Home care software built for Alaska Medicaid EVV.
Alaska routes EVV through Therap. First Support Homecare captures every Medicaid visit with GPS clock-in and clock-out, coded reasons and an audit trail, and its Therap connector is built to the published specification — the certification is completed with your agency as the sponsoring provider, at no cost to you.
AI does the paperwork: faxed referrals become client records and any PDF form becomes fillable in minutes. Your staff checks and signs, so a small office keeps up without another hire.

Alaska's Community First Choice codes and nursing in scope
The Alaska Department of Health contracts with Therap as its EVV vendor and aggregator, and runs an open choice model: an agency can use the state's Therap system free of charge or an approved third-party system. A third-party system has to meet the state's Third-Party EVV Vendor Requirements and send its visits to the Therap aggregator.
Much of Alaska's personal care runs through Community First Choice, so the codes in scope reflect that: agency-based and consumer-directed personal care and skill-building. On the home health side, Alaska's list includes specialized private duty nursing by an LPN/LVN.
| When | What changed in Alaska |
|---|---|
| January 1, 2021 | EVV required for personal care services. |
| January 1, 2023 | EVV required for home health care services. |
Community First Choice personal care
Agency-based personal care (S5125), consumer-directed personal care (S5125 SE) and skill-building personal care (S5108).
Private duty nursing is in scope
Specialized private duty nursing by an LPN/LVN (T1003 U2) is on the home health list.
Approved systems only
Services from an Alaska Medicaid provider must use an approved EVV system - the state's or an approved third party's.
One aggregator: Therap's third-party API
Alaska agencies live inside two sets of rules: Alaska Department of Health, Division of Health Care Services's, and Therap's. The software was built to both — the state's EVV requirements in the visit record, Therap's interface in the connector — so the agency does the work once and the aggregator gets it in its own format. Open choice model.
A REST API with a token
Each visit is posted as JSON to Therap's endpoint with a bearer token; Therap answers per visit. The field names follow the state's data dictionary and are configurable on the account.
Vendor approval
Therap approves the vendor and issues the base URL, token and data dictionary under a sponsoring provider; the state then lists the system as approved.
Near-real-time
States on Therap expect visits within a day; the software queues every closed visit at clock-out and sends within minutes.
Everything Therap requires is the same in every Therap state - the element-by-element requirements, the onboarding steps and the common questions are on one page. How Therap EVV works.
Book the demoWatch a visit go from the door to the state
Questions Alaska agencies ask
Is Alaska's EVV system free?
Yes. Alaska's contracted Therap system is free to providers. A third-party system is allowed if it is approved and integrates with the Therap aggregator.
Which Alaska personal care codes need EVV?
Community First Choice agency-based (S5125), consumer-directed (S5125 SE) and skill-building (S5108) personal care, among others.
Which Alaska programs does this cover?
Personal care, home health and waiver services — every service Alaska Department of Health, Division of Health Care Services requires EVV for. Alaska lets a provider use the state's Therap system free of charge or an approved third-party system; a third-party system must be approved by Therap and integrate with the Therap aggregator.
Is there a free trial for Alaska agencies?
Yes. Alaska agencies that bill Medicaid and sign up by December 31, 2026 get 90 days free with no limit on clients: scheduling, the caregiver EVV app, documents, billing and the family portal. AI features are not part of the trial. Private-pay-only agencies get 15 days.
Sources Alaska Department of Health — Electronic Visit Verification · Medicaid.gov — EVV under the 21st Century Cures Act · First Support EVV — the Cures Act EVV requirement, explained
Also on Therap Kentucky, South Dakota · How Therap EVV works
See a visit go from clock-in to Therap's endpoint.
Twenty minutes on a screen-share: clock-in, clock-out, and the Therap record for that visit. If it is not a fit you will know in five.
