STATE PROFILE • Last updated: November 11, 2026
Alaska Elder Care & Medicaid
Alaska's high cost of long-term care makes Medicaid planning crucial, with income-cap rules requiring Miller Trusts and waivers like ALI and CFC offering home and community-based support.
leaderboard
RANKED #39
GRADE D
FEATURED
Medicaid Coverage Guide for Alaska
Full breakdown of Alaskans Living Independently Waiver for seniors: waiver programs, nursing home eligibility, income and asset limits, spend-down rules, and how to apply.
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Program
Alaskans Living Independently Waiver
Income cap
$2,982/mo
Medically-needy
No
Elder Care Index Report Card
5-pillar composite scoring vs other states
D
Grade
AFFORDABILITY
GRADE F · 0
QUALITY
GRADE B · 57
STAFFING
GRADE A · 84
ACCESS
GRADE D · 24
MEDICAID SUPPORT
GRADE C · 37
Composite score: 30.9 / 100 (50 = average state)
Methodology arrow_forward
Alaska At a Glance
Nursing Home Facilities
20
Senior Medicaid Waivers
2
National Rank
#39 / 51
Range #36–#45 when the pillar weights shift
Senior Care Costs in Alaska
local_hospital
Nursing Home
$31,282/mo
+183.4% vs national avg
- 20 nursing homes · 815 beds
- Avg CMS rating 3.45★ (6 rated 5★, 3 rated 1★)
- 7.0 nurse hrs/resident/day (2.15 RN)
Source: CMS Nursing Home Compare
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home_health
Home Health Aide
$40/hr
+48.1% vs national avg
- Median aide wage $18.45/hr
- ~6,220 aides employed statewide
Source: BLS OEWS
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