Alaska
Alaska programs that pay family caregivers
Alaska pays family members through 3 Medicaid programs. Each has its own rules for who qualifies, who can be paid and what it pays.
Who do you care for?
Personal Care Services (PCS)
Personal Care Services is an Alaska Medicaid state plan benefit that pays a personal care assistant to help with bathing, dressing, eating, shopping, laundry and light housework. In the consumer-directed option, the member picks, hires and supervises their own assistant, who can be an adult child or other relative, and a provider agency handles payroll. Spouses, parents of minors and legal guardians cannot be paid under State Plan PCS.
$24–$26/hr
How it works →Community First Choice (CFC)
Community First Choice is an Alaska Medicaid option for people who need institutional-level care. It covers personal care, chore, supervision and cueing, skill building and emergency response systems. Since August 1, 2025, a spouse, the parent of a minor child (age 6+) or a court-appointed guardian can be paid for CFC personal care if hired by a CFC personal care agency.
$24–$26/hr
How it works →Children's waivers (CCMC & IDD)
Alaska's Children with Complex Medical Conditions (CCMC) and Intellectual and Developmental Disabilities (IDD) waivers pay for home and community services for children who would otherwise need hospital, nursing or ICF/IID care. CMS has approved legally responsible individuals, including parents of minors, to be paid for In-Home Supports (children) and Supported Living (adults), and SDS is allowing this while regulations are finished.
$24–$26/hr
How it works →The overview: the Alaska caregiver program · Alaska caregiver pay · spouse rules
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