State Medicaid Waiver Directory
Find your state's Katie Beckett waiver, TEFRA pathway, HCBS programs, and Medicaid eligibility rules for children and adults with disabilities. Each guide covers waitlists, application steps, income limits, and parent caregiver pay options.
For informational purposes only — not legal, medical, or financial advice. Medicaid rules, eligibility, and waitlists change frequently. Always verify with your state's official Medicaid agency before making decisions. Cross-check with Medicaid.gov's official waiver page.
Alaska
Program Overview
Overview
Alaska has a relatively clear child pathway structure. Families may access regular Medicaid, the TEFRA pathway for disabled children, or the Children with Complex Medical Conditions (CCMC) waiver depending on the child's needs.
Katie Beckett or similar pathway
Yes. Alaska has a TEFRA route for disabled children who do not qualify under standard family-income-based Medicaid rules.
Child-relevant waivers
The primary child-focused waiver is the Children with Complex Medical Conditions (CCMC) waiver. For adults with physical disabilities or complex medical needs who need nursing-facility level of care but choose to live in the community, Alaska's Home and Community-Based Care (HCBC) Waiver is the primary adult HCBS option. The HCBC Waiver covers personal care, home health aide, respite, and other community supports.
Eligibility
Who qualifies
The CCMC waiver serves Medicaid-eligible children and young adults who need hospital or nursing-facility level of care.
Financial and income rules
Under TEFRA, eligibility is based on the child's own income and resources rather than the parents', which can make a significant difference for families with higher household incomes.
Level of care
Alaska requires a formal level-of-care review. Hospital or nursing-facility level of care is required for CCMC.
Age rules
CCMC serves children and young adults under 22.
Getting Started
How to apply
Families start through Alaska Medicaid and the waiver application or level-of-care process for CCMC or TEFRA.
Documents needed
Families will need Medicaid financial forms, medical records, and a formal level-of-care assessment.
Waitlist information
Alaska has not published a clear statewide waitlist policy for CCMC. Contact Alaska Medicaid directly to ask about current enrollment status.
Practical next step
Contact Alaska Medicaid and ask whether the child should be screened for TEFRA, CCMC, or an intellectual and developmental disability pathway. For non-Medicaid supports, contact Alaska DVR or DLCA.
Services & Support
Services available
Services can include specialized medical equipment, nursing-related supports, and community-based care designed to keep the child at home instead of in an institution.
Parent caregiver pay
Alaska amended its waivers as of September 2024 to allow parents and guardians of minors to be paid for care up to 40 hours per week.
Equipment exchange & assistive technology
Assistive Technology of Alaska (atlaak.org) — provides device demonstrations, short-term equipment loans, reuse programs, and AT financing statewide.
Mental health and Medicaid coverage
Alaska Medicaid covers outpatient mental health counseling, psychiatric services, substance use treatment, community mental health center services, and crisis intervention. Behavioral health services are delivered through Behavioral Health Aides (BHAs) in rural and Alaska Native communities, which is a unique feature of Alaska's system. The Alaska Mental Health Trust Authority funds additional services not covered by Medicaid. Telepsychiatry is widely used given Alaska's geography.
Additional notes
Alaska clearly distinguishes between TEFRA and separate waiver programs like CCMC, which makes it easier for families to identify which pathway fits their child's situation.
State-Specific Resources
Alaska Division of Vocational Rehabilitation (DVR) — Employment Services
Alaska DVR (labor.alaska.gov/dvr) helps Alaskans with disabilities prepare for, find, and keep jobs. Services include vocational counseling, career assessment, job training, assistive technology, supported employment, and job coaching. Services are free and available statewide. DVR also serves transition-age youth (ages 14+). In remote areas, services are often delivered by phone or video.
Assistive Technology of Alaska (ATLA) — Device Loans & Demonstrations
ATLA provides assistive technology demonstrations, short-term equipment loans for trial, device reuse programs, and information on AT funding. Services are available statewide, though delivery methods may vary in remote areas due to Alaska's geography.
Alaska Early Intervention Program (Birth to Age 3) — Infant and Toddler Services
Alaska's Early Intervention/Infant Learning Program (ILP) serves families with children birth to age 3 with developmental delays or disabilities. Services are provided in homes and natural environments and are family-focused. Referrals can be made by anyone. Contact the Alaska Department of Health.
Disability Law Center of Alaska (DLCA) — Legal Advocacy & P&A
DLCA (dlcak.org) is Alaska's Protection and Advocacy agency, providing free legal services, advocacy, and information on disability rights, education rights, employment issues, assistive technology access, and abuse/neglect. DLCA is especially helpful for navigating Alaska-specific issues including tribal services and rural access.
Alaska Parents and Teachers (APT) Alaska Center — Family Advocacy
APT provides parent training, information, and advocacy support for families of children with disabilities ages birth to 26 across Alaska. Services include special education guidance, IEP advocacy, and transition planning support.
Alaska — No State Paid Family Leave
Alaska does not currently have a state-mandated paid family leave or temporary disability insurance program. Workers must rely on federal FMLA (unpaid) or employer-provided benefits. Some employers may offer private Short-Term Disability or paid leave.
Community Tips & Experience
Comments reflect the personal experiences and opinions of individual community members only. They do not represent the views, positions, or endorsements of National Disability Resource Project or any of its staff, volunteers, or affiliated members. Always verify information with official agencies and qualified professionals before making decisions.
Sign in to share your experience
No comments yet. Be the first to share!
Help us keep this page accurate
Spotted something outdated or incorrect? Tell us and our team will verify it against current sources.
Translate