and Developmental Disabilities (APDD) Waiver
Individuals with Intellectual and Developmental Disabilities (IDD) Waiver
Children with Complex Medical Conditions (CCMC) Waiver
Approved providers may deliver:
Scheduled in-home respite visits
Emergency or overnight respite support
Flexible services based on caregiver availability
Accurate documentation and Medicaid-compliant billing
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: SDS Application Review
Timeline: 60–90 days
Phase: Program Readiness and Staff Onboarding
Timeline: 30–45 days
Phase: Medicaid Enrollment and MMIS Setup
Timeline: 45–60 days
9. CONTACT INFORMATION
Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Email: dsdsprovider@alaska.gov
Phone: (907) 269-3666
Website: https://dhss.alaska.gov/dsds
Alaska Medicaid Provider Enrollment – Conduent MMIS
Website: https://medicaidalaska.com
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ALASKA RESPITE CARE SERVICES PROVIDER
We guide respite care providers through every step of launching a compliant, high-quality service agency under Alaska’s HCBS waiver programs.
Scope of Work:
Business formation (LLC, EIN, NPI)
SDS application guidance and documentation preparation
Development of Respite Care Policy & Procedure Manual
Incident tracking forms, timekeeping logs, and consent forms
Medicaid enrollment and MMIS system access support
WEBSITE, DOMAIN, AND EMAIL SETUP
CLIENT SERVICE AGREEMENTS AND INTAKE PACKET
MARKETING AND ADVERTISING MATERIALS
OPERATIONS AND WORKFORCE TRAINING
REGULATORY AND LICENSING SUPPORT
QUALITY MONITORING TOOLS AND CHECKLISTS
CLIENT AND CAREGIVER OUTREACH STRATEGIES
Residential Care Services
RESIDENTIAL CARE SERVICES PROVIDER IN ALASKA
SUPPORTING INDIVIDUALS WITH DISABILITIES AND CHRONIC CONDITIONS THROUGH COMMUNITY-BASED LIVING OPTIONS
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.
1. GOVERNING AGENCIES
Agency: Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Role: Approves residential providers, monitors service delivery, and enforces quality standards
Agency: Alaska Medicaid (under the Department of Health)
Role: Manages Medicaid enrollment, service billing, and reimbursement for residential services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures federal compliance with HCBS Medicaid waiver regulations
2. RESIDENTIAL CARE SERVICE OVERVIEW
Residential Care Services provide housing and daily support for individuals who cannot live independently without assistance. Services vary depending on the level of care needed and are delivered in licensed or certified homes that are integrated into the community.
Approved providers may deliver:
24-hour supervision and support
Assistance with Activities of Daily Living (ADLs) such as bathing, dressing, and eating
Medication administration or monitoring
Meal preparation and dietary support
Social, recreational, and community integration activities
Behavior support and skills development
Transportation to appointments or community outings
All services must be part of the individual’s person-centered service plan and tailored to their specific needs and preferences.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Alaska Division of Corporations, Business and Professional Licensing
Obtain EIN from the IRS and NPI (Type 2)
Secure and license the residential home or facility under applicable state rules
Obtain Assisted Living Home License (if applicable) from the Division of Health Care Services
Ensure compliance with fire safety, sanitation, and zoning requirements
Employ trained residential staff and/or licensed professionals depending on level of care provided
4. SDS PROVIDER ENROLLMENT PROCESS
Initial Interest and Pre-Application:
Contact SDS for the Residential Care Provider application packet
Attend an SDS informational session or technical assistance meeting
Application & Licensing:
Submit application including home details, floor plans, safety compliance, and staffing plan
Apply for the Assisted Living License through the Division of Health Care Services
Include policies on medication management, meal services, staff supervision, and emergency response
Readiness Review:
Site inspection for residential safety and accessibility
Background checks for all direct care staff
Review of client care documentation systems and staff training plans
Approval & Medicaid Enrollment:
Upon SDS and licensure approval, enroll as a Medicaid provider through Alaska MMIS
Select residential care billing codes under appropriate waivers
Complete Medicaid provider agreement and begin submitting claims after receiving authorization
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN Letter
NPI confirmation
Assisted Living Home License (if applicable)
Lease, deed, or proof of residence location
SDS-Compliant Policy & Procedure Manual including:
Admission and discharge policies
Medication administration and health monitoring protocols
Emergency and disaster response plans
Client rights and grievance procedures
Incident reporting and staff supervision
Staff-to-client ratio and overnight supervision protocols
Nutrition, meal planning, and dietary accommodations
Behavior support and safety procedures
Transportation and community engagement policies
6. STAFFING REQUIREMENTS
Role: Residential Administrator / Home Manager
Requirements: Experience managing residential care, knowledge of HCBS waivers and licensing standards
Role: Direct Support Professional (DSP) / Caregiver
Requirements: High school diploma or GED, training in personal care, background check, and CPR/First Aid
All staff must complete:
SDS orientation and residential services training
Medication administration training (if applicable)
Person-centered planning and behavior support training
Ethics, documentation, and confidentiality training
Annual continuing education and in-service training
7. MEDICAID WAIVER SERVICES
The following Alaska Medicaid Waivers authorize Residential Care Services:
Adults with Physical and Developmental Disabilities (APDD) Waiver
Individuals with Intellectual and Developmental Disabilities (IDD) Waiver
Children with Complex Medical Conditions (CCMC) Waiver
Alaskans Living Independently (ALI) Waiver (in limited cases)
Approved providers may deliver:
24/7 residential supervision and support
Personal care assistance and daily living support
Behavioral health monitoring and skill development
Documentation of daily care and goal tracking
8. TIMELINE TO LAUNCH
Phase: Business Formation and Property Readiness
Timeline: 2–4 weeks
Phase: Licensing and SDS Application Review
Timeline: 60–120 days
Phase: Staff Training and Program Preparation
Timeline: 30–45 days
Phase: Medicaid Enrollment and MMIS Access
Timeline: 45–60 days
9. CONTACT INFORMATION
Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Email: dsdsprovider@alaska.gov
Phone: (907) 269-3666
Website: https://dhss.alaska.gov/dsds
Assisted Living Licensing – Division of Health Care Services
Phone: (907) 334-2400
Website: https://health.alaska.gov/dhcs
Alaska Medicaid Provider Enrollment – Conduent MMIS
Website: https://medicaidalaska.com
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ALASKA RESIDENTIAL CARE SERVICES PROVIDER
We guide new residential providers through every step of launching a licensed home or group living program under Alaska’s HCBS Medicaid waiver system.
Scope of Work:
Business formation (LLC, EIN, NPI)
SDS and Assisted Living Home licensing support
Development of Residential Care Policy & Procedure Manual
Client intake, medication logs, and incident report templates
Medicaid enrollment and billing setup through MMIS
RESIDENTIAL PROGRAM WEBSITE AND EMAIL SETUP
CLIENT INTAKE PACKET AND HOUSE RULES AGREEMENTS
MARKETING MATERIALS FOR REFERRAL SOURCES AND CASE MANAGERS
OPERATIONAL TRAINING FOR HOUSE MANAGERS AND CAREGIVERS
LICENSING AND QUALITY MONITORING SUPPORT
EMERGENCY PREPAREDNESS AND RISK MANAGEMENT TOOLS
RESIDENT ACQUISITION AND COMMUNITY OUTREACH STRATEGIES
Employment Services
SUPPORTED EMPLOYMENT SERVICES PROVIDER IN ALASKA
HELPING INDIVIDUALS WITH DISABILITIES ACHIEVE COMPETITIVE, INTEGRATED EMPLOYMENT THROUGH PERSON-CENTERED SUPPORTS
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.
1. GOVERNING AGENCIES
Agency: Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Role: Approves Supported Employment providers, monitors service delivery, and ensures compliance with Employment First and HCBS standards
Agency: Alaska Medicaid (under the Department of Health)
Role: Administers Medicaid provider enrollment and reimbursement for employment-related services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures Supported Employment Services align with HCBS and community integration principles
2. SUPPORTED EMPLOYMENT SERVICE OVERVIEW
Supported Employment Services help individuals identify career goals, find suitable jobs, and succeed in integrated, competitive employment. Services are highly individualized and are designed to reduce reliance on segregated or sheltered work settings.
Approved providers may deliver:
Job exploration and vocational assessments
Resume development and interview preparation
Employer outreach and job development
On-the-job training and job coaching
Follow-along supports for job retention and success
Support with transportation coordination and workplace accommodations
Benefits counseling (in collaboration with certified work incentive specialists)
All services must reflect the individual’s interests, strengths, and preferences, and must be outlined in their person-centered plan.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Alaska Division of Corporations, Business and Professional Licensing
Obtain EIN from the IRS and NPI (Type 2)
Maintain a physical or administrative office in Alaska
Employ staff trained in supported employment strategies and person-centered planning
Establish systems for documentation, employer communication, and performance tracking
Carry general liability and professional insurance
4. SDS PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Request the Supported Employment Services Provider Application Packet from SDS
Attend SDS orientation for employment services (recommended)
Application & Program Documentation:
Submit service delivery plan outlining how job development, coaching, and retention supports will be provided
Include sample vocational assessments, job coaching logs, and progress tracking templates
Provide staff qualifications, safety protocols, and documentation systems
Readiness Review:
SDS reviews staff credentials, background checks, and employment experience
Evaluation of employer engagement strategies and service documentation
Providers must demonstrate the ability to coordinate with vocational rehab (VR) agencies and employers
Approval & Medicaid Enrollment:
Upon SDS approval, enroll through Alaska MMIS as a Supported Employment Services provider
Activate the appropriate billing codes under eligible waiver programs
Complete Medicaid provider agreement and set up billing submission access
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN Letter
NPI confirmation
Proof of office location or operational base in Alaska
SDS-Compliant Policy & Procedure Manual including:
Intake and person-centered employment planning protocols
Job development, placement, and coaching workflows
Employer communication and collaboration guidelines
Documentation of hours worked, progress made, and job retention supports
Participant rights and informed consent policies
Incident response, transportation coordination, and confidentiality procedures
Staff training logs, performance monitoring, and continuing education plans
6. STAFFING REQUIREMENTS
Role: Employment Services Coordinator / Program Supervisor
Requirements: Experience in supported employment, workforce development, or vocational rehabilitation
Role: Job Coach / Employment Specialist
Requirements: High school diploma or GED (Bachelor’s degree preferred), experience in disability employment services, background check clearance
All staff must complete:
SDS orientation and Supported Employment training
Documentation, safety, and person-centered planning education
Employer engagement and workplace accommodation strategies
Annual training on ethics, confidentiality, and Medicaid compliance
7. MEDICAID WAIVER SERVICES
The following Alaska Medicaid Waivers authorize Supported Employment Services:
Individuals with Intellectual and Developmental Disabilities (IDD) Waiver
Adults with Physical and Developmental Disabilities (APDD) Waiver
Children with Complex Medical Conditions (CCMC) Waiver (transition-aged youth where appropriate)
Approved providers may deliver:
Job discovery, preparation, and on-the-job support
Ongoing monitoring and job retention coaching
Coordination with VR counselors, benefits specialists, and employers
Documentation of employment outcomes and participant progress
8. TIMELINE TO LAUNCH
Phase: Business Formation and Staff Setup
Timeline: 1–2 weeks
Phase: SDS Application and Documentation Review
Timeline: 60–90 days
Phase: Training and Program Readiness
Timeline: 30–45 days
Phase: Medicaid Enrollment and MMIS Setup
Timeline: 45–60 days
9. CONTACT INFORMATION
Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Email: dsdsprovider@alaska.gov
Phone: (907) 269-3666
Website: https://dhss.alaska.gov/dsds
Alaska Medicaid Provider Enrollment – Conduent MMIS
Website: https://medicaidalaska.com
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ALASKA SUPPORTED EMPLOYMENT SERVICES PROVIDER
We help providers launch person-centered, workforce-integrated Supported Employment Services under Alaska’s HCBS Medicaid waiver programs.
Scope of Work:
Business formation (LLC, EIN, NPI)
SDS application support and employment documentation guidance
Development of Supported Employment Policy & Procedure Manual
Templates for vocational assessments, job coaching logs, and outcome tracking
Medicaid enrollment and MMIS billing setup
WEBSITE, DOMAIN, AND EMAIL SETUP
CLIENT INTAKE AND EMPLOYMENT GOAL PACKET
EMPLOYER OUTREACH STRATEGIES AND MARKETING MATERIALS
STAFF TRAINING ON WORKFORCE READINESS, PLACEMENT, AND COACHING
QUALITY MONITORING SYSTEMS AND PERFORMANCE EVALUATION TOOLS
REFERRAL NETWORKING WITH VR, SCHOOLS, AND COMMUNITY PARTNERS
Chores Services
CHORE SERVICES PROVIDER IN ALASKA
SUPPORTING SAFETY AND INDEPENDENCE FOR INDIVIDUALS WITH DISABILITIES THROUGH NON-MEDICAL HOME MAINTENANCE
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.
1. GOVERNING AGENCIES
Agency: Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Role: Oversees waiver services, approves chore service providers, and monitors service quality and compliance
Agency: Alaska Medicaid (under the Department of Health)
Role: Processes provider enrollment and reimburses for authorized HCBS chore services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal-level oversight and enforces compliance with HCBS regulations
2. CHORE SERVICE OVERVIEW
Chore Services provide assistance with heavy-duty cleaning, minor home repairs, and other non-routine household tasks necessary to ensure the health and safety of individuals living independently. These services are authorized under a person-centered service plan and must be based on assessed needs.
Approved providers may deliver:
Deep cleaning and sanitation (e.g., kitchens, bathrooms, living areas)
Trash removal and pest eradication preparation
Minor home maintenance to reduce health or safety risks (e.g., replacing light bulbs, clearing walkways)
Yard work or snow removal to ensure safe access to the home
Assistance with setting up essential home safety features (grab bars, non-slip mats)
Services must not duplicate services covered under other Medicaid benefits and must directly relate to the individual’s functional limitations and safety needs.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Alaska Division of Corporations, Business and Professional Licensing
Obtain EIN from the IRS and NPI (Type 2)
Maintain an office or designated service location in Alaska
Acquire appropriate business insurance, including general liability and vehicle coverage if transportation is used
Demonstrate capacity to perform and document chore services safely and effectively
Hire staff trained in heavy-duty cleaning, basic maintenance, and safety awareness
4. SDS PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Contact SDS to request the Chore Services Provider application
Attend optional provider orientation or technical assistance sessions
Application Submission:
Submit business information and service plan outlining the scope of chore services
Include sample documentation forms, staff supervision protocols, and risk mitigation strategies
Operational Review:
Conduct staff background checks and driver’s license verification (if applicable)
Submit emergency preparedness and incident reporting procedures
Show readiness to respond to urgent cleaning or hazard-related tasks
Approval & Medicaid Enrollment:
Once approved by SDS, complete Medicaid enrollment through Alaska’s MMIS system
Select and activate billing codes specific to Chore Services
Finalize provider agreement and set up electronic claims submission
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN Letter
NPI confirmation
Proof of office location or service area in Alaska
SDS-Compliant Policy & Procedure Manual including:
Intake and referral procedures for chore services
Assessment and documentation of health/safety risks
Staff scheduling, time tracking, and supervision procedures
Emergency response and hazard mitigation policies
Service verification logs and consumer sign-off forms
Quality control and service feedback mechanisms
Incident reporting and resolution protocols
6. STAFFING REQUIREMENTS
Role: Service Coordinator / Field Supervisor
Requirements: Experience in facilities maintenance, in-home services, or caregiving; ability to oversee multiple field staff and maintain compliance
Role: Chore Service Worker
Requirements: High school diploma or GED, experience with cleaning or light maintenance tasks, background check clearance
All staff must complete:
SDS training and orientation
Safety and hazard training (including use of equipment and cleaning products)
Consumer confidentiality and service documentation training
Ongoing annual refresher training and performance evaluations
7. MEDICAID WAIVER SERVICES
The following Alaska Medicaid Waivers authorize Chore Services:
Alaskans Living Independently (ALI) Waiver
Adults with Physical and Developmental Disabilities (APDD) Waiver
Individuals with Intellectual and Developmental Disabilities (IDD) Waiver
Children with Complex Medical Conditions (CCMC) Waiver
Approved providers may deliver:
One-time or periodic cleaning and sanitation
Non-medical home maintenance to support safety
Snow removal or yard care to ensure home accessibility
Documentation and tracking of all tasks completed under the plan of care
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: SDS Application Review
Timeline: 60–90 days
Phase: Staff Onboarding and Program Readiness
Timeline: 30–45 days
Phase: Medicaid Enrollment
Timeline: 45–60 days
9. CONTACT INFORMATION
Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Email: dsdsprovider@alaska.gov
Phone: (907) 269-3666
Website: https://dhss.alaska.gov/dsds
Alaska Medicaid Provider Enrollment – Conduent MMIS
Website: https://medicaidalaska.com
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ALASKA CHORE SERVICES PROVIDER
We guide new providers through every step of launching a compliant Chore Services agency under Alaska’s HCBS waiver programs.
Scope of Work:
Business formation (LLC, EIN, NPI)
SDS application completion and documentation setup
Development of Chore Services Policy & Procedure Manual
Service logs, cleaning checklists, and incident tracking templates
Medicaid enrollment and billing setup through MMIS
WEBSITE, DOMAIN, AND EMAIL SETUP
CLIENT INTAKE PACKET AND SERVICE AGREEMENTS
MARKETING MATERIALS AND REFERRAL OUTREACH TOOLS
OPERATIONS TRAINING FOR SUPERVISORS AND WORKERS
REGULATORY COMPLIANCE AND DOCUMENTATION REVIEW
QUALITY CONTROL FRAMEWORK AND STAFF PERFORMANCE TOOLS
CLIENT ACQUISITION AND COMMUNITY OUTREACH STRATEGIES
Personal Emergency Response System
PERSONAL EMERGENCY RESPONSE SYSTEM (PERS) PROVIDER IN ALASKA
ENSURING SAFETY AND RAPID RESPONSE FOR INDIVIDUALS WITH DISABILITIES AND CHRONIC CONDITIONS
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.
1. GOVERNING AGENCIES
Agency: Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Role: Approves PERS providers, monitors service delivery, and ensures compliance with waiver guidelines
Agency: Alaska Medicaid (under the Department of Health)
Role: Manages Medicaid provider enrollment and reimbursement for PERS services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures compliance with HCBS standards and participant-centered care principles
2. PERS SERVICE OVERVIEW
PERS Services include the provision, installation, maintenance, and monitoring of electronic devices that enable individuals to summon help quickly in the event of an emergency.
Approved providers may deliver:
Installation of emergency response systems in homes
24/7 monitoring services linked to call centers
Mobile PERS devices for use outside the home (if authorized)
Routine device checks, maintenance, and battery replacements
Training for individuals and caregivers on device usage
Coordination with emergency responders and caregivers when alerts are triggered
All services must be authorized in the participant’s person-centered service plan and cannot duplicate other emergency alert services provided simultaneously.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with Alaska Division of Corporations, Business and Professional Licensing
Obtain EIN from the IRS and NPI (Type 2)
Establish a physical business presence or service office in Alaska
Ensure monitoring center is UL-listed or meet SDS-approved standards for emergency monitoring
Maintain a 24/7 response center or contract with an approved emergency monitoring vendor
Ensure secure installation, troubleshooting, and repair services
Develop training materials for participants and caregivers
4. SDS PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Request the PERS Provider application packet from SDS
(Recommended) Attend HCBS waiver orientation for providers
Application and Documentation Submission:
Submit business structure, emergency response protocols, and monitoring center information
Provide staff qualifications, monitoring agreements, and participant training protocols
Include system testing and maintenance policies
Program Readiness Review:
SDS evaluates emergency call protocols, staff credentials, and documentation systems
May request demonstration of device installation and emergency response procedures
Verifies readiness for participant intake and emergency communication handling
Approval & Medicaid Enrollment:
Upon SDS approval, enroll with Alaska Medicaid through MMIS as a PERS provider
Select appropriate billing codes under applicable HCBS waivers
Complete Medicaid provider agreements and configure billing and claims systems
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN confirmation
NPI confirmation
Proof of office or service base in Alaska
SDS-Compliant Policy & Procedure Manual including:
Participant intake and emergency contact documentation
Installation, maintenance, and replacement procedures
Monitoring center staffing, response times, and communication logs
Incident response and reporting protocols
Participant rights, privacy, and informed consent forms
Staff background checks, training logs, and supervisory protocols
Device inventory management and system testing logs
Medicaid billing, authorization tracking, and service logging procedures
6. STAFFING REQUIREMENTS
Role: PERS Coordinator / Supervisor
Requirements: Experience in emergency response operations, technical installation, Medicaid documentation
Role: PERS Technician / Installer
Requirements: Technical installation training, background check clearance, customer service training
All staff must complete:
SDS waiver-specific emergency response training
Installation, troubleshooting, and maintenance training
Confidentiality and client rights education
Emergency communication and documentation procedures
7. MEDICAID WAIVER SERVICES
The following Alaska Medicaid Waivers authorize PERS Services:
Alaskans Living Independently (ALI) Waiver
Adults with Physical and Developmental Disabilities (APDD) Waiver
Individuals with Intellectual and Developmental Disabilities (IDD) Waiver
Children with Complex Medical Conditions (CCMC) Waiver
Approved providers may deliver:
In-home installation and activation of emergency devices
Continuous 24/7 monitoring and alert management
Mobile PERS device services (if included in the service plan)
Maintenance, troubleshooting, and participant education
8. TIMELINE TO LAUNCH
Phase: Business Formation and Vendor Setup
Timeline: 1–2 weeks
Phase: SDS Application and Readiness Review
Timeline: 60–90 days
Phase: Staff Hiring, Training, and System Testing
Timeline: 30–45 days
Phase: Medicaid Enrollment and MMIS Configuration
Timeline: 45–60 days
9. CONTACT INFORMATION
Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Email: dsdsprovider@alaska.gov
Phone: (907) 269-3666
Website: https://dhss.alaska.gov/dsds
Alaska Medicaid Provider Enrollment – Conduent MMIS
Website: https://medicaidalaska.com
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — ALASKA PERS PROVIDER
WCG helps businesses and healthcare entrepreneurs launch compliant and reliable PERS Services under Alaska’s HCBS Waiver system.
Scope of Work:
Business registration and EIN/NPI setup
SDS application and documentation support
Development of PERS-specific Policy & Procedure Manual
Staff training templates and monitoring protocols
Medicaid enrollment and MMIS billing system setup
Website, domain, and email setup
Client intake and emergency contact packet
PERS training materials and response procedure templates
Incident tracking systems and quality assurance protocols
Referral and community partnership development strategies
Skilled Nursing
SKILLED NURSING PROVIDER IN ALASKA
DELIVERING CLINICALLY COMPLEX CARE FOR INDIVIDUALS WITH MEDICAL NEEDS IN HOME AND COMMUNITY SETTINGS
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.
1. GOVERNING AGENCIES
Agency: Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Role: Approves skilled nursing providers, reviews care plans, ensures adherence to waiver program regulations
Agency: Alaska Medicaid (via Department of Health)
Role: Handles Medicaid enrollment and billing for skilled nursing services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Oversees HCBS waiver implementation and ensures compliance with federal quality and person-centered standards
2. SKILLED NURSING SERVICE OVERVIEW
Skilled Nursing Services offer professional nursing interventions provided by Licensed Practical Nurses (LPNs) or Registered Nurses (RNs) in the client’s home or other non-institutional settings.
Services may include:
Medication administration and monitoring
Wound care and dressing changes
Tube feedings and suctioning
Catheter care
Vitals monitoring and clinical assessments
Care coordination with physicians and therapists
Health education for individuals and caregivers
All services must be documented and linked to the individual’s person-centered support plan and cannot duplicate other nursing or clinical services.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Registered business with Alaska’s Division of Corporations, Business and Professional Licensing
Valid NPI (Type 2) and EIN
Licensed nursing professionals (LPN or RN) with active Alaska licensure
Office or clinical base within Alaska
Proof of malpractice insurance and worker’s compensation coverage
Staff credentialing and nurse supervision protocols
4. SDS PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Request Skilled Nursing Services application packet from SDS
(Optional) Attend orientation for HCBS waiver providers
Application Submission:
Submit credentials, staffing plans, and scope of nursing services
Include documentation templates, staff training schedules, and quality control measures
Program Readiness Review:
SDS evaluates licenses, staff training, and readiness to deliver services
May conduct site inspection if facility-based services are included
Reviews participant care plans and documentation systems
Approval & Medicaid Enrollment:
Upon SDS approval, register with Alaska Medicaid via MMIS
Select appropriate service codes and nursing modifiers under HCBS
Finalize electronic claims submission and Medicaid agreements
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
EIN Confirmation and NPI Registration
RN/LPN licenses and proof of insurance
SDS-Compliant Skilled Nursing Policies including:
Medication and clinical protocols
Client care documentation forms
Staff oversight and incident management plans
Infection control and emergency procedures
HIPAA privacy and informed consent documentation
6. STAFFING REQUIREMENTS
Role: Skilled Nursing Supervisor (RN)
Requirements: Active RN license, supervisory experience, Medicaid documentation experience
Role: Skilled Nurse (LPN or RN)
Requirements: Current Alaska nursing license, CPR certification, background check
All staff must complete:
SDS waiver-specific training
Documentation and confidentiality procedures
Safety and emergency training
Ongoing clinical education and annual reviews
7. MEDICAID WAIVER SERVICES
Skilled Nursing Services are authorized under the following Alaska Medicaid Waivers:
Alaskans Living Independently (ALI) Waiver
Adults with Physical and Developmental Disabilities (APDD) Waiver
Individuals with Intellectual and Developmental Disabilities (IDD) Waiver
Children with Complex Medical Conditions (CCMC) Waiver
Providers may offer:
Intermittent or scheduled nursing interventions
In-home medical care per waiver-authorized plan
Coordination with other providers or family caregivers
Documentation of nursing activities and clinical progress
8. TIMELINE TO LAUNCH
Phase: Business Formation and Licensing Setup
Timeline: 1–2 weeks
Phase: SDS Application and Compliance Review
Timeline: 60–90 days
Phase: Nurse Hiring and Training Completion
Timeline: 30–45 days
Phase: Medicaid Enrollment and MMIS Billing Configuration
Timeline: 45–60 days
9. CONTACT INFORMATION
Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
dsdsprovider@alaska.gov
(907) 269-3666
https://dhss.alaska.gov/dsds
Alaska Medicaid Provider Enrollment – Conduent MMIS
https://medicaidalaska.com
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — ALASKA SKILLED NURSING PROVIDER
WCG helps clinicians and healthcare entrepreneurs launch Medicaid-compliant Skilled Nursing Services within Alaska’s HCBS Waiver system.
Scope of Work:
Business registration and EIN/NPI setup
SDS application support and readiness coaching
Custom Policy & Procedure Manual for nursing care
Staff credentialing logs and clinical documentation templates
Medicaid enrollment and billing system configuration
Website, domain, and email setup
Client intake and health coordination packet
Skilled nursing training materials and audit prep tools
Incident tracking and quality assurance dashboards
Community networking and physician referral strategies
Day Habilitation
DAY HABILITATION SERVICES PROVIDER IN ALASKA
EMPOWERING INDIVIDUALS WITH DISABILITIES THROUGH COMMUNITY INTEGRATION, SKILLS DEVELOPMENT, AND PERSONAL GROWTH
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.
1. GOVERNING AGENCIES
Agency: Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Role: Approves providers, monitors quality of Day Habilitation programs, and enforces HCBS requirements
Agency: Alaska Medicaid (under the Department of Health)
Role: Oversees Medicaid enrollment and reimbursement for Day Habilitation services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures that Day Habilitation services comply with HCBS federal guidelines, including community integration and person-centered care.
2. DAY HABILITATION SERVICE OVERVIEW
Day Habilitation Services help individuals acquire, retain, or improve self-help, socialization, and adaptive skills necessary to live successfully in home and community settings. Services may be delivered one-on-one or in small groups and are based on individualized service plans.
Approved providers may deliver:
Community participation and volunteer opportunities
Support with daily living skills (e.g., cooking, budgeting, transportation use)
Recreational, social, and fitness activities
Communication and interpersonal skill development
Self-advocacy, rights education, and decision-making training
Instruction on using public resources and engaging in civic life
All services must align with the individual’s strengths, goals, and preferences and must not be delivered in segregated or institutional settings.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Alaska Division of Corporations, Business and Professional Licensing
Obtain EIN from the IRS and NPI (Type 2)
Maintain a physical service site or administrative office in Alaska
Comply with local fire, health, and safety regulations
Develop structured programming based on person-centered practices
Hire or contract trained staff to deliver services in community-based environments
Establish data collection systems for progress tracking and service documentation
4. SDS PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Request the Day Habilitation Services provider application from SDS
Attend SDS training or orientation sessions related to community integration services
Application & Program Submission:
Submit business documentation, service delivery model, and staffing plan
Include sample daily schedules, activity logs, and person-centered planning tools
Provide written procedures for supervision, transportation, and participant safety
Readiness Review:
Background checks and credential verification for all staff
Review of program space (if center-based), safety compliance, and accessibility
Evaluation of procedures for incident reporting, participant engagement, and data collection
Approval & Medicaid Enrollment:
After SDS approval, enroll as a Medicaid provider through Alaska MMIS
Select and activate billing codes specific to Day Habilitation
Sign Medicaid provider agreement and configure electronic claims submission access
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN Letter
NPI confirmation
Lease or proof of program location (if applicable)
SDS-Compliant Policy & Procedure Manual including:
Participant admission and service planning
Community engagement, skill-building, and activity procedures
Behavior support, health and safety protocols
Incident, injury, and emergency response procedures
Participant rights, consent, and grievance processes
Transportation safety and supervision policies
Daily documentation templates and progress tracking tools
Staff training, scheduling, and performance monitoring systems
6. STAFFING REQUIREMENTS
Role: Program Director / Day Habilitation Manager
Requirements: Experience in developmental disabilities services, program oversight, and person-centered care planning
Role: Direct Support Staff / Community Coaches
Requirements: High school diploma or GED, training in community inclusion, skill-building, and behavior support
All staff must complete:
SDS waiver program training and Day Habilitation-specific orientation
Training on community integration, personal rights, and risk reduction
Annual refreshers on documentation, safety, and ethics
Ongoing professional development related to supporting individuals with disabilities
7. MEDICAID WAIVER SERVICES
The following Alaska Medicaid Waivers authorize Day Habilitation Services:
Individuals with Intellectual and Developmental Disabilities (IDD) Waiver
Adults with Physical and Developmental Disabilities (APDD) Waiver
Children with Complex Medical Conditions (CCMC) Waiver (as applicable)
Approved providers may deliver:
Community-based learning and participation
Small-group or one-on-one skill-building sessions
Documentation of goals, outcomes, and service hours
Person-centered programming in accordance with the individual’s care plan
8. TIMELINE TO LAUNCH
Phase: Business Formation and Program Design
Timeline: 1–2 weeks
Phase: SDS Application and Readiness Review
Timeline: 60–90 days
Phase: Staff Hiring and Training
Timeline: 30–45 days
Phase: Medicaid Enrollment and Billing Setup
Timeline: 45–60 days
9. CONTACT INFORMATION
Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Email: dsdsprovider@alaska.gov
Phone: (907) 269-3666
Website: https://dhss.alaska.gov/dsds
Alaska Medicaid Provider Enrollment – Conduent MMIS
Website: https://medicaidalaska.com
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ALASKA DAY HABILITATION SERVICES PROVIDER
We help providers establish and launch innovative, community-based Day Habilitation programs under Alaska’s HCBS waiver system.
Scope of Work:
Business registration (LLC, EIN, NPI)
SDS provider application and documentation support
Development of Day Habilitation Policy & Procedure Manual
Curriculum, goal-tracking, and daily documentation templates
Medicaid enrollment and billing system guidance
WEBSITE, DOMAIN, AND EMAIL SETUP
PARTICIPANT INTAKE AND GOAL-SETTING PACKET
MARKETING MATERIALS FOR SUPPORT COORDINATORS AND FAMILIES
STAFF TRAINING AND COMPLIANCE SUPPORT
SERVICE MONITORING AND QUALITY IMPROVEMENT FRAMEWORK
REFERRAL DEVELOPMENT AND COMMUNITY PARTNERSHIPS STRATEGIES
Adult Companion Services
ADULT COMPANION SERVICES PROVIDER IN ALASKA
OFFERING NON-MEDICAL SUPPORT AND SOCIAL ENGAGEMENT FOR INDIVIDUALS WITH DISABILITIES AND CHRONIC CONDITIONS
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.
1. GOVERNING AGENCIES
Agency: Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Role: Approves companion service providers, monitors quality of services, and ensures adherence to HCBS waiver guidelines
Agency: Alaska Medicaid (under the Department of Health)
Role: Oversees Medicaid provider enrollment and reimbursement for companion services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures HCBS compliance and participant-centered service delivery
2. ADULT COMPANION SERVICE OVERVIEW
Adult Companion Services focus on providing supportive assistance that fosters independence and emotional well-being. Services are non-medical and designed to help individuals remain in their homes and engaged in their communities.
Approved providers may deliver:
Companionship and conversation
Assistance with daily routines and leisure activities
Accompaniment to appointments, errands, and community outings
Meal preparation and light housekeeping related to the participant’s needs
Cueing to support memory and cognitive functioning
Emotional support to reduce isolation and enhance quality of life
All services must align with the participant’s person-centered plan and cannot replace or duplicate direct medical or skilled services.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Alaska Division of Corporations, Business and Professional Licensing
Obtain EIN from the IRS and NPI (Type 2)
Maintain a service base or physical office in Alaska
Ensure staff meet background check, training, and competency standards
Maintain participant intake, scheduling, and documentation systems
Develop policies and procedures for non-medical assistance and community integration
4. SDS PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Request Adult Companion Services application packet from SDS
(Recommended) Attend waiver provider orientation session
Application and Documentation Submission:
Submit business information, service delivery model, and staffing plan
Include participant intake forms, emergency procedures, and activity plans
Provide staff qualification documentation and supervision protocols
Program Readiness Review:
SDS evaluates staff training, service documentation processes, and participant safety protocols
May review sample care schedules and community integration activities
Approval & Medicaid Enrollment:
Upon SDS approval, register with Alaska Medicaid through MMIS as an Adult Companion Services provider
Select the appropriate billing codes under HCBS waivers
Complete Medicaid provider agreements and configure claims submission systems
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN confirmation
NPI confirmation
Proof of office or service address in Alaska
SDS-Compliant Policy & Procedure Manual including:
Participant intake and individualized support plans
Emergency contact and crisis management procedures
Community activity planning and support logs
Confidentiality and client rights policies
Staff training records, background checks, and supervision logs
Incident reporting and quality assurance procedures
Medicaid billing and scheduling systems
6. STAFFING REQUIREMENTS
Role: Companion Services Supervisor
Requirements: Experience in human services, case management, or caregiving oversight
Role: Companion Worker / Direct Support Staff
Requirements: High school diploma or GED, background check clearance, CPR/First Aid certification
All staff must complete:
SDS waiver service orientation and person-centered planning training
Confidentiality, client rights, and safety training
Community activity support and socialization engagement training
Annual refresher training on documentation and incident prevention
7. MEDICAID WAIVER SERVICES
The following Alaska Medicaid Waivers authorize Adult Companion Services:
Alaskans Living Independently (ALI) Waiver
Adults with Physical and Developmental Disabilities (APDD) Waiver
Individuals with Intellectual and Developmental Disabilities (IDD) Waiver
Children with Complex Medical Conditions (CCMC) Waiver (for transitioning young adults)
Approved providers may deliver:
In-home companionship and daily living support
Community access and participation activities
Emotional support and social engagement
Documentation of services provided per the person-centered plan
8. TIMELINE TO LAUNCH
Phase: Business Formation and Staffing Setup
Timeline: 1–2 weeks
Phase: SDS Application and Program Readiness Review
Timeline: 60–90 days
Phase: Staff Training and Documentation Finalization
Timeline: 30–45 days
Phase: Medicaid Enrollment and MMIS Configuration
Timeline: 45–60 days
9. CONTACT INFORMATION
Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Email: dsdsprovider@alaska.gov
Phone: (907) 269-3666
Website: https://dhss.alaska.gov/dsds
Alaska Medicaid Provider Enrollment – Conduent MMIS
Website: https://medicaidalaska.com
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — ALASKA ADULT COMPANION SERVICES PROVIDER
WCG helps providers establish Medicaid-compliant Adult Companion Services under Alaska’s HCBS Waiver programs.
Scope of Work:
Business registration and EIN/NPI setup
SDS application and documentation development
Creation of Companion Services Policy & Procedure Manual
Staff training templates and participant support planning tools
Medicaid enrollment and billing setup through MMIS
Website, domain, and email setup
Client intake and individualized support packet
Staff training materials and incident response guides
Quality assurance tracking tools and participant satisfaction surveys
Community integration and referral networking strategies
Shared Care Services
SHARED CARE SERVICES PROVIDER IN ALASKA
ENHANCING COMMUNITY LIVING THROUGH SHARED SUPPORT IN A HOME SETTING FOR INDIVIDUALS WITH DISABILITIES
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.
1. GOVERNING AGENCIES
Agency: Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Role: Approves and monitors Shared Care providers, ensures homes meet health and safety standards, and enforces person-centered service delivery
Agency: Alaska Medicaid (under the Department of Health)
Role: Administers Medicaid enrollment and reimbursement for Shared Care Services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures Shared Care Services comply with HCBS community-based and least-restrictive environment standards
2. SHARED CARE SERVICE OVERVIEW
Shared Care Services involve two or more individuals with disabilities sharing a residence and receiving habilitative support and assistance with activities of daily living (ADLs) from a qualified caregiver. The service model is built around mutual compatibility, skill-building, and increased quality of life in a family-style, home-based setting.
Approved providers may deliver:
24-hour supervision and support in a shared home
Assistance with ADLs (e.g., bathing, dressing, meal preparation)
Medication reminders and health-related monitoring
Habilitation activities such as cooking, cleaning, budgeting, or personal hygiene
Community outings and social skill development
Conflict resolution and housemate compatibility management
Daily progress tracking and care documentation
All services must align with each individual’s person-centered plan and be individualized, even within the shared setting.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Alaska Division of Corporations, Business and Professional Licensing
Obtain EIN from the IRS and NPI (Type 2)
Secure and maintain a shared residential setting that complies with zoning, fire, and safety regulations
Complete a home inspection by SDS
Submit background checks and required training documentation for all caregivers and adult household members
Establish clear roommate matching and conflict resolution procedures
Maintain documentation and service delivery systems for each participant
4. SDS PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Request the Shared Care Services provider application from SDS
Attend SDS orientation covering shared living models and habilitation expectations
Application and Home Submission:
Submit a full service plan outlining how shared care will be structured and individualized per resident
Provide home details, daily routines, habilitation plans, and documentation templates
Include emergency procedures, household rules, conflict resolution strategies, and quality assurance practices
Inspection and Readiness Review:
SDS completes a site inspection of the shared residence
Review of safety systems, home setup, fire exits, and accessible design
Background checks and credentialing for caregivers or provider staff assigned to the home
Approval & Medicaid Enrollment:
Once SDS approval is granted, enroll as a Shared Care Services provider through Alaska MMIS
Activate appropriate billing codes under eligible HCBS waivers
Complete Medicaid provider agreement and configure claims submission access
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN Letter
NPI confirmation
Lease, deed, or proof of home location for shared residence
SDS-Compliant Policy & Procedure Manual including:
Admission, roommate matching, and discharge policies
Service documentation and individual goal tracking
Daily routines, meal planning, and household management procedures
Medication assistance and health monitoring
Conflict prevention, resolution, and behavioral support policies
Emergency evacuation, fire safety, and incident reporting protocols
Staff/family training records and supervision protocols
Participant rights, dignity, and choice documentation
6. STAFFING REQUIREMENTS
Role: Shared Care Home Manager / Program Supervisor
Requirements: Experience in managing group or shared residential settings, familiarity with person-centered habilitation services
Role: Direct Support Staff / Caregivers
Requirements: High school diploma or GED, experience supporting individuals with disabilities, background check clearance
All staff must complete:
SDS Shared Care and HCBS waiver training
Person-centered planning, rights, and habilitation documentation training
Emergency preparedness and behavior support techniques
Annual refreshers on confidentiality, safety, and client dignity protocols
CPR/First Aid certification (recommended)
7. MEDICAID WAIVER SERVICES
The following Alaska Medicaid Waivers authorize Shared Care Services:
Individuals with Intellectual and Developmental Disabilities (IDD) Waiver
Adults with Physical and Developmental Disabilities (APDD) Waiver
Children with Complex Medical Conditions (CCMC) Waiver (case-by-case based on age and setting)
Approved providers may deliver:
Daily living assistance and skill development in a shared setting
Supervised medication and health-related supports
Individualized service documentation per participant
Conflict resolution and household support tailored to group living dynamics
8. TIMELINE TO LAUNCH
Phase: Business Formation and Home Readiness
Timeline: 1–2 weeks
Phase: SDS Application and Residence Inspection
Timeline: 60–90 days
Phase: Staff Onboarding and Training
Timeline: 30–45 days
Phase: Medicaid Enrollment and MMIS Setup
Timeline: 45–60 days
9. CONTACT INFORMATION
Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Email: dsdsprovider@alaska.gov
Phone: (907) 269-3666
Website: https://dhss.alaska.gov/dsds
Alaska Medicaid Provider Enrollment – Conduent MMIS
Website: https://medicaidalaska.com
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ALASKA SHARED CARE SERVICES PROVIDER
We support providers in launching high-quality, Medicaid-compliant Shared Care homes under Alaska’s HCBS Waiver programs.
Scope of Work:
Business formation (LLC, EIN, NPI)
SDS application and shared home setup guidance
Development of Shared Care Policy & Procedure Manual
Household rules, roommate matching, and conflict resolution templates
Medicaid enrollment and billing setup via MMIS
WEBSITE, DOMAIN, AND EMAIL SETUP
CLIENT INTAKE AND ROOMMATE COMPATIBILITY PACKET
TRAINING MATERIALS FOR CAREGIVERS AND HOME MANAGERS
INCIDENT REPORTING AND DOCUMENTATION CHECKLISTS
REFERRAL STRATEGIES AND PROVIDER OUTREACH PLANS
QUALITY MONITORING TOOLS AND SERVICE DELIVERY TRACKERS
Environmental Modification
ENVIRONMENTAL MODIFICATION SERVICES PROVIDER IN ALASKA
ENHANCING HOME SAFETY AND ACCESSIBILITY FOR INDIVIDUALS WITH DISABILITIES THROUGH CUSTOM MODIFICATIONS
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.
1. GOVERNING AGENCIES
Agency: Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Role: Approves Environmental Modification providers, reviews modification requests, and ensures service quality and compliance
Agency: Alaska Medicaid (under the Department of Health)
Role: Manages Medicaid enrollment and reimbursement for environmental modifications
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures that waiver-funded modifications align with HCBS program rules
2. ENVIRONMENTAL MODIFICATION SERVICE OVERVIEW
Environmental Modifications are physical changes to a person’s primary residence that are necessary to ensure health, welfare, and safety, or that enable greater independence in the home. These are typically one-time expenses, approved based on an assessment and incorporated into the individual's care plan.
Approved providers may deliver:
Installation of wheelchair ramps, grab bars, or railings
Widening of doorways for mobility access
Bathroom modifications such as roll-in showers, ADA-compliant toilets, or sink adjustments
Floor leveling or stair modifications for safety
Installation of non-slip flooring, handrails, or visual alert systems
Minor structural changes needed to support the individual's physical or sensory needs
All modifications must be pre-authorized by SDS and Medicaid and must meet applicable building codes and safety standards.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Alaska Division of Corporations, Business and Professional Licensing
Obtain EIN from the IRS and NPI (Type 2)
Hold applicable contractor or specialty trade licenses in Alaska
Carry general liability, property, and workers’ compensation insurance
Demonstrate knowledge of ADA compliance and accessible design
Maintain secure recordkeeping systems for cost estimates, invoices, and completed work
4. SDS PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Contact SDS to request the Environmental Modification Services application packet
Attend an optional provider orientation or technical assistance meeting
Application and Capability Review:
Submit business license, contractor license, proof of insurance, and project portfolio
Include sample bids, cost estimation forms, and service documentation templates
Outline safety protocols, warranty policies, and subcontractor agreements (if applicable)
Inspection & Readiness Review:
SDS may request site inspection of past projects
Verification of capacity to complete timely, compliant, and customized installations
Review of customer service procedures and client satisfaction tools
Approval & Medicaid Enrollment:
Once approved by SDS, enroll through Alaska MMIS as a Medicaid provider
Select Environmental Modification billing codes under applicable HCBS waivers
Complete provider agreement and set up electronic claims system access
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN Letter
NPI confirmation
Alaska Contractor License and bonding (as required)
Insurance certificates (general liability, vehicle, workers’ comp)
SDS-Compliant Policy & Procedure Manual including:
Intake and assessment procedures
Cost estimation and pre-authorization workflows
ADA compliance and construction standards
Subcontractor and material procurement guidelines
Client consent and sign-off forms
Change order, delay, and dispute resolution policies
Service documentation, invoicing, and project completion forms
Warranty, safety checks, and follow-up procedures
6. STAFFING REQUIREMENTS
Role: Project Manager / Construction Supervisor
Requirements: Licensed contractor or equivalent with experience in residential modifications and ADA-compliant installations
Role: Installation Technician / Carpenter
Requirements: Skilled trades professional with experience in accessibility modifications and safety compliance
All staff and subcontractors must:
Pass background checks (if working in occupied residences)
Be licensed or certified per Alaska trade standards
Complete SDS orientation and training on documentation and client interaction
Follow safety, confidentiality, and service reporting protocols
7. MEDICAID WAIVER SERVICES
The following Alaska Medicaid Waivers authorize Environmental Modification Services:
Alaskans Living Independently (ALI) Waiver
Adults with Physical and Developmental Disabilities (APDD) Waiver
Individuals with Intellectual and Developmental Disabilities (IDD) Waiver
Children with Complex Medical Conditions (CCMC) Waiver
Approved providers may deliver:
Custom home modifications based on client assessments
Detailed project proposals with pre-approval workflows
Timely and code-compliant installation of adaptive features
Documentation and invoicing aligned with Medicaid billing requirements
8. TIMELINE TO LAUNCH
Phase: Business Formation and Licensing
Timeline: 1–3 weeks
Phase: SDS Application Review and Approval
Timeline: 45–90 days
Phase: Project Workflow Preparation and Training
Timeline: 30–45 days
Phase: Medicaid Enrollment and MMIS Setup
Timeline: 45–60 days
9. CONTACT INFORMATION
Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Email: dsdsprovider@alaska.gov
Phone: (907) 269-3666
Website: https://dhss.alaska.gov/dsds
Alaska Medicaid Provider Enrollment – Conduent MMIS
Website: https://medicaidalaska.com
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ALASKA ENVIRONMENTAL MODIFICATION SERVICES PROVIDER
We help new contractors and accessibility service professionals establish Environmental Modification businesses under Alaska’s HCBS Medicaid Waiver programs.
Scope of Work:
Business registration (LLC, EIN, NPI)
Alaska contractor licensing and bonding assistance
SDS provider application and readiness support
Development of Environmental Modification Policy & Procedure Manual
Template development for cost estimates, invoices, and documentation logs
Medicaid enrollment and MMIS system training
WEBSITE, DOMAIN, AND BUSINESS EMAIL SETUP
PROJECT INTAKE AND AUTHORIZATION PACKET
MARKETING TO CASE MANAGERS AND SERVICE COORDINATORS
TRAINING ON ADA COMPLIANCE, CLIENT INTERACTIONS, AND SERVICE REPORTING
CONTRACT MANAGEMENT AND DOCUMENTATION CHECKLISTS
CLIENT REFERRAL STRATEGIES AND B2B NETWORKING PLANS
Family Habilitation
FAMILY HABILITATION SERVICES PROVIDER IN ALASKA
SUPPORTING INDIVIDUALS WITH DISABILITIES THROUGH STABLE, FAMILY-BASED LIVING ARRANGEMENTS
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.
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LAUNCH.
EXPAND.
THRIVE.
Whether you're looking to launch a new home and community-based services agency or expand and optimize an existing one, we offer the complete package to set you up for success; providing end-to-end support from initial planning and registration to ongoing compliance, training, marketing, and more. We handle your licensing, credentialing, policies, branding, regulatory guidance, and enrollment so you can focus on your mission of delivering quality care.
One Platform.
Every Waiver Advantage.
Discover our full suite of tools built to simplify licensing, enrollment, compliance—and accelerate your success.
WAIVER CONSULTING GROUP IS THE
PROUD & PREFERRED CONSULTING FIRM FOR
WE ROCK THE SPECTRUM (WRTS) FRANCHISE
Waiver Consulting Group has been selected as the exclusive preferred consulting partner for We Rock The Spectrum (WRTS) franchise owners nationwide.
Supporting WRTS Franchise Growth
We Rock The Spectrum Kid's Gym provides children of all abilities a place to play and grow together, helping them develop in the areas of strength, movement, sensory processing, communication, positive behavior modification, social interactions, and self-care skills.
Through this partnership, WCG provides specialized consulting services to help WRTS franchise owners access Medicaid waiver funding, enabling them to serve more families in their communities while building sustainable revenue streams.
What We Provide WRTS Franchise Owners
Medicaid Waiver Provider Applications
California Regional Center vendorization (Social Recreation Services)
State-specific waiver applications (all 50 states)
Provider enrollment and certification support
Licensing & Compliance
Healthcare facility licensing (where required)
HCBS provider certification
Program design and policy development
Regulatory compliance documentation
Operational Support
Billing and documentation systems
Staff training materials
Market analysis and revenue projections
Ongoing technical assistance
Why This Partnership Matters
WRTS sensory gym services align perfectly with Medicaid waiver programs that fund:
Social recreation and therapeutic play
Community integration services
Day habilitation programs
Respite services
The Result: WRTS franchise owners expand their reach from serving 15-20% of autism families (private pay only) to 75-85% of families (with Medicaid access)
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YOUR STATE APPROVED REQUIRED TRAINING & MORE
Manage your In-service staff training and compliance needs at scale with Waiver Academy
Create efficiency by integrating Waiver Academy training with top back-office solutions
Provide Your Caregiver Staff with Certificates and Waiver Academy Certifications for Training.
Our training curricula, crafted by licensed professionals, are compliant with state and federal requirements. The academy is dedicated to enhancing the competencies of professional caregivers, agency owners, board members, and executives.
OUR SAMPLE CLINICAL POLICY & PROCEDURE PACKET (P&P, Forms & Templates)
WHAT WE DO
Empowering Healthpreneurs
Ready to launch or grow your home and community-based services agency? Our expert team handles licensing, compliance, training, branding, and more.
We provide guidance and support for entrepreneurs who are interested in starting their own waiver-funded healthcare agency. From initial planning and market research to licensing and accreditation, we help you navigate the complex startup process.
We assist individuals and agencies in designing and developing effective programs that align with their goals, and federal & state requirements. Our team helps optimize service delivery, ensure regulatory compliance, and enhance overall program effectiveness.
Our training programs are designed to empower agency staff and management with the knowledge and skills necessary to excel in their roles. From compliance training to staff development, we provide customized face-to-face and online training platform and resources to foster continuous growth.
We assist individuals and agencies with provider enrollment services with insurance payers like Medicaid and Medicare and other major insurance companies so that they can request payment from those payers for services offered.
Navigating the regulatory landscape can be challenging. Therefore, we provide comprehensive compliance assistance, offering guidance, support, and practical solutions to ensure owners, managers and their agencies maintain compliance with state and federal regulations.
We understand the importance of effective marketing strategies and branding for waiver-funded agencies in getting clients and expanding. Our team can help you develop marketing plans, create compelling messaging, other tools like websites, social media presence, and establish a strong brand presence in the industry.
Interested or Have Questions? Complete our Get Started inquire. You may also call (302) 888-9172 or email licensing@waivergroup.com.
Preferred Partner with Accrediting Bodies
We proudly collaborate with all three major accrediting bodies: CHAP, ACHC, and Joint Commission. As a preferred partner with Community Health Accreditation Partners (CHAP), our home health policies and procedures are pre-approved. This unique advantage reduces the time for their survey by an entire day, saving you valuable time and resources.
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OUR
PROCESS
Initial Consultation
Contact us to schedule an initial consultation; Complete the GETTING STARTED form or use our START UP WIZARD to begin.
We will send you an invite to our Client Portal and call you to follow up. The invitation to collaborate will be followed by several emails from us about tasks and to-dos for you to complete. These will be followed by a phone call.
During the call, confirm your specific needs, goals, and challenges; and ask questions you may have.
Be prepare to provide relevant information about your agency, such as services and population type, and any specific areas where you require assistance. (If applicable)
OUR AREAS OF WORK
MEDICAID WAIVER PROGRAMS
WE CAN HELP YOU SET UP
At Waiver Consulting Group, we celebrate the diversity of our Medicaid Waiver providers. From established providers and franchises to newcomers, we offer tailored expertise to address your unique challenges and seize opportunities in the ever-evolving Medicaid landscape. With us, you're never alone in your journey – our dedicated team is here to guide you every step of the way.
HOME AND COMMUNITY-BASED SERVICES (HCBS)
Your HCBS Program Success Starts Here: Let's Be Your Guide
Home and Community-Based Services (HCBS) Providers offer a range of services to support individuals with disabilities or elderly individuals to live in their own homes or community settings. At Waiver Consulting Group, we specialize in providing comprehensive guidance and support to help you successfully set up your HCBS program
DEVELOPMENTAL & INTELLECTUAL DISABILITY AGENCY
Your Vision, Our Expertise: Building a Successful Developmental Disability Agency Together
Are you passionate about making a difference in the lives of individuals with developmental disabilities? At Waiver Consulting Group, we are here to guide and support you in setting up a thriving Developmental & Intellectual Disability Agency.
TRAUMATIC BRAIN INJURY (TBI)
Empowering Your Vision: Let Us Help You Establish a Traumatic Brain Injury (TBI) Agency
Are you driven to provide specialized care and support for individuals with traumatic brain injuries? At Waiver Consulting Group, we are dedicated to guiding and supporting you in setting up a successful TBI agency. Traumatic Brain Injury (TBI) Agencies offer services specifically tailored for individuals who have experienced traumatic brain injuries.
AGING & DISABILITY RECOVERY CENTERS (ADRCs)
Empowering Connections: Let Us Help You Establish an Aging and Disability Resource Center (ADRC)
At Waiver Consulting Group, we specialize in guiding and supporting you in setting up an impactful ADRC page. Our expert team will assist you with information and referral services, benefits counseling, care coordination, and developing partnerships with community organizations.
INDEPENDENT LIVING CENTERS (ILCs)
Empowering Independence: Let Us Set Up Your Independent Living Center (ILC) based on the back of our 20-year experience
Are you passionate about promoting independence and self-advocacy for individuals with disabilities through an Independent Living Center (ILC)? At Waiver Consulting Group, we specialize in guiding and supporting you in setting up a successful ILC.
PERSONAL CARE ATTENDANT (PCA) AGENCIES
Set Up a Personal Care Attendant (PCA) Agency with Confidence
At Waiver Consulting Group, we specialize in guiding and supporting clients in setting up successful Personal Care Attendant (PCA) Agencies. Our expert team will provide you with comprehensive assistance in licensing, caregiver recruitment, training programs, and compliance with regulations.
BEHAVIORAL HEALTH SERVICES PROVIDERS
Transforming Lives: Partner with Us to Establish a Thriving Behavioral Health Agency
Are you passionate about making a positive impact on individuals struggling with mental health and substance abuse issues? Look no further than Waiver Consulting Group. As industry experts, we are dedicated to guiding and supporting clients in setting up thriving Behavioral Health Agencies.
At Waiver Consulting Group, we deliver on our promise of transparency and results. Our commitment to you and your agency includes providing regular updates, progress reports, delivering fully on your stated objective, and seamless communication to ensure we're always aligned with your goals. Our proven three-step process empowers you to harness our extensive expertise in working with waiver-funded agencies, unlocking your agency's full potential and guiding you toward lasting success.
OUR SERVICE LISTING
OUR
FOOTPRINTS
Medicaid Waiver-Funded Services we have set up and start up in various states
CONTACT
1515 Market Street, Suite 1200, Philadelphia, PA 19102
(302) 888-9172
FAMILY HABILITATION SERVICES PROVIDER IN ALASKA
SUPPORTING INDIVIDUALS WITH DISABILITIES THROUGH STABLE, FAMILY-BASED LIVING ARRANGEMENTS
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.
1. GOVERNING AGENCIES
Agency: Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Role: Approves Family Habilitation providers, monitors home settings, and ensures services align with person-centered and HCBS standards
Agency: Alaska Medicaid (under the Department of Health)
Role: Manages provider enrollment and reimbursement for Family Habilitation Services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures compliance with HCBS guidelines, including community integration and least-restrictive living environments
2. FAMILY HABILITATION SERVICE OVERVIEW
Family Habilitation Services offer long-term, community-based care in a family home setting for individuals with developmental disabilities. The goal is to provide safe, stable housing with built-in support that fosters skill development, inclusion, and quality of life.
Approved providers may deliver:
24-hour supervision and support in a private family home
Training and assistance with daily living skills (cooking, cleaning, hygiene)
Medication reminders and health monitoring
Socialization, community participation, and recreational activities
Behavioral support and skill-building as part of daily routines
Emotional support, guidance, and advocacy
Each placement must be based on a person-centered service plan and regularly monitored for quality, safety, and progress toward individual goals.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Alaska Division of Corporations, Business and Professional Licensing (if operating as an agency)
Obtain EIN from the IRS and NPI (Type 2)
Ensure all provider homes meet safety, sanitation, and fire code requirements
Complete home inspections and SDS family habilitation readiness reviews
Submit background checks and training certifications for all adult household members
Develop systems for documenting daily activities, care, and skill development
4. SDS PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Request the Family Habilitation Services Provider application from SDS
Participate in SDS orientation sessions on residential and habilitative care
Application & Program Review:
Submit service plan describing the home setting, supervision model, and training goals
Provide family/home information, including caregiver experience and household structure
Include emergency protocols, routines, sample daily schedules, and support strategies
Home and Staff Review:
SDS completes a home inspection and reviews readiness for client placement
All adults in the home must pass background checks and receive required training
SDS evaluates the home's suitability for the individual's needs and preferences
Approval & Medicaid Enrollment:
Upon SDS approval, enroll as a Family Habilitation Services provider through Alaska MMIS
Add appropriate billing codes under the HCBS waiver program
Finalize Medicaid provider agreement and enable electronic claims submission
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (if agency-based)
IRS EIN Letter
NPI confirmation
Lease, deed, or proof of homeownership for provider home
SDS-Compliant Policy & Procedure Manual including:
Home inspection, admission, and matching procedures
Daily living skill-building and community engagement plans
Medication assistance and health monitoring policies
Emergency, fire safety, and evacuation procedures
Incident reporting and consumer grievance procedures
Rights, dignity, and personal choice protocols
Documentation templates for daily notes, progress, and care routines
Staff/family training records and continuing education logs
6. STAFFING REQUIREMENTS
Role: Family Caregiver / Provider Family
Requirements: Experience with caregiving or working with individuals with disabilities; must be trained, background-checked, and approved by SDS
Role: Program Supervisor (for agencies with multiple homes)
Requirements: Human services experience and oversight skills to ensure quality across homes
All provider families must complete:
SDS orientation and Family Habilitation training
Training on HCBS rules, person-centered planning, and skill development
CPR/First Aid certification and safety training
Annual ethics, abuse prevention, and documentation training
Emergency response and behavior support protocols
7. MEDICAID WAIVER SERVICES
The following Alaska Medicaid Waivers authorize Family Habilitation Services:
Individuals with Intellectual and Developmental Disabilities (IDD) Waiver
Adults with Physical and Developmental Disabilities (APDD) Waiver (in select cases)
Children with Complex Medical Conditions (CCMC) Waiver (for family-based children’s homes)
Approved providers may deliver:
24/7 support and habilitative skill-building in a family setting
Integration into family and community routines
Supervised medication assistance and health-related monitoring
Progress documentation and coordination with care teams
8. TIMELINE TO LAUNCH
Phase: Business Formation and Home Setup
Timeline: 1–2 weeks
Phase: SDS Application and Home Review
Timeline: 60–90 days
Phase: Staff and Household Training
Timeline: 30–45 days
Phase: Medicaid Enrollment and MMIS Setup
Timeline: 45–60 days
9. CONTACT INFORMATION
Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Email: dsdsprovider@alaska.gov
Phone: (907) 269-3666
Website: https://dhss.alaska.gov/dsds
Alaska Medicaid Provider Enrollment – Conduent MMIS
Website: https://medicaidalaska.com
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ALASKA FAMILY HABILITATION SERVICES PROVIDER
We help families and provider agencies establish licensed, person-centered Family Habilitation programs under Alaska’s HCBS Medicaid Waivers.
Scope of Work:
Business formation (LLC, EIN, NPI)
SDS provider application and home setup guidance
Development of Family Habilitation Policy & Procedure Manual
Home safety checklist, daily routine logs, and client documentation templates
Medicaid enrollment and billing system configuration
WEBSITE, DOMAIN, AND EMAIL SETUP (for agencies)
FAMILY INTAKE AND INDIVIDUAL MATCHING PACKET
TRAINING MATERIALS FOR FAMILY CAREGIVERS
INCIDENT REPORTING AND SERVICE QUALITY MONITORING TOOLS
CLIENT REFERRAL NETWORK SUPPORT AND COMMUNITY OUTREACH STRATEGIES
Group Home
GROUP HOME SERVICES PROVIDER IN ALASKA
DELIVERING 24/7 SUPPORT IN A COMMUNITY-BASED SETTING FOR INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES
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.
1. GOVERNING AGENCIES
Agency: Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Role: Licenses and monitors group homes, ensures service quality, and enforces compliance with HCBS and residential care regulations
Agency: Alaska Medicaid (under the Department of Health)
Role: Administers Medicaid provider enrollment and reimbursement for Group Home Services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight to ensure services meet HCBS person-centered, community-based care requirements
2. GROUP HOME SERVICE OVERVIEW
Group Home Services offer supervised residential care and support for individuals who need assistance with daily living tasks, behavior support, and health monitoring in a community-based, licensed group setting. Services focus on helping residents reach their highest level of independence while being part of a shared home.
Approved providers may deliver:
24/7 supervision and assistance with ADLs (bathing, dressing, grooming)
Medication administration and health-related services
Behavior management and individualized skill-building
Meal preparation and dietary accommodations
Household cleaning and laundry assistance
Social, recreational, and community engagement activities
Documentation of daily progress and incidents
Group Homes must comply with environmental, staffing, and health & safety standards set by SDS and state licensing authorities.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Alaska Division of Corporations, Business and Professional Licensing
Obtain EIN from the IRS and NPI (Type 2)
Apply for and obtain a Residential Assisted Living License through the Division of Health Care Services
Maintain adequate insurance (general liability, workers’ comp, vehicle if applicable)
Ensure group home meets local fire, health, and safety codes
Establish systems for scheduling, supervision, documentation, and staff training
4. SDS PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Contact SDS to request the Group Home Services Provider Application Packet
Attend SDS residential services orientation or training (recommended)
Application and Program Review:
Submit a complete business and program plan, including house operations, staffing, and individualized support models
Include floor plans, fire inspection approvals, and zoning verification
Provide staff job descriptions, emergency procedures, and behavior support policies
Readiness Inspection:
SDS and licensing authorities conduct a physical inspection of the group home
Staff credentialing, background checks, and first aid/CPR verification
Review of compliance with training standards and individualized support documentation
Approval & Medicaid Enrollment:
Once SDS and licensing approval is granted, enroll through Alaska MMIS as a Medicaid Group Home Services provider
Select appropriate billing codes under the relevant HCBS Waivers
Finalize Medicaid provider agreement and electronic claims access
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN Letter
NPI confirmation
Residential Assisted Living Home License
Proof of home location (lease, deed) and fire safety inspection
SDS-Compliant Policy & Procedure Manual including:
Admission, intake, and discharge procedures
Staff-to-resident ratio policies and supervision schedules
ADL support, health monitoring, and medication administration protocols
Emergency and fire evacuation plans
Participant rights, privacy, and personal choice protocols
Behavior support planning and incident reporting systems
Daily documentation, progress notes, and staff training logs
Transportation, meal planning, and community engagement policies
6. STAFFING REQUIREMENTS
Role: House Manager / Program Supervisor
Requirements: Experience managing residential programs, knowledge of HCBS standards, supervisory experience
Role: Direct Support Professional (DSP)
Requirements: High school diploma or GED, training in personal care, CPR/First Aid certification, background clearance
All staff must complete:
SDS orientation and waiver program training
Medication administration and ADL support protocols
Behavior support and crisis intervention training
Documentation and confidentiality standards
Ongoing annual training in ethics, safety, and quality assurance
7. MEDICAID WAIVER SERVICES
The following Alaska Medicaid Waivers authorize Group Home Services:
Individuals with Intellectual and Developmental Disabilities (IDD) Waiver
Adults with Physical and Developmental Disabilities (APDD) Waiver
Children with Complex Medical Conditions (CCMC) Waiver (for licensed group homes serving minors)
Approved providers may deliver:
24/7 habilitative support in a licensed group home
Individualized service plans and behavior support implementation
Daily activity support, medication monitoring, and health documentation
Community integration and meaningful engagement
8. TIMELINE TO LAUNCH
Phase: Business Formation and Licensing Prep
Timeline: 2–4 weeks
Phase: SDS and Residential Licensing Application Review
Timeline: 60–120 days
Phase: Staff Hiring, Training, and Readiness Checks
Timeline: 30–60 days
Phase: Medicaid Enrollment and MMIS Setup
Timeline: 45–60 days
9. CONTACT INFORMATION
Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Email: dsdsprovider@alaska.gov
Phone: (907) 269-3666
Website: https://dhss.alaska.gov/dsds
Assisted Living Licensing – Division of Health Care Services
Phone: (907) 334-2400
Website: https://health.alaska.gov/dhcs
Alaska Medicaid Provider Enrollment – Conduent MMIS
Website: https://medicaidalaska.com
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ALASKA GROUP HOME SERVICES PROVIDER
We help providers plan, license, and launch high-quality Group Home Services under Alaska’s HCBS Medicaid Waiver system.
Scope of Work:
Business registration (LLC, EIN, NPI)
Assisted Living License application support
SDS provider application and home inspection readiness
Development of Group Home Policy & Procedure Manual
Staff job descriptions, training logs, and daily documentation templates
Medicaid enrollment and MMIS billing setup
WEBSITE, DOMAIN, AND EMAIL SETUP
CLIENT INTAKE AND INDIVIDUALIZED SERVICE PLAN PACKET
MARKETING AND REFERRAL MATERIALS FOR CASE MANAGERS
INCIDENT TRACKING, FIRE SAFETY, AND EMERGENCY READINESS TOOLS
STAFF RECRUITMENT AND RETENTION STRATEGIES
RESIDENT REFERRAL SUPPORT AND COMMUNITY INTEGRATION PLANS
In Home Support Services
IN-HOME SUPPORT SERVICES PROVIDER IN ALASKA
DELIVERING PERSONALIZED ASSISTANCE IN THE COMFORT AND SAFETY OF THE HOME ENVIRONMENT
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.
1.GOVERNING AGENCIES
Agency: Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Role: Authorizes in-home service providers, ensures quality and compliance with care standards, and monitors service delivery
Agency: Alaska Medicaid (under the Department of Health)
Role: Handles Medicaid provider enrollment, claims reimbursement, and HCBS waiver billing compliance
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures in-home services meet HCBS person-centered care requirements
2. IN-HOME SUPPORT SERVICE OVERVIEW
In-Home Support Services offer assistance with Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs), enabling individuals to remain safely and comfortably in their own homes rather than moving into institutional settings.
Approved providers may deliver:
Personal care (bathing, dressing, grooming, toileting)
Mobility and transfer assistance
Meal preparation and feeding support
Light housekeeping, laundry, and household organization
Medication reminders and assistance (non-clinical)
Support with communication devices or adaptive equipment
Companionship and engagement in daily routines
Transportation coordination and community activity support
All services must be based on the individual’s person-centered plan and tailored to their specific support needs and preferences.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Alaska Division of Corporations, Business and Professional Licensing
Obtain EIN from the IRS and NPI (Type 2)
Maintain a physical business office or service base in Alaska
Comply with SDS training and documentation requirements for in-home services
Employ trained Direct Support Professionals (DSPs) or in-home aides
Maintain a scheduling and documentation system for service delivery and staff supervision
4. SDS PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Contact SDS to request the In-Home Support Services provider application
Attend provider orientation or informational sessions (recommended)
Application & Program Submission:
Submit a detailed business and service plan describing how care will be delivered, tracked, and supervised
Include job descriptions, sample service logs, and policies for staff training, emergency response, and client rights
Provide proof of insurance, background check protocols, and internal quality assurance processes
Readiness Review:
Background checks for all staff with direct contact responsibilities
Review of policy and procedure manual, documentation templates, and emergency protocols
SDS evaluation of readiness to deliver person-centered, compliant services in client homes
Approval & Medicaid Enrollment:
After SDS approval, enroll through Alaska MMIS as a provider of In-Home Support Services
Activate billing codes for appropriate waiver programs
Complete provider agreement and configure electronic claims system access
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN Letter
NPI confirmation
Proof of physical office or administrative base in Alaska
SDS-Compliant Policy & Procedure Manual including:
Intake and service plan implementation procedures
ADL and IADL assistance protocols
Emergency and health-related risk management policies
Documentation of service hours and activities
Client rights and informed consent processes
Staff hiring, credentialing, and supervision systems
Complaint, incident, and grievance response procedures
Confidentiality, HIPAA, and abuse prevention policies
6. STAFFING REQUIREMENTS
Role: Program Administrator / In-Home Services Manager
Requirements: Experience in personal care services, Medicaid compliance, and staff supervision
Role: Direct Support Professional (DSP) / In-Home Aide
Requirements: High school diploma or GED, background check, CPR/First Aid certification (recommended), in-home care training
All staff must complete:
SDS in-home services and waiver program training
Client rights, privacy, and documentation protocols
Ethics, abuse prevention, and cultural competency training
Annual refreshers on safety, emergency response, and service delivery standards
7. MEDICAID WAIVER SERVICES
The following Alaska Medicaid Waivers authorize In-Home Support Services:
Alaskans Living Independently (ALI) Waiver
Adults with Physical and Developmental Disabilities (APDD) Waiver
Individuals with Intellectual and Developmental Disabilities (IDD) Waiver
Children with Complex Medical Conditions (CCMC) Waiver
Approved providers may deliver:
ADL and IADL assistance as defined in the individual’s care plan
In-home support services tailored to safety, wellness, and independence
Detailed documentation and progress tracking for each service delivered
Collaboration with care coordinators and interdisciplinary teams
8. TIMELINE TO LAUNCH
Phase: Business Formation and Office Setup
Timeline: 1–2 weeks
Phase: SDS Application and Program Documentation
Timeline: 60–90 days
Phase: Staff Hiring and Compliance Readiness
Timeline: 30–45 days
Phase: Medicaid Enrollment and MMIS Setup
Timeline: 45–60 days
9. CONTACT INFORMATION
Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Email: dsdsprovider@alaska.gov
Phone: (907) 269-3666
Website: https://dhss.alaska.gov/dsds
Alaska Medicaid Provider Enrollment – Conduent MMIS
Website: https://medicaidalaska.com
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ALASKA IN-HOME SUPPORT SERVICES PROVIDER
We help new providers launch fully licensed, Medicaid-compliant In-Home Support Services programs under Alaska’s HCBS Waiver system.
Scope of Work:
Business registration (LLC, EIN, NPI)
SDS application support and compliance guidance
Development of In-Home Services Policy & Procedure Manual
Templates for service logs, consent forms, and care delivery tracking
Medicaid enrollment and MMIS billing configuration
WEBSITE, DOMAIN, AND EMAIL SETUP
CLIENT INTAKE AND SERVICE PLAN IMPLEMENTATION PACKET
MARKETING MATERIALS FOR CASE MANAGERS AND REFERRAL SOURCES
STAFF TRAINING ON DOCUMENTATION, ADL SUPPORT, AND RISK MANAGEMENT
QUALITY ASSURANCE TOOLS AND INCIDENT REPORTING TEMPLATES
COMMUNITY OUTREACH AND CLIENT ACQUISITION STRATEGIES
Care Coordination
CARE COORDINATION SERVICES PROVIDER IN ALASKA
SUPPORTING INDIVIDUALS AND FAMILIES BY CONNECTING THEM TO SERVICES, RESOURCES, AND LONG-TERM SUPPORTS
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.
1. GOVERNING AGENCIES
Agency: Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Role: Approves care coordination agencies, sets care planning standards, and oversees service quality and compliance
Agency: Alaska Medicaid (under the Department of Health)
Role: Administers Medicaid provider enrollment, manages billing codes, and reimburses for care coordination services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Enforces federal rules for HCBS waivers, including person-centered planning and service delivery integrity
2. CARE COORDINATION SERVICE OVERVIEW
Care Coordination Services ensure that individuals receiving Medicaid Waiver services have access to comprehensive care planning, service monitoring, and support with navigating complex health and community systems. The service is essential to delivering individualized, person-centered care.
Approved providers may deliver:
Person-centered assessment and service plan development
Regular monitoring and documentation of service outcomes
Coordination with waiver service providers and healthcare professionals
Support with housing, transportation, and social service access
Crisis support and critical incident management
Advocacy for client rights and goal achievement
All care coordination must be documented and must reflect the individual’s strengths, preferences, and changing needs.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Alaska Division of Corporations, Business and Professional Licensing
Obtain EIN from the IRS and NPI (Type 2)
Maintain an administrative office in Alaska with secure storage for records
Demonstrate compliance with SDS training and ethical standards for care coordination
Develop documentation systems for care plans, case notes, and monitoring reports
Employ or contract qualified Care Coordinators meeting SDS credentialing standards
4. SDS PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Contact SDS to request the Care Coordination Services application packet
Attend a mandatory Care Coordination orientation session
Application and Policy Submission:
Submit organizational information, service description, and internal control policies
Provide sample documentation forms for service plans, client communication logs, and case monitoring
Credentialing and Capacity Review:
Submit resumes, background checks, and certifications for all Care Coordinators
Demonstrate knowledge of SDS waiver programs, person-centered planning, and critical incident management
Show readiness to initiate and maintain individualized plans of care across multiple service providers
Approval & Medicaid Enrollment:
Once approved by SDS, enroll as a Medicaid Care Coordination provider through Alaska MMIS
Select relevant billing codes for each waiver served
Sign Medicaid provider agreement and configure electronic claim submission access
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN Letter
NPI confirmation
Lease or office verification for Alaska-based operations
SDS-Compliant Policy & Procedure Manual including:
Intake, eligibility screening, and referral protocols
Service planning, reassessment, and documentation timelines
Emergency and critical incident response policies
Client rights, advocacy, and informed consent procedures
Confidentiality and HIPAA compliance measures
Staff credentialing, training, and supervision standards
Billing and documentation integrity protocols
Discharge and transition procedures
6. STAFFING REQUIREMENTS
Role: Care Coordinator
Requirements:
Minimum of a bachelor's degree in a human services field (social work, psychology, nursing, etc.)
At least one year of experience in case management, care coordination, or working with individuals with disabilities
Must complete SDS-approved Care Coordination training
All staff must complete:
SDS care coordination and HCBS waiver orientation
Training on person-centered planning, documentation, and Medicaid compliance
Annual refreshers on ethics, abuse reporting, cultural competency, and service delivery standards
Ongoing professional development and performance evaluation
7. MEDICAID WAIVER SERVICES
The following Alaska Medicaid Waivers authorize Care Coordination Services:
Alaskans Living Independently (ALI) Waiver
Adults with Physical and Developmental Disabilities (APDD) Waiver
Individuals with Intellectual and Developmental Disabilities (IDD) Waiver
Children with Complex Medical Conditions (CCMC) Waiver
Approved providers may deliver:
Initial assessment and plan of care development
Ongoing monitoring and documentation of services
Coordination of interdisciplinary teams
Crisis intervention and consumer advocacy
Transition planning between programs and providers
8. TIMELINE TO LAUNCH
Phase: Business Formation and Training
Timeline: 1–2 weeks
Phase: SDS Application and Orientation
Timeline: 30–60 days
Phase: Credentialing and Program Readiness
Timeline: 30–45 days
Phase: Medicaid Enrollment and Billing Setup
Timeline: 45–60 days
9. CONTACT INFORMATION
Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Email: dsdsprovider@alaska.gov
Phone: (907) 269-3666
Website: https://dhss.alaska.gov/dsds
Alaska Medicaid Provider Enrollment – Conduent MMIS
Website: https://medicaidalaska.com
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ALASKA CARE COORDINATION SERVICES PROVIDER
We support aspiring and current professionals in launching a fully compliant Care Coordination agency under Alaska’s Medicaid Waiver system.
Scope of Work:
Business registration (LLC, EIN, NPI)
SDS application assistance and orientation preparation
Development of Care Coordination Policy & Procedure Manual
Customized care plan templates and monitoring forms
Medicaid provider enrollment and MMIS setup
WEBSITE, DOMAIN, AND EMAIL CREATION
CLIENT INTAKE AND SERVICE PLANNING TOOLKIT
MARKETING MATERIALS FOR REFERRAL NETWORKS
TRAINING ON DOCUMENTATION, BILLING, AND CLIENT ADVOCACY
SDS COMPLIANCE MONITORING AND AUDIT PREP
PERFORMANCE MONITORING TOOLS
CLIENT ACQUISITION AND COMMUNITY PARTNERSHIP STRATEGIES
Transportation Assistance
TRANSPORTATION SERVICES PROVIDER IN ALASKA
ENSURING ACCESS TO ESSENTIAL CARE AND COMMUNITY ACTIVITIES FOR INDIVIDUALS WITH DISABILITIES
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.
1. GOVERNING AGENCIES
Agency: Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Role: Authorizes transportation providers, monitors quality and safety, and ensures transportation aligns with waiver goals
Agency: Alaska Medicaid (under the Department of Health)
Role: Handles Medicaid provider enrollment and reimbursement for transportation services under approved HCBS Waivers
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures compliance with HCBS non-medical transportation policies
2. TRANSPORTATION SERVICE OVERVIEW
Transportation Services under HCBS waivers are designed to help individuals travel to and from waiver-approved services and community activities. These are non-emergency trips and must be related to goals in the individual's care plan.
Approved providers may deliver:
Transportation to and from medical or therapy appointments
Rides to day habilitation, job coaching, or supported employment
Community access trips (e.g., grocery stores, community centers, volunteer sites)
Assistance with entering/exiting the vehicle, securing mobility devices
Monitoring and documentation of trip purpose, duration, and mileage
Vehicles must be safe, well-maintained, and appropriately equipped for the population being served.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Alaska Division of Corporations, Business and Professional Licensing
Obtain EIN from the IRS and NPI (Type 2)
Secure a physical business office or dispatch location in Alaska
Hold necessary Alaska business and transportation licenses
Maintain commercial vehicle insurance and liability coverage
Ensure all drivers have valid driver’s licenses and clean driving records
Maintain a fleet of insured, ADA-accessible vehicles (if serving individuals with mobility needs)
4. SDS PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Request the Transportation Services Provider application from SDS
Participate in SDS orientation and review applicable waiver program guidelines
Application & Documentation Submission:
Submit service delivery plan including transportation routes, scheduling procedures, and vehicle inspection policies
Include sample trip logs, driver training schedules, and incident report templates
Provide proof of vehicle registration, insurance, and inspection records
Readiness Review:
Background checks for all drivers and support staff
Review of scheduling and dispatch software (if applicable)
Inspection of vehicles for accessibility, safety features, and proper maintenance logs
Approval & Medicaid Enrollment:
Once approved by SDS, enroll through Alaska MMIS as a Transportation Services provider
Select appropriate transportation billing codes under HCBS Waivers
Finalize Medicaid provider agreement and configure claims submission system
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN Letter
NPI confirmation
Proof of office or dispatch location in Alaska
SDS-Compliant Policy & Procedure Manual including:
Scheduling, pick-up, and drop-off procedures
Documentation of trip purpose and service plan alignment
Driver screening, training, and supervision policies
Emergency response and incident management protocols
Maintenance and vehicle safety checklists
Client confidentiality and rights during transport
Consent forms and transportation service agreements
Trip logs, mileage tracking, and Medicaid-compliant billing records
6. STAFFING REQUIREMENTS
Role: Transportation Manager / Dispatcher
Requirements: Experience in scheduling, route planning, and compliance with Medicaid or paratransit systems
Role: Driver / Transport Assistant
Requirements: Valid Alaska driver’s license, clean driving record, experience working with individuals with disabilities, background check clearance
All staff must complete:
SDS waiver orientation and client interaction training
Defensive driving and passenger safety training
CPR/First Aid certification (recommended)
Annual vehicle safety and documentation refresher training
Confidentiality and incident reporting training
7. MEDICAID WAIVER SERVICES
The following Alaska Medicaid Waivers authorize Transportation Services:
Alaskans Living Independently (ALI) Waiver
Adults with Physical and Developmental Disabilities (APDD) Waiver
Individuals with Intellectual and Developmental Disabilities (IDD) Waiver
Children with Complex Medical Conditions (CCMC) Waiver
Approved providers may deliver:
Transportation to authorized waiver services and community events
Documentation of trip purpose and duration
Monitoring of client safety during transport
Coordination with case managers and support teams for scheduling
8. TIMELINE TO LAUNCH
Phase: Business Formation and Vehicle Preparation
Timeline: 1–2 weeks
Phase: SDS Application and Readiness Review
Timeline: 60–90 days
Phase: Staff Hiring and Vehicle Inspections
Timeline: 30–45 days
Phase: Medicaid Enrollment and MMIS Setup
Timeline: 45–60 days
9. CONTACT INFORMATION
Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Email: dsdsprovider@alaska.gov
Phone: (907) 269-3666
Website: https://dhss.alaska.gov/dsds
Alaska Medicaid Provider Enrollment – Conduent MMIS
Website: https://medicaidalaska.com
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ALASKA TRANSPORTATION SERVICES PROVIDER
We support providers in launching accessible, safe, and Medicaid-compliant Transportation Services under Alaska’s HCBS Waiver system.
Scope of Work:
Business registration (LLC, EIN, NPI)
SDS provider application and policy guidance
Development of Transportation Policy & Procedure Manual
Vehicle logs, trip documentation, and mileage tracking templates
Medicaid enrollment and MMIS billing setup
WEBSITE, DOMAIN, AND EMAIL SETUP
DRIVER SCREENING AND TRAINING CHECKLISTS
MARKETING MATERIALS FOR CASE MANAGERS AND WAIVER TEAMS
OPERATIONAL TRAINING ON ROUTING, BILLING, AND SAFETY
COMPLIANCE CHECKLISTS AND INCIDENT MANAGEMENT TOOLS
CLIENT REFERRAL AND DISPATCH STRATEGY SUPPORT
Home Health
HOME HEALTH CARE SERVICES PROVIDER IN ALASKA
DELIVERING CLINICAL AND PERSONALIZED MEDICAL CARE TO INDIVIDUALS IN THE COMFORT OF THEIR OWN HOMES
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.
1. GOVERNING AGENCIES
Agency: Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Role: Approves providers, monitors service delivery, and ensures HCBS compliance
Agency: Alaska Department of Health – Division of Health Care Services (HCS)
Role: Licenses Home Health Agencies (HHAs) and enforces healthcare regulations
Agency: Alaska Medicaid (under the Department of Health)
Role: Handles Medicaid provider enrollment and reimbursement for home health care services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures federal compliance with home health and HCBS regulations
2. HOME HEALTH CARE SERVICE OVERVIEW
Home Health Care Services include skilled medical and therapeutic care delivered in an individual's home. Services are based on a physician’s order and/or authorized through the person-centered care plan for individuals on HCBS waivers.
Approved providers may deliver:
Skilled nursing (e.g., wound care, injections, medication management)
Physical therapy, occupational therapy, and speech therapy
Home health aide services (e.g., bathing, mobility support, vitals monitoring)
Medical social work and care coordination
Chronic condition management and post-hospital care
Health education and training for patients and caregivers
Services must be intermittent, part-time, and focused on recovery, stability, or maintenance of health conditions.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Alaska Division of Corporations, Business and Professional Licensing
Obtain EIN from the IRS and NPI (Type 2)
Obtain a State of Alaska Home Health Agency (HHA) License through the Division of Health Care Services
Comply with Alaska Administrative Code (7 AAC 12) for home health agencies
Hire licensed and credentialed medical professionals
Maintain malpractice, general liability, and worker’s compensation insurance
Establish secure electronic health record (EHR) and documentation systems
4. SDS & STATE LICENSING ENROLLMENT PROCESS
Initial Interest and Licensing Application:
Apply for Home Health Agency License via the Division of Health Care Services
Prepare for licensing survey, including compliance with staff credentialing, patient rights, and infection control protocols
SDS Provider Application:
Contact SDS to request the HCBS Provider Application for Home Health Services (if providing under a waiver)
Submit plan of care templates, supervisory protocols, and medical documentation procedures
Readiness Review:
Home health license inspection by the State of Alaska
SDS may evaluate documentation systems, clinical staffing, and service delivery readiness
Review of confidentiality, HIPAA compliance, and care quality procedures
Approval & Medicaid Enrollment:
Once licensed and SDS-approved, enroll as a Medicaid provider through Alaska MMIS
Activate applicable billing codes for home health and waiver-specific services
Finalize Medicaid provider agreement and configure billing systems
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN Letter
NPI confirmation
Alaska Home Health Agency License
SDS Waiver Provider Application (if applicable)
Proof of physical office and service delivery area in Alaska
SDS-Compliant Policy & Procedure Manual including:
Clinical intake and physician order protocols
Nursing and therapy documentation templates
Infection control and medication administration procedures
HIPAA-compliant data management and communication systems
Emergency response and service interruption policies
Patient rights, grievance, and informed consent documentation
Staff hiring, training, supervision, and license verification logs
Quality assurance, incident reporting, and utilization review procedures
6. STAFFING REQUIREMENTS
Role: Clinical Director / Director of Nursing
Requirements: Registered Nurse (RN) with home health and supervisory experience
Role: Home Health Aide / Certified Nursing Assistant (CNA)
Requirements: Alaska CNA license, CPR certification, background check
Role: Skilled Nurse (RN or LPN), Therapists (PT, OT, SLP), Medical Social Worker
Requirements: Alaska licensure in respective field, clinical experience, compliance with continuing education
All staff must complete:
SDS orientation (if waiver-funded)
Training on Medicaid documentation and person-centered planning
HIPAA, infection control, emergency preparedness, and abuse prevention training
Annual renewals of CPR/First Aid and professional licensure
7. MEDICAID WAIVER SERVICES
The following Alaska Medicaid Waivers authorize Home Health Care Services when clinically appropriate:
Alaskans Living Independently (ALI) Waiver
Adults with Physical and Developmental Disabilities (APDD) Waiver
Individuals with Intellectual and Developmental Disabilities (IDD) Waiver
Children with Complex Medical Conditions (CCMC) Waiver
Approved providers may deliver:
Intermittent skilled nursing and therapy services in the home
Health education and chronic disease management
Short-term rehabilitative services post-hospitalization
Documentation aligned with Medicaid billing and care plan requirements
8. TIMELINE TO LAUNCH
Phase: Business Formation and Licensing Preparation
Timeline: 2–4 weeks
Phase: State Home Health License Application & Survey
Timeline: 90–120 days
Phase: SDS Application and Clinical Readiness Review
Timeline: 45–60 days
Phase: Medicaid Enrollment and MMIS Billing Setup
Timeline: 45–60 days
9. CONTACT INFORMATION
Alaska Division of Health Care Services – Certification & Licensing
Phone: (907) 334-2400
Website: https://health.alaska.gov/dhcs
Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Email: dsdsprovider@alaska.gov
Phone: (907) 269-3666
Website: https://dhss.alaska.gov/dsds
Alaska Medicaid Provider Enrollment – Conduent MMIS
Website: https://medicaidalaska.com
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ALASKA HOME HEALTH CARE SERVICES PROVIDER
We help new and existing agencies become licensed and Medicaid-compliant Home Health Care providers under Alaska’s HCBS and clinical Medicaid programs.
Scope of Work:
Business formation (LLC, EIN, NPI)
Home Health Agency license application support and readiness survey prep
SDS waiver application (if applicable)
Development of Home Health Care Policy & Procedure Manual
Templates for care plans, nursing notes, and therapy documentation
Medicaid enrollment and MMIS billing setup
WEBSITE, DOMAIN, AND EMAIL SETUP
CLINICAL STAFF RECRUITMENT TEMPLATES AND LICENSE TRACKERS
EHR SYSTEM GUIDANCE AND COMPLIANCE CHECKLISTS
PATIENT INTAKE, CONSENT, AND MEDICAL ASSESSMENT PACKETS
QUALITY ASSURANCE SYSTEMS AND AUDIT PREPARATION TOOLS
Meal Delivery
MEAL SERVICES PROVIDER IN ALASKA
DELIVERING NUTRITIOUS MEALS TO SUPPORT HEALTH, INDEPENDENCE, AND WELLNESS FOR INDIVIDUALS WITH DISABILITIES
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.
1. GOVERNING AGENCIES
Agency: Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Role: Approves Meal Services providers, sets nutrition and food safety standards, and monitors service delivery
Agency: Alaska Medicaid (under the Department of Health)
Role: Administers Medicaid enrollment and reimbursement for authorized Meal Services under waiver programs
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures federal compliance with HCBS guidelines, including nutritional support and wellness services
2. MEAL SERVICE OVERVIEW
Meal Services include the preparation, delivery, and/or support with meals for individuals who are unable to prepare adequate food on their own. Services must align with the participant’s care plan and support overall health, independence, and safety in the home.
Approved providers may deliver:
Home-delivered meals: Hot, cold, or frozen meals delivered directly to the individual’s residence
Meal preparation assistance: In-home help with cooking, portioning, and safe food handling
Nutritional support: Meals that accommodate special diets (e.g., diabetic, low-sodium, texture-modified)
Monitoring: Informal wellness checks during meal drop-off (if included in plan)
Meal planning education: Support with grocery lists, menus, and food budgeting (if authorized)
All meals must comply with SDS nutrition guidelines and be approved within the participant’s person-centered service plan.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Alaska Division of Corporations, Business and Professional Licensing
Obtain EIN from the IRS and NPI (Type 2)
Maintain a commercial kitchen, food prep site, or partnership with a licensed meal prep facility
Comply with all Alaska food safety, handling, and sanitation regulations
Carry food liability insurance and workers’ compensation (if employing staff)
Develop systems for menu planning, delivery tracking, and participant communication
4. SDS PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Request the Meal Services Provider Application Packet from SDS
Participate in a waiver program orientation (recommended)
Application & Documentation Submission:
Submit business details, food service procedures, and meal delivery plans
Provide sample menus, delivery logs, and food safety certification
Include policies for allergy management, dietary modifications, and missed deliveries
Readiness Review:
SDS reviews food prep site for licensing and safety compliance
Staff background checks, training certifications, and delivery procedures are evaluated
Providers must demonstrate ability to meet individual dietary needs consistently and safely
Approval & Medicaid Enrollment:
Once approved by SDS, enroll as a Medicaid provider through Alaska MMIS
Select relevant billing codes for Meal Services under applicable HCBS waivers
Finalize Medicaid provider agreement and configure claims submission access
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN Letter
NPI confirmation
Alaska Food Establishment Permit or agreement with a licensed meal prep facility
SDS-Compliant Policy & Procedure Manual including:
Meal preparation and dietary modification procedures
Delivery tracking and confirmation logs
Missed meal protocol and rescheduling process
Participant intake and allergy/dietary needs forms
Emergency food delivery planning
Food safety, storage, and sanitation policies
Staff training on nutrition, allergies, and customer interaction
Complaint resolution, documentation, and quality assurance policies
6. STAFFING REQUIREMENTS
Role: Meal Services Manager / Program Supervisor
Requirements: Experience in food service management, nutrition, or health services; knowledge of Medicaid meal service compliance
Role: Meal Prep Staff / Delivery Driver
Requirements: Food handler certification (if preparing food), background check, valid driver’s license and reliable transportation (if delivering)
All staff must complete:
SDS waiver and provider training
Food safety and sanitation training (ServSafe or equivalent)
CPR/First Aid (recommended)
Customer service and confidentiality training
Annual refreshers on meal delivery standards and allergy protocols
7. MEDICAID WAIVER SERVICES
The following Alaska Medicaid Waivers may authorize Meal Services:
Alaskans Living Independently (ALI) Waiver
Adults with Physical and Developmental Disabilities (APDD) Waiver
Individuals with Intellectual and Developmental Disabilities (IDD) Waiver
Children with Complex Medical Conditions (CCMC) Waiver (when age-appropriate)
Approved providers may deliver:
Nutritious meals tailored to dietary needs
Meal preparation assistance in the home
Scheduled home delivery of prepared meals
Documentation of meals delivered and any changes in participant condition
8. TIMELINE TO LAUNCH
Phase: Business Formation and Food Licensing
Timeline: 1–3 weeks
Phase: SDS Application and Facility Review
Timeline: 60–90 days
Phase: Staff Hiring, Training, and Delivery Setup
Timeline: 30–45 days
Phase: Medicaid Enrollment and MMIS Setup
Timeline: 45–60 days
9. CONTACT INFORMATION
Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Email: dsdsprovider@alaska.gov
Phone: (907) 269-3666
Website: https://dhss.alaska.gov/dsds
Alaska Medicaid Provider Enrollment – Conduent MMIS
Website: https://medicaidalaska.com
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ALASKA MEAL SERVICES PROVIDER
We help food service providers, caterers, and HCBS agencies launch Medicaid-compliant Meal Services programs under Alaska’s HCBS Waiver system.
Scope of Work:
Business formation (LLC, EIN, NPI)
SDS application and food licensing support
Development of Meal Services Policy & Procedure Manual
Menu planning, dietary intake, and delivery log templates
Medicaid enrollment and MMIS billing setup
WEBSITE, DOMAIN, AND EMAIL SETUP
PARTICIPANT INTAKE AND NUTRITIONAL NEEDS PACKET
STAFF TRAINING MATERIALS FOR FOOD SAFETY AND CLIENT SERVICE
QUALITY CONTROL AND INCIDENT MANAGEMENT TOOLS
COMMUNITY REFERRAL STRATEGIES AND SERVICE MARKETING PLANS
Supported Living Services
SUPPORTED LIVING SERVICES PROVIDER IN ALASKA
DELIVERING FLEXIBLE, 24-HOUR SUPPORT IN INDIVIDUAL HOMES FOR PEOPLE WITH DISABILITIES WHO NEED A PERSONALIZED, NON-GROUP LIVING OPTION
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.
1. GOVERNING AGENCIES
Agency: Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Role: Approves Residential Supported Living providers, monitors service quality and home environments, and enforces compliance with HCBS rules
Agency: Alaska Medicaid (under the Department of Health)
Role: Oversees provider enrollment and Medicaid billing for Residential Supported Living Services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures federal compliance with person-centered care and community-based living under HCBS Medicaid regulations
2. SUPPORTED LIVING SERVICE OVERVIEW
Residential Supported Living Services provide 24-hour care and supervision to individuals living in their own home (leased or owned by the individual) or a provider-controlled home that is not a group home. Services are designed to support people who require frequent assistance throughout the day and night, but who want a more private, individualized living arrangement than a traditional group home.
Approved providers may deliver:
Assistance with Activities of Daily Living (ADLs), including bathing, dressing, and personal hygiene
Meal preparation and assistance with eating
Medication assistance, monitoring, and health-related care tasks
Nighttime support and supervision
Skills training for housekeeping, money management, and home safety
Behavioral supports and crisis response
Community participation and transportation assistance
Daily documentation and individualized service tracking
Each service must be tailored to the participant’s person-centered plan and delivered in a home setting that prioritizes choice, control, and privacy.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Alaska Division of Corporations, Business and Professional Licensing
Obtain EIN from the IRS and NPI (Type 2)
Maintain a physical office location in Alaska
Demonstrate capacity to provide 24/7 support and staff supervision
Ensure housing arrangements meet basic safety, sanitation, and accessibility standards
Establish individualized documentation systems for each residence
Hold general liability insurance and workers' compensation coverage
4. SDS PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Request the Residential Supported Living Services provider application from SDS
Attend SDS orientation or informational session focused on residential and individualized services
Application & Documentation Submission:
Submit a detailed description of the support model, including staffing schedules, training, emergency procedures, and person-centered support planning
Include sample daily logs, incident reports, and service delivery documentation
Provide housing setup information and protocols for ensuring individual choice and dignity in residential arrangements
Readiness Review:
SDS review of staff qualifications, training, and credentialing
Review of home environment (if applicable) for accessibility and safety
Evaluation of documentation tools, quality assurance procedures, and compliance systems
Approval & Medicaid Enrollment:
After SDS approval, enroll with Alaska Medicaid through MMIS as a Residential Supported Living provider
Select billing codes for the relevant HCBS waivers
Complete Medicaid provider agreement and configure billing setup
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN Letter
NPI confirmation
Lease or deed for any provider-controlled residential settings
SDS-Compliant Policy & Procedure Manual including:
Intake, assessment, and individual service plan implementation
Staff supervision and overnight monitoring protocols
Emergency preparedness, fire safety, and crisis response
Medication assistance and health monitoring procedures
Client rights, autonomy, and informed consent documentation
Daily documentation forms and behavior tracking tools
Complaint, grievance, and critical incident reporting policies
Staff training, background check, and performance evaluation systems
6. STAFFING REQUIREMENTS
Role: Residential Program Supervisor
Requirements: Experience in home-based support services, staff coordination, and Medicaid documentation
Role: Direct Support Professional (DSP)
Requirements: High school diploma or GED, experience in 24/7 residential care, background check, CPR/First Aid certification
All staff must complete:
SDS orientation and HCBS residential services training
Person-centered support and rights-based care training
Emergency response and overnight care protocols
Documentation, confidentiality, and abuse prevention training
Ongoing annual in-service education
7. MEDICAID WAIVER SERVICES
The following Alaska Medicaid Waivers authorize Residential Supported Living Services:
Individuals with Intellectual and Developmental Disabilities (IDD) Waiver
Adults with Physical and Developmental Disabilities (APDD) Waiver
Children with Complex Medical Conditions (CCMC) Waiver (if transitioning to adult services)
Approved providers may deliver:
Individualized, 24-hour residential care in a private home setting
Medication support, ADL/IADL assistance, and overnight supervision
Habilitation and community-based integration activities
Coordination with care teams and service documentation
8. TIMELINE TO LAUNCH
Phase: Business Formation and Housing Setup
Timeline: 1–2 weeks
Phase: SDS Application and Provider Readiness Review
Timeline: 60–90 days
Phase: Staff Hiring and Home Readiness Checks
Timeline: 30–45 days
Phase: Medicaid Enrollment and MMIS Setup
Timeline: 45–60 days
9. CONTACT INFORMATION
Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Email: dsdsprovider@alaska.gov
Phone: (907) 269-3666
Website: https://dhss.alaska.gov/dsds
Alaska Medicaid Provider Enrollment – Conduent MMIS
Website: https://medicaidalaska.com
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ALASKA RESIDENTIAL SUPPORTED LIVING SERVICES PROVIDER
We help new providers plan and launch high-quality Residential Supported Living Services tailored to individual needs under Alaska’s HCBS Medicaid Waiver system.
Scope of Work:
Business formation (LLC, EIN, NPI)
SDS provider application and residential readiness support
Development of Residential Supported Living Policy & Procedure Manual
Templates for ADL tracking, behavior documentation, and overnight supervision
Medicaid enrollment and MMIS billing setup
WEBSITE, DOMAIN, AND EMAIL SETUP
CLIENT INTAKE AND SERVICE DELIVERY PACKET
STAFF TRAINING MATERIALS FOR 24/7 SUPPORT ENVIRONMENTS
INCIDENT REPORTING AND COMPLIANCE TRACKING TOOLS
HOME SETUP GUIDANCE AND SAFETY CHECKLISTS
CLIENT REFERRAL NETWORKING AND COMMUNITY INTEGRATION STRATEGIES
Adult Day
ADULT DAY SERVICES PROVIDER IN ALASKA
SUPPORTING INDEPENDENCE, SOCIALIZATION, AND DAILY WELLNESS FOR ADULTS WITH DISABILITIES AND CHRONIC CONDITIONS
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.
1. GOVERNING AGENCIES
Agency: Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Role: Authorizes and monitors Adult Day Services providers, ensures regulatory compliance, and enforces quality standards
Agency: Alaska Medicaid (under the Department of Health)
Role: Manages Medicaid enrollment, claims reimbursement, and compliance for Adult Day Services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight to ensure services meet HCBS person-centered and community-based care requirements
2. ADULT DAY SERVICE OVERVIEW
Adult Day Services are designed to help participants build life skills, engage socially, and access health and wellness supports in a community setting. These services are typically delivered in dedicated day program facilities and tailored to each individual’s care plan.
Approved providers may deliver:
Supervised daytime care in a licensed or SDS-approved facility
Structured recreational, educational, and social activities
Support with Activities of Daily Living (ADLs), such as eating, toileting, and mobility
Life skills development (e.g., money management, personal care, community navigation)
Health monitoring and medication reminders (non-clinical)
Nutritional support, including meals and snacks
Transportation coordination to and from the center
Daily documentation and individualized goal tracking
Services must align with each person’s needs, preferences, and documented service plan.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Alaska Division of Corporations, Business and Professional Licensing
Obtain EIN from the IRS and NPI (Type 2)
Secure a facility or program site that meets state and local health, fire, and safety codes
Obtain appropriate licenses or approvals for facility use, if required by local jurisdictions
Develop structured daily schedules and activity programming
Employ trained staff with experience supporting adults with disabilities
Carry general liability and workers’ compensation insurance
4. SDS PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Request the Adult Day Services Provider Application from SDS
Attend SDS informational session or orientation for day service providers
Application and Program Review:
Submit a comprehensive business and service delivery plan
Include sample activity schedules, emergency procedures, staff training outlines, and documentation forms
Provide proof of facility compliance with safety, sanitation, and accessibility standards
Site Readiness Inspection:
SDS may inspect the program site for ADA accessibility, emergency preparedness, and client safety
Staff credentials, background checks, and documentation systems will be reviewed
Providers must demonstrate capacity to offer structured, meaningful day programming
Approval & Medicaid Enrollment:
After SDS approval, enroll through Alaska Medicaid MMIS as an Adult Day Services provider
Select appropriate billing codes under HCBS waivers
Finalize Medicaid provider agreement and configure claims submission
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN Letter
NPI confirmation
Lease or proof of program site location
SDS-Compliant Policy & Procedure Manual including:
Participant admission and assessment protocols
Daily programming, safety supervision, and staffing plans
Emergency response and fire evacuation procedures
ADL and IADL assistance documentation
Health and medication support policies (non-clinical)
Client rights, grievance resolution, and consent forms
Staff training, performance monitoring, and background check processes
Transportation coordination and incident tracking systems
6. STAFFING REQUIREMENTS
Role: Program Director / Adult Day Manager
Requirements: Experience in adult day programming, facility operations, and Medicaid waiver compliance
Role: Day Program Staff / Activity Facilitators
Requirements: High school diploma or GED, experience working with individuals with disabilities, background check clearance
All staff must complete:
SDS waiver orientation and Adult Day Services training
CPR/First Aid certification and emergency procedures training
Documentation, ethics, and participant rights protocols
Annual training in safety, supervision, and meaningful activity facilitation
7. MEDICAID WAIVER SERVICES
The following Alaska Medicaid Waivers authorize Adult Day Services:
Alaskans Living Independently (ALI) Waiver
Adults with Physical and Developmental Disabilities (APDD) Waiver
Individuals with Intellectual and Developmental Disabilities (IDD) Waiver
Children with Complex Medical Conditions (CCMC) Waiver (transition-age youth, where applicable)
Approved providers may deliver:
Full-day or partial-day structured programming
Daily support with ADLs and skill-building activities
Social, recreational, and therapeutic engagement
Community integration and goal-based documentation
8. TIMELINE TO LAUNCH
Phase: Business Formation and Facility Preparation
Timeline: 1–3 weeks
Phase: SDS Application and Site Inspection
Timeline: 60–90 days
Phase: Staff Onboarding and Documentation Setup
Timeline: 30–45 days
Phase: Medicaid Enrollment and MMIS Setup
Timeline: 45–60 days
9. CONTACT INFORMATION
Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Email: dsdsprovider@alaska.gov
Phone: (907) 269-3666
Website: https://dhss.alaska.gov/dsds
Alaska Medicaid Provider Enrollment – Conduent MMIS
Website: https://medicaidalaska.com
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ALASKA ADULT DAY SERVICES PROVIDER
We help providers launch safe, engaging, and compliant Adult Day Services under Alaska’s HCBS Medicaid Waiver system.
Scope of Work:
Business formation (LLC, EIN, NPI)
Facility readiness and SDS application assistance
Development of Adult Day Services Policy & Procedure Manual
Daily attendance logs, activity calendars, and goal tracking templates
Medicaid enrollment and MMIS billing setup
WEBSITE, DOMAIN, AND EMAIL SETUP
CLIENT INTAKE AND DAY PROGRAM PARTICIPATION PACKET
STAFF TRAINING GUIDES AND PERFORMANCE EVALUATION TOOLS
COMPLIANCE CHECKLISTS AND INCIDENT MANAGEMENT SYSTEMS
COMMUNITY OUTREACH AND REFERRAL NETWORKING STRATEGIES
Specialized Medical Equipment
SPECIALIZED MEDICAL EQUIPMENT SERVICES PROVIDER IN ALASKA
SUPPORTING INDEPENDENCE AND SAFETY THROUGH ACCESS TO MEDICALLY NECESSARY EQUIPMENT AND SUPPLIES
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.
1. GOVERNING AGENCIES
Agency: Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Role: Approves providers, authorizes equipment requests, and ensures quality and appropriateness of equipment and services
Agency: Alaska Medicaid (under the Department of Health)
Role: Manages provider enrollment, claim reimbursement, and Medicaid compliance for medical equipment services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures that waiver-funded medical equipment aligns with HCBS requirements
2. SPECIALIZED MEDICAL EQUIPMENT SERVICE OVERVIEW
Specialized Medical Equipment Services provide devices, supplies, and equipment that enable individuals to increase their independence, ensure safety, or substitute for human assistance. These items must be directly related to the participant’s functional limitations and must not be available under standard Medicaid durable medical equipment (DME) benefits.
Approved providers may deliver:
Mobility devices (e.g., manual/power wheelchairs, walkers)
Lifts and transfer equipment (e.g., Hoyer lifts, ceiling tracks)
Adaptive communication or vision/hearing devices
Specialized beds, positioning equipment, or pressure-relief mattresses
Medical alert systems, monitoring equipment, or environmental controls
Repairs and maintenance of approved equipment
Training on equipment use and care
All equipment and supplies must be pre-approved by SDS and supported by professional documentation (e.g., physician’s order, therapist recommendation).
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Alaska Division of Corporations, Business and Professional Licensing
Obtain EIN from the IRS and NPI (Type 2)
Hold an Alaska Durable Medical Equipment (DME) license, if required
Secure a physical location or distribution base in Alaska
Maintain inventory management and secure storage systems
Carry general liability and product liability insurance
Establish service tracking, delivery, and maintenance protocols
4. SDS PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Request the Specialized Medical Equipment Services provider application from SDS
Attend a provider orientation or consultation with SDS (optional but recommended)
Application and Submission:
Submit a service plan including types of equipment offered, delivery methods, and quality assurance processes
Include sample documentation: physician order templates, delivery logs, service tracking forms, and consent forms
Provide business license, facility details, insurance documentation, and staff qualifications
Readiness and Compliance Review:
Review of ordering, storage, and delivery systems
Evaluation of staff training protocols and customer service systems
Inspection of equipment handling, maintenance, and documentation processes
Approval & Medicaid Enrollment:
After SDS approval, enroll through Alaska Medicaid MMIS as a provider of Specialized Medical Equipment
Activate relevant billing codes under applicable HCBS waivers
Finalize Medicaid provider agreement and electronic claims setup
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN Letter
NPI confirmation
Lease or proof of office/warehouse location in Alaska
SDS-Compliant Policy & Procedure Manual including:
Equipment ordering and authorization procedures
Medical necessity verification and physician documentation protocols
Delivery, tracking, and maintenance logs
Consent forms and participant training checklists
Storage, handling, and infection control policies
Client rights and equipment replacement procedures
Return, repair, and warranty guidelines
Billing, invoicing, and Medicaid documentation compliance
6. STAFFING REQUIREMENTS
Role: Equipment Services Coordinator / Program Manager
Requirements: Experience in DME provision, logistics, or rehabilitation technology; knowledge of Medicaid processes
Role: Delivery & Setup Technician
Requirements: High school diploma or GED, technical experience in equipment assembly and maintenance, valid driver’s license
All staff must complete:
SDS service delivery and HCBS waiver training
Equipment safety, infection control, and maintenance training
Documentation and confidentiality protocols
Training on consumer interaction and use instruction
7. MEDICAID WAIVER SERVICES
The following Alaska Medicaid Waivers authorize Specialized Medical Equipment Services:
Alaskans Living Independently (ALI) Waiver
Adults with Physical and Developmental Disabilities (APDD) Waiver
Individuals with Intellectual and Developmental Disabilities (IDD) Waiver
Children with Complex Medical Conditions (CCMC) Waiver
Approved providers may deliver:
Delivery and setup of medically necessary equipment
Participant instruction and consent documentation
Equipment maintenance, repair, and warranty tracking
Coordination with prescribing professionals and service planners
8. TIMELINE TO LAUNCH
Phase: Business Formation and Licensing
Timeline: 1–2 weeks
Phase: SDS Application Review
Timeline: 45–90 days
Phase: Staff Onboarding and Readiness Check
Timeline: 30–45 days
Phase: Medicaid Enrollment and Billing Setup
Timeline: 45–60 days
9. CONTACT INFORMATION
Alaska Department of Health – Division of Senior and Disabilities Services (SDS)
Email: dsdsprovider@alaska.gov
Phone: (907) 269-3666
Website: https://dhss.alaska.gov/dsds
Alaska Medicaid Provider Enrollment – Conduent MMIS
Website: https://medicaidalaska.com
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ALASKA SPECIALIZED MEDICAL EQUIPMENT PROVIDER
We support providers in launching efficient, compliant Specialized Medical Equipment businesses under Alaska’s HCBS Medicaid waiver programs.
Scope of Work:
Business registration (LLC, EIN, NPI)
SDS application support and documentation guidance
Development of Medical Equipment Policy & Procedure Manual
Templates for orders, delivery logs, and participant training forms
Medicaid enrollment and MMIS billing setup
WEBSITE, DOMAIN, AND EMAIL SETUP
INTAKE AND PRESCRIPTION ORDER PACKET
MARKETING TO CASE MANAGERS AND PRESCRIBING PROVIDERS
STAFF TRAINING ON DOCUMENTATION, DELIVERY, AND SAFETY
AUDIT-READY CHECKLISTS AND QUALITY CONTROL TOOLS
CLIENT REFERRAL NETWORKING AND COMMUNITY OUTREACH STRATEGIES
Our Client Portal offers a wealth of resources that you can explore related to various programs and state requirements.