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      About Us

      Ankota creates software for organizations that keep older and disabled people living at home. Our primary products are software for Home Care, Electronic Visit Verification, Adult Day Services, and Long Term Supports and Services (LTSS) for people with Intellectual and Developmental Disabilities. We also support other players in this ecosystem like PACE programs, Area Agencies on Aging (AAAs), Centers for Independent Living (CILs) and more

          Electronic Visit Verification (EVV) in Alaska

          Click for the Ultimate Guide to EVV

          Electronic Visit Verification (EVV) in Alaska

          All states: EVV requirements map

          In short: Therap is the free state EVV system and the aggregator. Your own EVV software is allowed. Claims must be backed by EVV data.

          Alaska EVV at a glance

          EVV modelHybrid, which the state calls open choice. Use the free state system or your own EVV software.
          State EVV systemTherap Services, LLC. Free to providers.
          AggregatorTherap Aggregator
          Can I use my own EVV vendor?Yes, at your own cost. You and the vendor must attest to Alaska's third-party vendor requirements.
          Which services need EVV?A published code list: personal care and Community First Choice since January 1, 2021, and home health since January 1, 2023.
          Are claims denied without EVV?State rules bar a claim that is not backed by EVV data. We did not find a published start date for payment denials.
          Managed careNone. Alaska Medicaid is fee for service.

          Last verified against state sources: 2026-10-08.

          How does EVV work in Alaska?

          Alaska uses a hybrid EVV model, which the state calls open choice. The state contracts with Therap Services, LLC for an EVV system that providers can use at no charge, and Therap also runs the state's aggregator. An agency can use that free system, or it can use its own EVV software, as long as that software sends its visit data to the Therap Aggregator.

          An agency that wants to use its own EVV software has a few steps to complete first:

          • The agency and its vendor both sign the attestation in the Alaska Third-Party EVV Vendor Requirements (version 2.1, dated July 20, 2022).
          • The vendor signs a trading partner agreement with Therap and sends visit data to the aggregator in the format Therap sets.
          • If the system does not meet the requirements, the agency has to use the Therap system instead.

          The technical specifications are not posted publicly. Therap releases them after the attestation step, and they are requested through an Alaska provider. Alaska Medicaid is fee for service, so there are no managed care plans with separate EVV rules to track.

          Which Alaska Medicaid services require EVV?

          EVV in Alaska applies to a published list of procedure codes, not to every home and community-based service. Personal care services and Community First Choice personal care have required EVV since January 1, 2021. Home health care services have required it since January 1, 2023.

          • Personal care and Community First Choice: T1019, T1019 U3, S5125, S5125 SE and S5108 (Skill Building Personal Care). The U3 and SE codes are the consumer-directed versions.
          • Home health: T1002 U2 and T1003 U2 (specialized private duty nursing), S9131, S9129, S9128, T1030, T1031, T1021 (home health aide, per visit) and S9122.

          In Alaska's consumer-directed program the worker is still an employee of a certified agency, so the agency is the one that captures and submits the visit. Apart from S5108, we did not find any 1915(c) waiver habilitation codes on the EVV list, so most I/DD waiver services are outside EVV today. Check the state's EVV page for the current list before you assume a code is in or out.

          Does Alaska require EVV data before a Medicaid claim is paid?

          Yes. Alaska's regulations say a provider may not submit a claim for personal care, Community First Choice personal care, or specialized private duty nursing without also submitting the EVV data that supports it. The personal care and Community First Choice rules took effect February 12, 2021, and the private duty nursing rule added EVV on January 1, 2023.

          Important: We did not find a state notice giving the date Alaska's claims system began denying payment for claims with no matching EVV visit. The state's EVV contractor describes the program as one where claims need matching EVV data and a valid prior authorization before payment. Treat every EVV-required claim as one that needs a matching visit, and ask the state if you need the exact enforcement date.

          For the other home health codes (the therapy, nursing and home health aide codes), we did not find a regulation section that sets the same claim rule. The contractor's Alaska guidance says billing must relate directly to the EVV data collected, so the safe practice is the same for every code on the list.

          The personal care and Community First Choice regulations also set ongoing duties for the agency:

          • Affirm that each EVV submission is accurate.
          • Review EVV exceptions at least every quarter.
          • Repay any overpayment you identify within 90 days.
          • If you use your own EVV system, upload visit data to the state's system daily, unless the department sets a different schedule.

          A quarterly review is the minimum. Agencies that look at exceptions every day catch a missed clock-out while the caregiver and client still remember the visit.

          What is changing next for Alaska EVV?

          As of our last check, we found no upcoming change to Alaska's EVV rules, code list or system. The state's EVV page still names Therap as both the EVV contractor and the aggregator, and no cutover to a different system has been announced.

          Two things are worth watching. First, the state issued a request for proposals for its EVV contract on May 30, 2025. We did not find a state award notice, so if a new contract changes anything for providers or third-party vendors, the state's EVV page is where it should appear. Second, that request for proposals says more service codes may be added to EVV at the department's discretion. No date or code list for an expansion has been published.

          Alaska's renewed home and community-based waivers took effect July 1, 2026. Those renewals did not change which services require EVV.

          Get notified when Alaska EVV rules change

          Leave your email and we will let you know when Alaska changes its EVV requirements. No newsletter, only changes for this state.

          Who to ask about Alaska EVV

          Questions about Alaska EVV rules are best put to the state. Start with Alaska Department of Health: Electronic Visit Verification. The state lists hss.dsds.evv@alaska.gov for EVV questions.

          Alaska EVV sources

          Related reading

          Other states that use Therap

          Kentucky, North Dakota, South Dakota. See every state on the EVV requirements map.

          Page history

          • October 8, 2026: Page rewritten and checked against state sources.

          This page is a reference, not legal advice. State rules change, so confirm details with the state before you act on them.

          Ankota provides EVV software for Medicaid home care agencies. If you would like to talk through Alaska's requirements, contact Ankota or read more about Ankota's EVV software.

          Alaska

          Ms. Stephanie Azar
          Commissioner of the Alabama Medicaid Agency
          State of Alabama, Alabama Medicaid Agency
          501 Dexter Avenue, PO Box 5624
          Montgomery, AL 36103-5624

          Questions about EVV?

          EVV is still to be implemented in most of the states with different guidelines and regulations. We’re keeping up with the updates related to EVV implementation and if there is something we haven’t included, please share with us. To learn how ankota can help in ensuring compliance, please get in touch with us.

          Alaska EVV questions

          Who is the EVV vendor and aggregator in Alaska?

          Therap Services, LLC is both. The state contracts with Therap for an EVV system that providers can use for free, and Therap also runs the aggregator that collects visit data from agencies using other software.

          Can I use my own EVV software in Alaska?

          Yes. Alaska lets agencies use a third-party system at their own expense. The agency and the vendor must both attest to the Alaska Third-Party EVV Vendor Requirements, and the system must send its visit data to the Therap Aggregator. If the system does not meet the requirements, the agency has to use the state's Therap system.

          Which services require Electronic Visit Verification in Alaska?

          The requirement covers a published code list. Personal care services and Community First Choice personal care have been included since January 1, 2021, and home health care services since January 1, 2023. Services that are not on the list, including most I/DD waiver services, are outside the requirement today.

          Does Alaska deny Medicaid claims without EVV?

          Alaska's regulations bar a provider from submitting a personal care, Community First Choice or specialized private duty nursing claim without the supporting visit verification data. We did not find a state notice giving the date payment denials began in the claims system, so check with the state if you need that date.

          Do Alaska Medicaid managed care plans have their own EVV rules?

          No. Alaska Medicaid is fee for service, so there are no managed care plans setting separate visit verification rules. Agencies follow the state program.

          Does EVV apply to consumer-directed personal care in Alaska?

          Yes. The consumer-directed codes T1019 U3 and S5125 SE are on the state's EVV list. The consumer selects and supervises the worker, but the worker is an employee of a certified agency, so the agency is responsible for capturing and submitting the visit.

          How often do Alaska agencies have to review EVV exceptions?

          The personal care and Community First Choice regulations require a review of EVV exceptions at least every quarter. They also require agencies to affirm the accuracy of each submission and to repay any overpayment they identify within 90 days.

          Is Alaska changing its EVV system?

          We found no announced change as of our last check. The state issued a request for proposals for its EVV contract in 2025, and its EVV page still names Therap as the contractor and aggregator. We did not find a state award notice, so watch the state's EVV page for updates.

          I need more help with EVV

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