Alaska · children's waiver
Children's waivers (CCMC & IDD) in Alaska
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.
Also called: CCMC waiver · Children with Complex Medical Conditions waiver · IDD waiver · Intellectual and Developmental Disabilities waiver · ISW · Individualized Supports Waiver · In-Home Supports
Who do you care for?
Quick facts
- Pay
- $24–$26/hr
- Adult children & other relatives
- Yes
- Spouse
- Sometimes
- Parent of a minor child
- Sometimes
- Waitlist
- long
Who qualifies for CCMC & IDD
- CCMC: under 22, with a medical condition that would need hospital or nursing facility care for more than 30 days a year without waiver services.
- IDD: an intellectual or developmental disability meeting ICF/IID level of care; entry is through the Developmental Disabilities Registry.
- Meets Medicaid financial rules (Division of Public Assistance).
- Needs cannot be met by regular Medicaid services alone.
Who can be paid as the caregiver
- Adult children & other relatives Yes
- relatives who are not legally responsible can work for a waiver provider agency.
- Spouse Sometimes
- CMS approved legally responsible individuals for In-Home Supports and Supported Living; SDS is allowing it while rules are developed.
- Parent of a minor child Sometimes
- parents can be paid for In-Home Supports (under 18) through a provider agency; CMS requires limits including 40 hours per week, which SDS says will take effect later.
- Living together
- In-Home Supports is for children living with family.
Who employs the caregiver: Agency. Paid parents must be employed by a certified waiver provider agency.
Spouse rules differ by program — see spouse pay in Alaska.
How much CCMC & IDD pays
$24–$26/hr. Alaska does not publish a parent-caregiver wage. The provider agency that employs the parent sets pay from the waiver rate; aggregators report Alaska caregiver averages of about $24–$26/hour.
Hours and budget: A care coordinator builds a support plan approved by SDS. The IDD waiver has an annual cost limit adjusted for inflation.
Compare with other Alaska programs on the Alaska caregiver pay page, or across states in pay rates by state.
Is there a waitlist?
IDD entry is through the Developmental Disabilities Registry; people are drawn by score as funding allows. The Individualized Supports Waiver has had a date-order waitlist since July 2023.
How to apply for CCMC & IDD
- Contact the Developmental Disabilities Resource Connection (DDRC) or ADRC for intake.
- For IDD/ISW, submit the Developmental Disabilities Registration and Review (DDRR) form to join the registry, and update it every year.
- For CCMC, a care coordinator helps with the level-of-care and Medicaid applications.
- Once approved, ask your care coordinator about a provider agency that will hire a parent for In-Home Supports.
- Alaska Division of Senior and Disabilities Services · 907-269-3666 · official site
- SDS toll-free · 1-800-478-9996 · official site
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CCMC & IDD questions
Can parents get paid to care for a disabled child in Alaska?
Yes, in some cases. CMS approved parents and other legally responsible individuals to provide In-Home Supports, and SDS allows it while regulations are finished. The parent must work through a provider agency.
What is the CCMC waiver?
A Medicaid waiver for people under 22 with complex medical conditions who would otherwise need more than 30 days a year of hospital or nursing facility care.
Is there a waitlist for the Alaska IDD waiver?
Yes. You join the Developmental Disabilities Registry with a DDRR form, and people are drawn by score as funding allows.
Is there an hour limit for parent caregivers?
CMS requires limits including a 40-hour weekly cap for legally responsible workers on waiver services. SDS says that limit is not yet in effect and will be added later.
Can parents also be paid through CFC?
Yes. Parents of children over 6 can be paid for Community First Choice personal care if hired by a CFC agency.
Sources: health.alaska.gov · health.alaska.gov · regulations.justia.com · health.alaska.gov · Updated 2026-10-08. Program rules change — always confirm with the program.
Where most Alaska caregivers are
Counties with the most residents aged 65 and older. The rules are the same everywhere in Alaska — pick yours for the local picture.