Set up the ask
State of Alaska Department of Health
Children with Complex Medical Conditions Waiver
What you get
Approved care and services at home or in the community for your child's complex medical needs. Ask whether requests are open.
- Who starts it
- Your care team
- How it’s sent
- Through your care team
- Your time
- One conversation with your care team
- Last checked
- Aug 27, 2026
Before you start, check you fit
- Your child is 21 or under.
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One thing to do: ask your care teamThey send it. You give them what they need.
State of Alaska Department of Health takes requests from your care team, not from families. Copy this message, or say it at the next visit.
Hi [social worker’s name], Could you send a request to State of Alaska Department of Health for us? They offer approved care and services at home or in the community for our child's complex medical needs, and it has to come from you. Their page is here: https://health.alaska.gov/media/nwggzypc/nfloc-04-application-for-ali-apdd-ccmc.pdf Tell me what you need from me and I’ll bring it to our next visit. Thank you for everything you do for us. [your name] · [phone]
Copying is the only thing this page does with your text. Nothing is saved.Their program page ↗ Checked Aug 27, 2026What to bring to the meeting
- Your child’s diagnosis, the hospital’s name, and what you need help with.
What happens next
- Care coordinator completes every NFLOC-04 field, using N/A where instructed.
- Applicant or legal representative and care coordinator sign; add two witnesses only for X/stamp signature.
- Care coordinator submits the protected packet through the SDS secure Harmony Data System.
After your care team sends it
Track assessment scheduling and request the written level-of-care decision.
