Starting an Alaska Home Health or Personal Care Agency?

• Licensed Home Health Agency — provides skilled nursing plus at least one additional service permitted by Alaska's HHA rules.
• Medicare-certified Home Health Agency — holds the Alaska license and separately completes federal enrollment, survey, and certification.
• Personal Care Services Agency — provides authorized help with daily activities through Alaska's agency-based or consumer-directed Medicaid PCS models.

Home Health licensing and PCS provider certification are different pathways with different applications, staffing, operational, survey, payer, and continuing-compliance requirements.

Yes. Home Health Agencies must be licensed by the Alaska Department of Health, Health Facilities Licensing and Certification. An agency submits the current HHA application, pays the provisional fee, provides electronic policies and procedures, and completes the state's review and onsite inspection.

Provisional and biennial renewal fees are tiered by the agency's number of full-time employees, with an additional amount for every branch or subunit. Applicants should verify the current schedule on the Alaska HHA page before submitting payment.

Under Alaska's HHA rules, the agency provides skilled nursing plus at least one of physical therapy, occupational therapy, speech therapy, or home health aide services. Additional authorized services may also be offered.

No. Medicare participation requires separate CMS enrollment, survey or approved accreditation, certification, and compliance with 42 CFR Part 484.

No. Alaska licensure and federal Medicare certification are separate approvals. The agency must maintain its state license even if it becomes Medicare certified.

Agencies must obtain provider certification from the Department of Health, Division of Senior and Disabilities Services, and separately enroll with Alaska Medicaid. They must also hold an Alaska Business License and comply with the current PCS regulations and Conditions of Participation.

In Agency-Based PCS, the provider agency oversees, manages, and supervises the recipient's care. In Consumer-Directed PCS, the recipient directs the caregiver while the provider agency supplies administrative support.

PCS may help with authorized activities of daily living such as bathing, dressing, toileting, mobility, and eating, as well as instrumental activities such as shopping, laundry, and light housekeeping. The recipient's authorization and service plan control what may be delivered and billed.

The agency follows the current PCA-08 initial application instructions and submits the required business, organizational, policy, staffing, insurance, and financial materials to Senior and Disabilities Services. Certification does not replace the separate Alaska Medicaid enrollment process.

Only after completing the applicable Senior and Disabilities Services certification and Alaska Medicaid provider enrollment requirements. The provider must also satisfy screening, documentation, claims, and program-specific requirements.

Yes, EVV is required for specified Alaska Medicaid Personal Care Services and in-home health services. Alaska uses an open-choice model, allowing the state's contracted system or an approved third-party system.

• Logo creation and a customized WordPress website.
• One year of website hosting and domain registration.
• 500 business cards and 500 tri-fold brochures.
• Alaska-specific policy manuals, human-resources documents, admission documents, and operational forms.
• HHA licensing, Medicare certification, PCS certification, business-startup, or Medicaid enrollment preparation applicable to the selected package.
• Members' area access, customization, ongoing guidance, and applicable updates.

No. State and federal filing fees, entity and business licensing, Medicare or Medicaid enrollment, accreditation, background checks, insurance, office, personnel, survey expenses, software, mailing, and other government or third-party costs are separate unless expressly included in writing.

Home Health Forms provides customized documents, startup guidance, and preparation assistance. The Alaska Department of Health, CMS, survey organizations, accreditors, and Alaska Medicaid make their own decisions. Applicants remain responsible for accurate information, qualified personnel, fees, operational readiness, service delivery, and ongoing compliance. Home Health Foms provides guidance and documents that meet regulatory requirements to ensure your success.

Customized policy manuals, forms, and related digital documents are generally emailed within five business days after all information needed for customization is received. Website development, printing, shipping, and other package components may have separate timelines.

Eligibility depends on work completed, customized materials produced, digital products delivered, third-party expenses paid, printing ordered, and other services already performed.