# Alaska Online Public Notices #2026200182

Alaska proposes Medicaid assessment and service-level rules for personal care and waiver services

**Posted:** November 10, 2026
**Respond By:** December 19, 2026
**Identifier:** 2026200182

The State of Alaska is proposing Medicaid rule changes for personal care and home- and community-based services, rather than seeking vendors or products.
- **Government buyer:** State of Alaska Department of Health, including the Division of Senior and Disabilities Services; statewide.
- **Proposed programs:** Personal Care Services (PCS), Community First Choice (CFC), and Home and Community-Based Waiver (HCBW) services.
- **Assessment tools and guidance:** The Alaska Home Care Assessment Tool and Consumer Assessment Tool would support eligibility and service-level decisions; a Service Level Computation Chart sets allowable service minutes and assessment-based criteria.
- **Covered activities:** Assistance with activities of daily living (ADLs), instrumental activities of daily living (IADLs), medication self-administration, respiratory equipment, wound care, medical appointments, and passive range of motion. CFC-PCS provisions also address supervision, cueing, and skills acquisition.
- **Other notable provisions:** The proposal clarifies eligibility, authorization, documentation, service coordination, and program limits, and updates references to reporting materials for ALI/APDD and CCMC waivers.
- **Commercial opportunity:** No products, quantities, OEMs, vendors, or contracted services are identified; this is a proposed regulatory action, not a procurement solicitation.

### Description

The Alaska Department of Health proposes regulatory changes concerning assessment tools used to determine eligibility for personal care services, Community First Choice services, and Home and Community-Based Waiver services. Proposed amendments cover 7 AAC 125, 7 AAC 127, 7 AAC 130, and 7 AAC 160.900, including adoption of assessment tools and a service-level computation chart, revisions to definitions, and updates to referenced materials. Written comments are due December 18, 2026, and an oral hearing is scheduled for December 2, 2026.

[View original listing](https://aws.state.ak.us/OnlinePublicNotices/notices/View.aspx?id=225819)