Alaska Medicaid State Plan:

The state of Alaska provides a Medicaid program to its residents, the program is also called DenaliCare in Alaska. The program is administered by the Alaska Department of Health and Social Services under the Division of Public Assistance.

MAGI (Modified Adjusted Gross Income) Medicaid

MAGI is used to determine the eligibility of an individual for Medicaid, health insurance plans, and Children’s health insurance programs.

TEFRA for children with disabilities at home

TEFRA abbreviated as (Tax Equity and Fiscal Responsibility Act) is a Medicaid program that allows families with disabled children under the age of 19 to receive care at home rather than in a facility. Qualifying youngsters can get payment assistance for certain treatments through the TEFRA program.

What is covered by Alaska Medicaid?

The following services are covered by Alaska Medicaid

Dental services Outpatient (ambulatory) surgical care
Orthodontia Personal care services
Dialysis/End-Stage Renal Disease Pharmacy services
Emergency care Podiatry services
Chiropractic services Nutrition services
Family planning services Pregnancy and postpartum care
Hearing services Private duty nursing
Home waiver services Vision services
Home health services Rehabilitation services
Hospice care Rural health clinic services
Hospital services School-based services
Lab/X-ray services Therapy services
Long-term care facilities Medical travel
Medical equipment and supplies Well-child exams

Can I have both Alaska Medicaid and Medicare?

If you are 65 or older, you can qualify for both Medicare and Medicaid. If your age is below 65 then you can only avail the benefits of Medicaid, if other eligibility criteria are also fulfilled.

Alaska Medicaid Coverage of Residential Senior Care

Alaska Medicaid provides Institutional/Nursing Home Medicaid, Home and community-based services, and Regular Medicaid for senior citizens.

Alaska Medicaid Waivers?

Waiver programs allow people who need institutional care to obtain it in the comfort of their own home or community rather than in a facility.

There are three waiver programs available for the residents of Alaska which are as follows,

  1. ALI Waiver. Alaskans Living Independently (ALI) – is available for all adults who are 21 years or older and require a nursing facility to get appropriate care.
  2. APDD Waiver. Adults with Physical and Developmental Disabilities (APDD) – is available to every person whose age is 21 or above, and is declared developmentally disabled by SDS Intellectual and Developmental Disabilities Unit. 
  3. The Child with Complex Medical Conditions (CCMC) waiver. The CCMC waiver assists children and young adults under the age of 22 who have medical fragility and are frequently reliant on life-saving medications or interventions, as well as medical technology. These children would otherwise require the type of care available in an acute care hospital or a nursing home. 
  4. Individualized Supports Waiver (ISW). This weaver provides special financial compensation for upto 600 people who have any kind of individual or developmental disability.
  5. Intellectual and Developmental Disabilities,(IDD). It allows people who fulfill waiver service criteria in Alaska to choose between home and community-based services and institutional care.

Medicaid Eligibility 

What is the highest income limit for Alaska Medicaid?

The highest income limit to avail of Alaska Medicaid for an individual is $22,597 (Maximum Income Level per year).

What documents do I need to apply for Medicaid?

Provide the following documents at the time of submission of the application.

  • Social Security Number;
  • Proof of Identity (driver’s license);
  • Proof of Citizenship (birth certificate);
  • Health Insurance;
  • Pregnancy (doctor statement verifying pregnancy and expected date of delivery), if applicable;
  • Income of Non-pregnant parents applying for Medicaid for themselves should bring proof of resources (last three months’ bank statements, checking or savings account statements, life insurance policies, stocks, and bonds).

What is the best Medicaid in Alaska?

The best Medicaid plan in Alaska depends on your financial circumstances and other factors as well.

It varies from person to person, so the best plan for you is the one that suits you and offers maximum benefit in terms of health coverage and financial assistance.

Where do I find the letter showing the reason(s) for denial or discontinuance from Alaska Medicaid?

You can check the status of your Alaska Medicaid application by logging into your account at Aries Self Service Portal.

Here you will find three options to either check your eligibility, apply online or view the details/status of your Medicaid application.

Where can I upload the documents for Alaska Medicaid?

For online application submission, you can visit the Aries Self Service Portal and follow all the steps and upload the required documents to submit your online application.

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