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Home→Agencies→Medicaid Estate Recovery→Alaska

Medicaid Estate Recovery in Alaska

Alaska recovers Medicaid costs from the estate of a recipient who was 55 or older when the assistance was received, but only for long-term care — services in a nursing facility or other medical institution and home- and community-based waiver services. Routine Medicaid medical costs are not recovered.

OverviewWhen someone dies

Medicaid Recovery

Alaska

health.alaska.gov/en/division-of-public-assistance→

Administering agency

Alaska Department of Health — Division of Public Assistance

Phone1-800-478-7778
WebsiteVisit website →

Authority

Alaska Stat. 47.07.055

Verified May 2026

Medicaid Estate Recovery in Alaska: key facts

Recovery scope
Limited to long-term care: services received as an inpatient in a nursing facility, intermediate care facility, or other medical institution, and home- and community-based waiver services. Not all Medicaid medical assistance.
Who is subject
The estate of a recipient who was age 55 or older when the long-term care services were received.
Recovery deferred
A claim may be made only after the death of the recipient's surviving spouse, if any, and only when there is no surviving child under age 21 and no surviving child who is blind or totally and permanently disabled.
Hardship waiver
The Department of Health may grant an undue-hardship waiver — for example, where the estate is the sole income-producing asset of heirs or where recovery would force an heir onto public assistance.

Frequently asked questions

No. Alaska limits estate recovery to long-term care — services received in a nursing facility or other medical institution and home- and community-based waiver services — for recipients who were 55 or older when the services were received. Routine Medicaid medical costs are not recovered.

Yes. The estate representative notifies the Department of Health if an heir may qualify for an undue-hardship waiver. The Department works with the representative to decide whether the estate qualifies for a full or partial waiver — for example, when the estate is the sole income-producing asset of heirs.

When someone dies

Steps after a death in Alaska

4-step process for Alaska Department of Health — Division of Public Assistance.

View details →

Medicaid Recovery

Alaska

health.alaska.gov/en/division-of-public-assistance→

Administering agency

Alaska Department of Health — Division of Public Assistance

Phone1-800-478-7778
WebsiteVisit website →

Authority

Alaska Stat. 47.07.055

Verified May 2026