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Alaska Community First Choice (CFC) — 1915(k) State Plan HCBS

Alaska Community First Choice provides long-term services and supports under section 1915(k). Applicants must meet financial and medical requirements, including an institutional level of care. Contact an ADRC or DDRC to begin.

CFC can include personal care, personal emergency response systems, case management, and chore services. The assessment and application steps depend on the services requested. Current payment rates and family-worker rules need review.

Some details for this program are still being verified. Check the official source for the most current information.

Questions to ask the program

These are questions to ask the program, not a verdict on your eligibility. Confirm the current rules directly with the program.

  • Does the person receiving care live in Alaska? — Residency is usually the first thing a program checks.
  • Is there a caregiver-specific department, coordinator, or support line? Ask for it by name. — Many agencies have one that isn’t advertised on the website.
  • What documents do you need from us to start an application?
  • Is there a waitlist right now, and how long is it?

What this record does not yet say

  • current financial eligibility rules
  • current service rates
  • complete functional eligibility rules
  • family and spouse worker rules
  • complete application document checklist
  • decision timeline
  • local provider capacity
  • institutional care alternatives and service specific age rules
  • availability evidence

Services

CFC can include personal care, personal emergency response systems, case management, and chore services. The assessment and application steps depend on the services requested. Current payment rates and family-worker rules need review.

How to apply

  • Contact your local ADRC or DDRC. The statewide ADRC contact number is 1-855-565-2017.
  • Use the CFC-06 application and its instructions. Identify the care-level path and the services requested.
  • Ask the intake office for the full document checklist. The saved form requires applicant or legal-representative and care-coordinator signatures.

Use the official program page for application details: official program page.

  • alaska-pca (companion): The CFC form allows an applicant seeking PCS to request state-plan PCS consideration if the CFC care-level requirement is not met.

Eligibility and assessment

  • Financial and medical rules include a need for care usually provided in an institution. The program must assess which care-level path applies. [Alaska Department of Health]

Rules depend on the service requested

  • The application lists nursing-facility care, an intermediate care facility for people with intellectual disabilities, and a separate referral path from an institution for mental diseases. The last path is limited to people age 65 or older or under age 22. [Alaska Department of Health]
  • Children under six cannot receive personal care services. The form does not state that this age restriction applies to every CFC service. [Alaska Department of Health]
  • People who live in an assisted living home, or intend to live in one, cannot receive CFC services under this application. [Alaska Department of Health]
  • The form says no Consumer Assessment Tool is required when the applicant seeks only a personal emergency response system or chore services. Personal care services require the tool. [Alaska Department of Health]
  • Applicants seeking personal care can choose state-plan PCS consideration if they do not meet the CFC care-level requirement. [Alaska Department of Health]
  • The form warns that not selecting a PCS agency can delay services. Its 30-day notice concerns agency selection and possible closure; it is not a benefit approval deadline. [Alaska Department of Health]