Alaska · Checked October 22, 2026
Non-medical home care is not state-licensed in Alaska — but the lanes around it are regulated, and the skilled door is a different license.
| Item | Alaska |
|---|---|
| License / registration | No licence for private-pay non-medical home care — Medicaid personal care is a provider CERTIFICATION, not a licence: Personal Care Services provider certification under 7 AAC 125.060 (and Community First Choice under 7 AAC 127.050); skilled lane: Home Health Agency licence under AS 47.32 / 7 AAC 12 |
| Issued by | Alaska Department of Health, Health Facility Licensing and Certification (HFLC) for home health agencies; Senior and Disabilities Services (SDS) for Personal Care Services / Community First Choice provider certification — official page |
| Application / initial fee | Not published — No fee published for a private-pay non-medical agency (no licence) or on the SDS Personal Care Services certification materials reviewed. Do NOT apply the home health figures to non-medical care: the HHA provisional licence fee on the official HFLC page is tiered by full-time employees — $1,000 (5 or fewer FTEs), $1,500 (6-15), $2,000 (16-50), $3,000 (51+), plus $500 per branch/subunit. |
| Renewal | Not applicable for non-medical care. HHA biennial renewal (due before 1 April of even-numbered years on the HFLC page) is $2,000 / $3,000 / $4,000 / $6,000 by the same FTE tiers, plus $1,000 per branch/subunit; relocation $150, miscellaneous modification $250. |
| Surety bond | No state bond minimum found in the published rules |
| Liability insurance | State sets no minimum for non-medical agencies in the sources reviewed. HHA licensure under 7 AAC 12 imposes its own facility standards, separate from personal care certification. |
| Timeline | Not published |
| Administrator | For Medicaid Personal Care Services the agency must employ an administrator who has attended the mandatory SDS division orientation (7 AAC 125.150(d)-(e)) and employ a supervising registered nurse to perform specified duties every 6 months, or every 12 months where a waiver is in effect (7 AAC 125.170(a)(2)). For a licensed HHA, 7 AAC 12.510 requires an administrator with education, experience and knowledge related to home health and at least 1 year of overall administrative experience in home health care or a related program, plus a physician or RN as director of clinical services (7 AAC 12.516). No administrator rule applies to a purely private-pay non-medical agency. |
| State extras | Centralised criminal history / registry checks for staff of licensed and certified providers, SDS administrator orientation time, and RN supervision time for PCS agencies are the real recurring costs; HHA lane adds the tiered licence fees and $500-$1,000 per branch/subunit. |
| Service | Under this license |
|---|---|
| Companionship & supervision | Covered |
| Homemaker help | Covered |
| Hands-on personal care | Covered |
| Live-in / 24-hour care | Not covered by this license |
| Transportation | Not covered by this license |
| Skilled nursing or therapy | Home health license required |
Personal Care Services certification covers personal care in the recipient's residence under an approved service plan (7 AAC 125.010(b), 125.050(a)); it is not a general business licence and does not authorise skilled nursing/therapy, which requires the HHA licence. Criminal history checks under AS 47.05.300-390 apply to licensed entities including home health agencies (AS 47.32.010(b)(7)).
Home health agencies are listed entities under AS 47.32.010(b)(7) and may not operate without a licence (AS 47.32.020); licensure is through HFLC under 7 AAC 12 with the tiered provisional/renewal fees above, an electronic policies-and-procedures submission and an onsite inspection. Federal certification is additional and optional ('may also be eligible').
CON was NOT repealed — verify any claim otherwise. Alaska's Certificate of Need Program, AS 18.07, remains in the 2025 Alaska Statutes (Ch. 18.07, §§18.07.021 administration, 18.07.031 CON required, 18.07.035 application and fees, 18.07.041/043 standards of review). HB 77 in the 32nd Legislature was a bill 'repealing the certificate of need program' — a proposal, not an enactment. As codified, §18.07.031(a) requires a CON only for an expenditure of $1,000,000 or more for construction of a health care facility, alteration of bed capacity, or addition of a category of health services, plus any conversion of a building to a nursing home — so a typical asset-light home care / home health start-up below the $1M threshold does not trigger CON, but the program itself is alive and Alaska was reported in October 2026 as among states considering CON repeal for federal rural-health funds, i.e. still to repeal, not repealed.
Certify as a Personal Care Services provider with Senior and Disabilities Services under 7 AAC 125.060, or as a Community First Choice personal care provider under 7 AAC 127.050, signing the SDS Provider Assurances (compliance with 7 AAC 125.010-125.199 and the PCS Conditions of Participation), then enrol with Alaska Medicaid. HHA licensure is not the Medicaid personal care door — certification is.
EVV required for Medicaid personal care / home health visits under the federal Cures Act; Alaska is a hybrid model with Therap as aggregator in national EVV listings.
The state fee above is one line of the real total. Run the true-cost calculator with Alaska selected — it adds the bond premium, insurance class, screening and the payroll runway your first hires create.
This page is information, not legal advice. Confirm before you file: the agency — not this page — decides your application.
The free checkers give you the verdict and the number. The Kit gives you the working papers: your state's application packet walked through in filing order, the policies-and-procedures binder spec (what your binder must contain — never a boilerplate binder), the administrator self-audit, the insurance & bond spec sheet, the Medicaid gate map, the franchise-vs-independent 10-year worksheets, and the payroll-runway planner.
$49 one-time payment
Included in the $49 HomeCareLicenseCheck Kit
