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Review Unit

What does the Review Unit Do?


The Review Unit is responsible for the regulatory review and authorization of services through the following programs:

  • Waiver Programs:
    • Adults Living Independently (ALI)
    • Adults with Physical and Developmental Disabilities (APDD)
    • Children with Complex Medical Conditions (CCMC)
  • Personal Care Services (PCS) Program
  • Community First Choice (CFC) Program

After successful application and assessment by the Intake and Assessment Unit using the Consumer Assessment Tool (CAT), the Review Unit applies current State and Federal regulations to determine approval or denial of services.

If services are denied, applicants will receive notification of the reason that they are not eligible and instruction on how to contest the decision to deny services.

If services are approved, applicants will receive notification regarding which services are approved and in what scope, duration and frequency. Applicants to the PCS and CFC Program will receive a service level authorization detailing exactly what kind(s) of assistance has been approved and at what level. Applicants to waiver programs will receive notice of approval, followed by an authorized Support Plan, written by their chosen Care Coordinator, and approved by the Review Unit.

Applicants with approved services may contest any decision that are included with their approval notice. Approved services are provided by certified agencies throughout Alaska.


Waiver programs offer a choice between home and community-based services and institutional care for people who meet a nursing facility level of care.

The ALI Waiver is available to adults age 21 and over who would otherwise require a level of care provided in a nursing facility.

The APDD waiver is available to persons age 21 and over who have been determined to be Developmentally Disabled through an assessment process conducted by the SDS Intellectual and Developmental Disabilities Unit, but who have nursing needs that would otherwise be provided in a nursing facility.

CCMC waiver serves children and young adults under the age of 22 years who experience medical fragility and are often dependent on frequent life-saving treatments or interventions and/ or are dependent on medical technology. These children would otherwise be require a level of care provided in an acute care hospital or a nursing facility

Personal Care Services (PCS) and Community First Choice PCS provide support related to an individual’s activities of daily living (i.e. bathing, dressing, eating) as well as instrumental activities of daily living (i.e. shopping, laundry, light housework). CFC PCS can also include time for supervision and cuing, and skills acquisition, depending on the findings of the CAT. PCS and CFC PCS are provided statewide in Alaska through certified agencies.

Other programs you may be interested in:

Grants Services – This service assists families and individuals experiencing Intellectual and developmental disabilities, dementia and related disorders, family caregivers of seniors aged 60 and over, grandparents raising grandchildren aged 55 or over, seniors aged 60 and over or frail/disabled seniors in need of assistance in the home.

Other important links:

Sign up for Direct Secure Messaging with Inpriva, through HealtheConnect Alaska.

Contact us:

Rodney W George, Unit Manager, Cat Review Unit
Phone 907-269-3453

Lauren Scarmuzzi, Supervisor, Waiver Review Support Plans
Phone 907-334-2614

Jerold Fromm, Supervisor, PCA/CFC Service Level Authorization Review
Phone 907-754-3458

Located at:

Senior and Disabilities Services Anchorage Office
1835 Bragaw Street, Suite 350
Anchorage, AK 99508
Tel: 907-269-3666
Fax: 907-269-3689
Toll Free: 1-800-478-9996