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Alaska State Medicaid Waiver Program Application Guide

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  • Alaska State Medicaid Waiver Program Application Guide




    Waiver Overview:
    Alaska has a variety of medicaid waivers that you can compare in this brochure. In this post we are going to go over what we think are the two best options in the state for children.

    Waiver #1: TEFRA Program

    Who Can Apply?

    Circumstances/Diagnosis: Any child under 19 who is diagnosed with any type of disability (this includes autism). The state requires that individuals need at least an intermediate care facility level of care to qualify. This has a technical definition but essentially just means that the individual is unable to get through their day without a lot of supervision.

    Income: Income eligibility is only based on the child’s income and not the parents income. This means that your child is financially eligible for the waiver if they don’t have an income.

    What do I get?

    The way TEFRA Programs work is that they allow families with higher incomes to receive medicaid benefits for their child because eligibility is based on the child income. This means that you will be able to receive dental care, emergency and non-emergency transportation, inpatient and outpatient treatment, medical equipment, occupational therapy, pharmacy, physical therapy, vision.

    How do I apply?

    Call your region”s Division of Public Assistance

    Waiver #2: People with Intellectual and Developmental Disabilities Waiver

    Who can apply?

    Circumstances/Diagnosis: Children and adults who are diagnosed with intellectual and/or developmental disabilities like autism.. The state requires that individuals need at least an intermediate care facility level of care to qualify. This has a technical definition but essentially just means that the individual is unable to get through their day without a lot of supervision.

    Income: Income eligibility is only based on the child’s income and not the parents income. This means that your child is financially eligible for the waiver if they don’t have an income.

    What do I get?

    Care coordination, family habilitation, groupe home, in-home supports < 18, supported living >18, day habilitation, respite, supported employment, chore, environmental modifications, intensive active treatment, meals, nursing oversight and care management, specialized medical equipment, specialized private duty nursing, transportation.

    How do I apply?

    Contact your local member of the Developmental Disabilities Resource Connection Roster to get help applying and finding the correct program for you.

    What does the Goally Team think?

    The average time spent waiting for the specialized serves the People with Intellectual and Developmental Disabilities Waiver provides is 3 years. No parents should have to wait that long to get the services they need for their child. The TEFRA program has unlimited spots, so you can start receiving standard medicaid services quickly through that option.

    Goally Waiver Scorecard

    Website clarity and ease of navigation: 4/5
    Access and requirements of qualification:1/5
    Healthcare coverage: 4/5

    Other online resources:

    Alaska Autism Resource Center provides consulting, parent training, and referrals.
    Stone Soup Group provides parent to parent support services.
    The ARC of Anchorage provides family friendly events and advocacy services.

    Telephone resources:

    Check out this link for contact information for medicaid
    Last edited by Nate; 07-15-2020, 04:46 PM.
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