Last updated: April 2026

Medicaid HCBS Waiver in Juneau, Alaska

Program: Alaskans Living Independently (ALI) Waiver
Status: Open enrollment

What is Medicaid HCBS Waiver?

Home and Community-Based Services (HCBS) waivers allow Medicaid to pay for home care, personal assistance, and support services instead of nursing home care. These waivers enable elderly and disabled individuals to remain in their homes and communities while receiving the care they need. Each state administers its own HCBS waiver programs with different names and eligibility requirements, but all share the common goal of supporting aging in place.

In Alaska, this program is known as Alaskans Living Independently (ALI) Waiver. The ALI Waiver provides home and community-based services to Alaskans who would otherwise require nursing facility care. Services include personal care, home health aide, and homemaker services.

Eligibility Requirements in Alaska

Requirement Alaska Standard (2026)
Age 65 or older (or disabled)
Income (single person) $2,742/month
Income (married couple) $5,484/month
Asset limit Typically $2,000 individual; home often exempt
Residency Must be a Alaska resident
Level of care Must need assistance with activities of daily living
Additional requirement Must be 65 or older or have a physical disability
Don't assume you don't qualify. Many families don't apply because they think their income is too high. A free assessment can determine if you qualify for any portion of these benefits. Take the free quiz →

How to Apply in Juneau, Alaska

  1. Contact Alaska Division of Senior & Disabilities Services at (907) 465-3372 to begin the application process
  2. Request a functional eligibility assessment
  3. Gather financial documentation (tax returns, bank statements, Social Security award letter)
  4. Complete the Medicaid application through your state's portal or in person
  5. If approved, work with a care coordinator to develop your care plan
  6. Online application: You can start the application process online at Alaska Division of Senior & Disabilities Services's website.

Your local Area Agency on Aging - the SAIL (Southeast Alaska Independent Living) at (907) 586-4920 - can also help you navigate the application process at no charge.

Get Your Application Checklist →

Frequently Asked Questions About Medicaid HCBS Waiver in Juneau

  • What is the income limit for Alaskans Living Independently (ALI) Waiver in Alaska?
    In Alaska, the income limit for Alaskans Living Independently (ALI) Waiver is typically $2,742/month for a single person and $5,484/month for a married couple. Some income may be disregarded in calculations.
  • How long is the waitlist for Alaskans Living Independently (ALI) Waiver in Alaska?
    Waitlist times vary significantly. Contact Alaska Division of Senior & Disabilities Services at (907) 465-3372 for current waitlist status. Some states have open enrollment while others have waitlists of several months to years.
  • What services does Alaskans Living Independently (ALI) Waiver cover in Alaska?
    Covered services typically include personal care assistance, homemaker services, adult day health services, respite care, home health aide services, and skilled nursing visits. Specific services vary by program.
  • Can I keep my Medicare coverage while on Alaskans Living Independently (ALI) Waiver?
    Yes. Medicaid HCBS waivers supplement but do not replace Medicare coverage. You may qualify for both programs simultaneously if you meet eligibility requirements for each.
  • How are Medicaid assets calculated in Alaska?
    In Alaska, asset limits for Medicaid are typically $2,000 for an individual. Your primary home, one vehicle, personal belongings, and certain other assets may be exempt from this calculation.

Other Subsidies Available in Juneau

Medicaid Waiver in Other Alaska Cities

Need Help With the Application?

Download our free application checklist for Alaskans Living Independently (ALI) Waiver, or let our Grant Concierge handle the paperwork for you.