The short answer Alaska licenses home health agencies under 7 AAC 12 (Article 11), with aide services governed by 7 AAC 12.519 at the federal-minimum 75 hours plus 12 hours annual in-service. There is no state license or training mandate for private-pay non-medical home care agencies; Medicaid personal care assistants are regulated separately under 7 AAC 125.
What Alaska requires
Alaska
HHA licensing. Home health agencies are licensed and certified by the Alaska Department of Health, Health Facilities Licensing & Certification, under 7 AAC 12 Article 11 (7 AAC 12.500-12.590), with home health aide services addressed at 7 AAC 12.519.
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Aide training hours. Alaska sets aide training at the federal minimum — 75 hours including 16 hours of supervised practical/clinical training with competency evaluation per 42 CFR 484.80; many Alaska aides qualify via Board of Nursing certified nurse aide training.
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Annual in-service. Home health aides must receive at least 12 hours of in-service training per year, with content driven by patient needs and supervisory visit findings, under 7 AAC 12.519 and the federal condition of participation.
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Non-medical/PCA. Alaska does not license private-pay non-medical home care agencies and sets no training-hour minimum for them; agencies serving Medicaid personal care services recipients must be certified under 7 AAC 125, which imposes its own PCA qualification, training, and CPR/first-aid requirements.
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The federal baseline (applies in every state)
Federal
75-hour HHA training standard. Under 42 CFR 484.80(b), home health aides at Medicare-certified home health agencies must complete a training program of at least 75 hours, including at least 16 hours of classroom training completed before beginning at least 16 hours of supervised practical (hands-on) training.
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Competency evaluation / CNA pathway. 42 CFR 484.80(a) allows aides to qualify by completing the 75-hour training and competency evaluation program, by passing a competency evaluation alone, or by completing a state nurse aide training and competency evaluation program (CNA) and being in good standing on the state nurse aide registry.
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12-hour annual in-service. 42 CFR 484.80(d) requires home health aides to receive at least 12 hours of in-service training during each 12-month period, which may occur while the aide is furnishing care and must be supervised by a registered nurse.
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RN trainer requirements. Under 42 CFR 484.80(b)(3) and (c)(2), classroom and supervised practical training must be performed by or under the general supervision of a registered nurse with at least 2 years of nursing experience, at least 1 year of which must be in home health care; competency evaluations must likewise be performed by an RN in consultation with other professionals.
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Primary sources for this page
- https://health.alaska.gov/en/services/health-care-facilities-licensing-certification-all/home-health-agencies-hhas/
- https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-484/subpart-B/section-484.80
- https://regulations.justia.com/states/alaska/title-7/part-1/chapter-12/article-11/
- https://health.alaska.gov/media/4uhlqvko/pcs_application.pdf