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States · Alaska

Alaska EVV and Medicaid home care, in plain words.

Alaska requires EVV for personal care and home health visits paid by Medicaid. The state’s EVV system is run by Therap, and agencies can use it for free. You can use another approved EVV system if it sends visit data to Therap.

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Alaska at a glance

EVV, Medicaid and billing in Alaska.

Medicaid agencyAlaska Department of Health. HCBS and personal care are run by its Division of Senior and Disabilities Services (SDS).
EVV modelOpen. In the state’s words, an ’open choice model’: agencies may use the state’s contracted system at no cost or an ’approved 3rd system’.
State EVV systemTherap Services, LLC, the state’s EVV contractor and aggregator.
Your own EVV vendor allowed?Yes, if the third-party system meets the state’s published vendor requirements and sends data to Therap.
Services that need EVVPersonal care services (agency-based and consumer-directed, including Community First Choice personal care) since January 1, 2021. Home health care services (home health aide, nursing, therapy in the home, specialized private duty nursing) since January 1, 2023.
Where you billAlaska Medicaid Management Information System (Alaska Medicaid Health Enterprise), fee-for-service.

Dates that matter: PCS: January 1, 2021. Home health: January 1, 2023. No newer deadlines posted.

Licensing: Agencies must be certified by Senior and Disabilities Services for PCS and waiver services, and home health agencies are licensed by the state. Check SDS certification rules for your service type.

Managed care: Fee-for-service. Alaska does not use Medicaid managed care plans for HCBS.

Programs that pay for care at home

Alaska EVV, from the state

Same rules, same tangle

In Alaska, the visit still gets typed four more times.

The caregiver taps in. The visit goes to Therap Services. Then someone in your office carries it by hand into payroll, into billing, into the chart, and to the family on the phone. Every carry is a chance for the numbers to drift. When they do, Alaska denies the claim, and you find out weeks later. That is Tangleware™: good tools, and an owner in the middle.

How one tap at the door runs the whole agencyThe mechanism, the nine agents, and Cary®

CareBravo® in Alaska

Running an agency in Alaska? Tell us.

CareBravo works with the EVV systems states use, including Sandata, HHAeXchange and Netsmart. Each state approves its own connection, and each program has its own rules, so we confirm what is in place for Alaska and your programs before you switch anything. If we are not running in Alaska yet, we will make you an offer to start now while we build it.

Run the Calculator, or ask for the demo and tell us your state.

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Five promises, written like promises.

  1. Nothing stops. Your current system keeps running while CareBravo runs beside it for two weeks on your real data. The Parallel Promise™
  2. 99%, in writing. On Managed Billing, at least 99% of your claims go out without a mistake we caused. If we make one, we fix it free. We cannot promise what a payer decides. Read the guarantee
  3. The floor, stated up front: $250 a month, no seats, no per-user fees, no implementation fee — and corrections never billed twice.
  4. Thirty days’ notice, either way.
  5. Nobody calls unless you ask.

What Alaska owners ask.

Do I have to pay for EVV in Alaska?

No, not if you use the state’s system. Alaska contracts with Therap and lets agencies use it at no cost. You may use a different EVV system instead, but it must be approved and meet the state’s vendor rules, and any cost for that system is yours.

Which visits need EVV?

Personal care visits have needed EVV since January 1, 2021, both agency-based and consumer-directed, including Community First Choice personal care. Home health visits have needed EVV since January 1, 2023. That covers home health aide, nursing, therapy in the home and specialized private duty nursing.

Who do I call with an EVV question?

Senior and Disabilities Services runs an EVV inbox at hss.dsds.evv@alaska.gov and a phone line at 907-269-4209. The line is watched Monday to Friday, 7:30 am to 4:00 pm, except state holidays. For general program questions, SDS also takes email at doh.sds.info@alaska.gov.

Does Alaska use Medicaid health plans for home care?

No. Alaska pays for personal care and waiver services fee-for-service. That means your agency bills Alaska Medicaid directly instead of a managed care plan. Approvals come through Senior and Disabilities Services and the person’s care coordinator, so keep their plan of care on file before each visit.

Sources for this guide

Checked 28 Oct 2026. State rules change. Confirm with the Alaska Department of Health. HCBS and personal care are run by its Division of Senior and Disabilities Services (SDS). before you act.

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We email you the highlights the moment you ask. No call. Nobody calls unless you ask.

See What’s Draining Your Agency →View the demo