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Home and Community Based Waiver and Personal Care Attendant Payment Rates and Cost Survey Information

The page contains information of interest for providers of Home and Community Based Waiver and Personal Care Attendant services. Regulations found at 7 AAC 145.520 through 7 AAC 145.537 provide specific requirements for the determination of payment rates and provider responsibilities for accounting and cost reporting. It is essential that provide​rs become familiar with these regulations in order to understand what payment rates apply to the individual provider as well as their reporting requirements.

If providers have specific questions regarding payment rates or annual reporting requirements they may contact:

Primary - Katherine Tompkins at 334-2644 or
Secondary - Kathy Parker at 269-3007 or

Update regarding Annual Reports due in 2017 for HCB Waiver Services and PCA Services

Rate Information for Dates of Service (DOS)

Effective DOS July 1, 2016 - June 30, 2017 Effective DOS July 1, 2015 - June 30, 2016 Effective DOS July 1, 2014 - June 30, 2015

 Effective DOS  July 1, 2013 – June 30, 2014

 Effective DOS  December 1, 2012 – June 30, 2013

 Effective DOS July 1, 2012 – November 30, 2012

 Effective DOS April 1, 2012 – June 30, 2012

 Effective DOS July 1, 2011 – March 31, 2012

 Effective DOS March 1, 2011 – June 30, 2011

Information Affecting Rates (Including Rate Phase-in)

The links below are to spreadsheets for those providers who had a rate history from the period of July 1, 2009 through September 30, 2009 with claims/billings processed by February 3, 2010. The rates on the spreadsheet represent a calculated rate that is the basis for a hold harmless rate or a phased-in rate in accordance with 7 AAC 145.520(h). All hold harmless rates will expire on July 1, 2015, with the following exception, should the chart rate become higher before July 1, 2015 then it would replace the hold harmless rate. 

Phase in Rate Tables:

Cost Reports

(includes Cost Survey component)

Cost Reports must be submitted annually to the Department 9 months after the close of each provider fiscal year. Providers should consult 7 AAC 145.531. for details. Providers receiving less than $200,000 in annual Medicaid payments have the option to reduce or eliminate reporting and should consult 7 AAC 145.520(l). A complete Cost Report consists of:

  • Cover Sheet;
  • Audited financial statement (AFS);
  • Post-audit working trial balance;
  • Statistics worksheet;
  • Cost survey (if requested).

The Cost Survey has been requested by the Department for provider fiscal years beginning January 1, 2011 through fiscal years beginning December 1, 2011 via regulatory notice at 7 AAC 145.520(j). Common fiscal years for reporting the Cost Report with Cost Survey will be those ending December 31, 2011; June 30, 2012; and Sept 30, 2012 and will be due 9 months after the fiscal year end. The following materials will be used for the Cost Survey component of the Cost Report:

The attached Excel version of the Cost Survey must be used for reporting. Data entry areas are shaded in green and are open for reporting. Other areas on the Cost Survey have been locked to assure consistency of reporting. The following set of questions and responses are intended to provide guidance with the Cost Report process and a contact for Conduent.

Providers may submit the Cost Report, including Cost Survey, electronically by scanning them and emailing them to Providers sending electronic documents may send PDF or Excel. Certifying signatures of the Chief Executive Officer must be sent by PDF.

Providers choosing to mail the Cost Report may send it to:

Office of Rate Review
3601 C Street, Suite 978
Anchorage, AK 99503-5936.