Medicaid HCBS Waiver in Juneau, Alaska
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 |
How to Apply in Juneau, Alaska
- Contact Alaska Division of Senior & Disabilities Services at (907) 465-3372 to begin the application process
- Request a functional eligibility assessment
- Gather financial documentation (tax returns, bank statements, Social Security award letter)
- Complete the Medicaid application through your state's portal or in person
- If approved, work with a care coordinator to develop your care plan
- 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
VA Aid & Attendance
The VA Aid & Attendance benefit is a tax-free pension enhancement for eligible veterans and survivin...
State Home Care Subsidy
State home care subsidy programs provide direct financial assistance to pay for in-home personal car...
Respite Care Grant
Respite care grants provide temporary relief to unpaid family caregivers by funding substitute care ...
Caregiver Support Program
Caregiver support programs provide training, counseling, financial assistance, and community connect...
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.