Alaska care coordination

1915(c) waiver

Alaskans Living Independently (ALI)

Care coordination is a waiver service. This is one of five Alaska 1915(c) waivers; see SDS for who qualifies.

1915(c) waiver

Adults with Physical and Developmental Disabilities (APDD)

Care coordination is a waiver service. This is one of five Alaska 1915(c) waivers; see SDS for who qualifies.

1915(c) waiver

Children with Complex Medical Conditions (CCMC)

Care coordination is a waiver service. This is one of five Alaska 1915(c) waivers; see SDS for who qualifies.

1915(c) waiver

People with Intellectual and Developmental Disabilities (IDD)

Care coordination is a waiver service. This is one of five Alaska 1915(c) waivers; see SDS for who qualifies.

1915(c) waiver

Individualized Supports Waiver (ISW)

Care coordination is a waiver service. This is one of five Alaska 1915(c) waivers; see SDS for who qualifies.

State Plan option

Community First Choice (CFC)

For people receiving only Community First Choice services, the care coordinator provides targeted case management: help with the application, pre-enrollment counseling, an initial support plan and annual renewal, and monitoring on the schedule approved in the support plan.

ALI, APDD, CCMC and IDD waivers

• In-person contact at least every six months
• Phone or distance contact at least twice a month, and as often as needed
• At least one in-person meeting in the recipient's home and at least one in a service setting during the plan year
• A note for each contact: the method used, a summary and who attended, whether services are adequate and delivered safely and respectfully, and whether the support plan should be amended

Individualized Supports Waiver (ISW)

• In-person contact at least once every six months
• Phone or distance contact in each month without an in-person contact
• One in-person visit in the recipient's home and one in a setting where ISW services are provided, over the plan year

Provider and status notices (all waivers and CFC)

• Contact each service provider as needed to coordinate, verify service use against the support plan and address problems
• Tell every affected provider within one business day of a recipient's death, a service ending or a move
• Tell SDS within seven days of a planned hospital or nursing facility admission or a discharge

When a coordinator changes

• Send the new coordinator the current support plan and amendments, the latest assessment, the past 12 months of case notes and any other information needed for a safe transition, within five working days of notice

SDS Harmony Data System

A secure web system SDS uses to administer programs and certify providers. Care coordinators, personal care agencies, developmental disability resource centers and nursing homes use it. Staff need a MyAlaska account, a signed security agreement and the Introduction to Harmony training. It goes offline for maintenance every Sunday from 2:00 p.m. to 8:00 p.m.

Alaska Medicaid provider portal and fiscal agent

Where providers enroll in Medicaid and where claims are processed. Care coordinators must be Medicaid-enrolled and certified by SDS.

SDS certification and the Cert-02 application

Agency and individual coordinator certification, renewals and the Cert-20 disclosure of business and familial relationships go to SDS.

EVV

Alaska requires electronic visit verification for listed personal care and home health codes. Providers use the State's contracted system at no cost or an approved third-party system. Care coordination is not on the list. One Care Portal does not provide EVV.

One caseload across waivers

Role-scoped caseloads, calendars and visit schedules with ALI, APDD, CCMC, IDD, ISW and CFC participants side by side.

A note for every contact

Each note records date, time, method, type, location and people present, with service monitoring, health and safety review, and incident and hospitalization review inside the note.

Follow-up that carries forward

Problems found at a contact stay open on the next note until someone resolves them.

Supervisor review

Required-field validation, signatures, attestation, amendments and audit history, with supervisor approval or return with feedback.

Authorization records

Service authorization records and an expiring-authorizations report.

Documents with expiration dates

Participant and staff documents, such as certifications and annual trainings, stored with expiration dates and reported before they lapse.

Billing/RCM

When you are ready to bill, Billing/RCM can generate or import billing data, validate and submit claims through clearinghouse-supported payer workflows, track status, work denials and post 835 ERAs. Exact payer, plan, transaction, enrollment, and claim-type fit is confirmed during setup.

Compliance Review

Review notes, plans and charts as PDFs against your own criteria before SDS reviews your records, and keep the review history.

Four waivers renewed through June 30, 2031

SDS announced CMS renewal of ALI, APDD, CCMC and IDD for July 1, 2026 through June 30, 2031. ISW remains on its separate July 1, 2023 through June 30, 2028 cycle.

Sources: Alaska Department of Health bulletin, "This Week's Updates". Read October 2026. SDS and the Alaska Administrative Code control current requirements.

Waiver service rates increased 3.2%

The FY 2027 chart shows a 3.2% increase effective July 1, 2026, including monthly care coordination. Check the controlling rules for payment limits and conditions.

Sources: Chart of Waiver Services Rates FY 27. Read October 2026. SDS and the Alaska Administrative Code control current requirements.

Harmony maintenance window

Harmony and Centralized Reporting go offline on Sundays from 2:00 p.m. to 8:00 p.m. Unsaved work cannot be recovered.

Sources: SDS Harmony Data System page. Read October 2026. SDS and the Alaska Administrative Code control current requirements.