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

This page contains information of interest for providers of Home and Community Based Waiver and Personal Care 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 all providers become familiar with these regulations in order to understand what payment rates and reporting requirements apply to them.

• For questions regarding annual reporting requirements, contact Trena Rairdon in the Office of Rate Review at 907-334-2644 or trena.rairdon@alaska.gov.
• For questions related to self-audits, email QAPIProgramIntegrity@alaska.gov or visit the Provider Self-Audits website.
• For questions related to provider certification, email DSDCertification@alaska.gov or visit the Provider Certification website.
• For questions for Conduent related to waiver provider services, contact Tara Fowler at (907) 644-6871 or Tara.Fowler@Conduent.com

Annual Reports

The Department will publish the annual list of target providers on August 1st of each year on this website and through the SDS E-Alert System. Only the target providers will be required to submit the annual reports specified in 7 AAC 145.531 and will be required to submit the information 8 months after their fiscal year end. A frequently asked questions (FAQ) document regarding the target provider list and annual reporting requirements can be found HEREand the Personal Care Services and Waiver Rate-Setting Methodology can be found HERE.

List of Target Providers

On August 1 of each year, the target provider list and the documentation that will be required to be submitted will be published.

• August 1, 2022 Target Provider List
  
• August 1, 2021 Target Provider List
• August 1, 2020 Target Provider List
• August 1, 2019 Target Provider List
• August 1, 2018 Target Provider List

Documents needed to complete the Annual Report

• Updated Cost Survey Instructions (pdf)
• Updated Cost Survey (excel version)
• 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. The excel file is a smart tool, meaning that green cells will highlight red if the user has input a value that that will not work for the cost report. Examples of common errors made that would result in a red highlighted cell are listed in the training file below.
  • HCBW and PCA Cost Report Training PowerPoint with Common Errors (pdf)
  • Reconciliation of Working Trial Balance to Expense Worksheet Template (excel version)
  • Examples of Reconciliations (excel version)

Providers may submit the Cost Report, including Cost Survey, electronically by scanning them and emailing them to ORRCostReport@alaska.gov. While providers may submit PDF or Excel versions of the cost survey, the Department requests excel versions be submitted. 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

Cost of Care Information for Recipients of Services Provided in Assisted Living Homes

Rate Information for Dates of Service (DOS)

• Effective DOS July 1, 2023 - June 30, 2024 (reflecting 7.9% increase)
• Chart of Personal Care Services and Community First Choice Services Rates
• Chart of Waiver Services Rates
• Chart of Long-Term Services and Supports Targeted Case Management Rates
• Chart of Specialized Medical Equipment Rates
  

• Effective DOS May 1, 2023 (reflecting Rate Rebasing)

• Chart of Personal Care Services and Community First Choice Services Rates
• Chart of Waiver Services Rates
• Chart of Long-Term Services and Supports Targeted Case Management Rates
• Chart of Specialized Medical Equipment Rates
  
• Effective DOS July 1, 2022 – June 30, 2023 (reflecting 10% increase)
  • Chart of Personal Care Services and Community First Choice Services
  • Chart of Waiver Services Rates
  • Chart of Long-Term Services and Supports Targeted Case Management Rates
  • Chart of Specialized Medical Equipment Rates
• Effective DOS July 1, 2021 - June 30, 2022
  • Chart of Personal Care Services and Community First Choice Service Rates
  • Chart of Waiver Services Rates
  • Chart of Long-Term Services and Supports Targeted Case Management Service Rates
  • Chart of Specialized Medical Equipment Rates
• Effective DOS July 1, 2020 - June 30, 2021
  • Chart of Personal Care Services and Community First Choice Services Effective January 1, 2021
  • Chart of Waiver Services Rates Effective January 1, 2021
  • LTSS Targeted Case Management Rates Effective July 1, 2020
  • SME Fee Schedule Effective July 1, 2018
• Effective DOS July 1, 2019 - June 30, 2020
  • PCS and CFC PCS Services Rates Effective July 1, 2019
  • Waiver Services Rates Effective July 1, 2019
  • LTSS Targeted Case Management Rates Effective July 1, 2019
  • SME Fee Schedule Effective July 1, 2018
• Effective DOS October 1, 2018 - June 30, 2019
  • PCS, CFC PCS, and Waiver Service Rates Effective October 1, 2018
    
  • LTSS Targeted Case Management Service Rates Effective October 1, 2018
  • SME Fee Schedule Effective January 1, 2014
    
• Effective DOS July 1, 2018 - September 30, 2018
  • PCA & Waiver Service Rates Effective July 1, 2018
  • SME Fee Schedule Effective January 1, 2014
• Effective DOS July 1, 2016 - June 30, 2018
  • PCA & Waiver Service Rates Effective July 1, 2016
  • SME Fee Schedule Effective January 1, 2014
• Effective DOS July 1, 2015 - June 30, 2016
  • PCA & Waiver Service Rates Effective July 1, 2015
  • SME Fee Schedule Effective January 1, 2014
• Effective DOS July 1, 2014 - June 30, 2015
  • PCA & Waiver Service Rates Effective July 1, 2014
  • SME Fee Schedule Effective January 1, 2014
  • SME Fee Schedule Effective April 1, 2012
• Effective DOS July 1, 2013 – June 30, 2014
  • PCA & Waiver Service Rates Effective July 1, 2013
  • SME Fee Schedule Effective January 1, 2014
  • SME Fee Schedule Effective April 1, 2012
• Effective DOS December 1, 2012 – June 30, 2013
  • PCA & Waiver Service Rates Effective December 1, 2012
  • SME Fee Schedule Effective April 1, 2012
• Effective DOS July 1, 2012 – November 30, 2012
  • PCA & Waiver Service Rates Effective July 1, 2012
  • SME Fee Schedule Effective April 1, 2012
• Effective DOS April 1, 2012 – June 30, 2012
  • PCA & Waiver Service Rates Effective April 1, 2012
  • SME Fee Schedule Effective April 1, 2012
  • Acuity Rate authorization for qualified recipients Effective April 1, 2012
• Effective DOS July 1, 2011 – March 31, 2012
  • PCA & Waiver Service Rates Effective July 1, 2011
  • SME Fee Schedule
• Effective DOS March 1, 2011 – June 30, 2011
  • PCA & Waiver Service Rates Effective March 1, 2011
  • SME Fee Schedule

Information for Provider with a Rate History

Providers with claims from the period of July 1, 2009 through September 30, 2009 and processed by February 3, 2010 with a rate history higher than the current Chart of Personal Care and Waiver Service Rates, will continue to be paid at their historic value, per 7 AAC 145.520(g), until a chart of newly rebased rates using the methodology established in the department’s Personal Care Attendant and Waiver Rate Setting Methodology is effective.

• Provider Rates with History July 1, 2020