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Family Caregiver Pay Map · Alaska · Verified October 19, 2026

Alaska: Who Can Be a Paid Family Caregiver Under Medicaid

Alaska pays relatives and friends as personal care assistants through a certified provider agency under either agency-based or consumer-directed personal care; a spouse or the parent of a minor can be paid only under Community First Choice personal care services, not under state-plan personal care.

Spouse
In defined cases
Adult child / other relatives
Yes
Friends / neighbors
Yes
Parent of a minor child
In defined cases

Who can be paid: Adult children, siblings, other relatives, friends and neighbors as personal care assistants employed through an SDS-certified agency; a spouse, a parent of a minor child or a court-appointed guardian only under Community First Choice personal care services.

The Home Care Agency is a free enrollment matching service — not a home care agency, not a Medicaid plan, and not a government agency. This research is educational. Eligibility, authorized hours and payment are always determined by the state program and, where applicable, the managed care plan.

The programs behind the answer

Community First Choice Personal Care Services (1915(k))

Administered by Alaska Department of Health, Division of Senior and Disabilities Services.

  • Who employs the caregiver: Agency or self-directed
  • Waitlist: No waitlist
  • Type: State plan entitlement (serves everyone who qualifies)
  • Agency-based or consumer-directed, always through an SDS-certified provider agency as employer; the only Alaska pathway that pays legally responsible individuals

State plan Personal Care Services

Administered by Alaska Division of Senior and Disabilities Services.

  • Who employs the caregiver: Agency or self-directed
  • Waitlist: No waitlist
  • Type: State plan entitlement (serves everyone who qualifies)
  • Legally responsible individuals cannot be paid under the state plan benefit

How to apply in Alaska

We do not yet have partner agencies in Alaska. Start with the program's administering agency — Alaska Department of Health, Division of Senior and Disabilities Services — using the official sources below; the state determines eligibility and enrolls participants.

Official sources

Facts on this page were last reviewed October 19, 2026 against the sources above. Program rules change; confirm with the program before making decisions. Method: how the Pay Map is verified.

Questions

Questions About Paid Family Caregiving in Alaska

Can a spouse be paid to care for their husband or wife in Alaska?
In defined cases. Alaska allows a spouse to be the paid caregiver only under conditions written into its rules; see the summary and sources on this page.
Who can be the paid caregiver in Alaska?
Adult children, siblings, other relatives, friends and neighbors as personal care assistants employed through an SDS-certified agency; a spouse, a parent of a minor child or a court-appointed guardian only under Community First Choice personal care services.
Is there a waitlist for Medicaid home care in Alaska?
Community First Choice Personal Care Services (1915(k)): no waitlist (Agency-based or consumer-directed, always through an SDS-certified provider agency as employer; the only Alaska pathway that pays legally responsible individuals). State plan Personal Care Services: no waitlist (Legally responsible individuals cannot be paid under the state plan benefit).
Who decides eligibility?
The state program, never The Home Care Agency. The Home Care Agency is a free enrollment matching service — not a home care agency, not a Medicaid plan, and not a government agency. This research is educational. Eligibility, authorized hours and payment are always determined by the state program and, where applicable, the managed care plan.