Self-direction is a model of long-term care that allows people to receive support in their home the way they want it, even people who might otherwise live in a nursing home or group home.
Listening to Alaskans: Statewide Self-Direction Community Findings
What should self-direction look like in Alaska? We asked Alaskans.
During the summer of 2026, the Independent Living Center, in partnership with Senior and Disabilities Services and with support from the Alaska Mental Health Trust Authority, hosted community forums across the state to hear directly from people who receive services, families, providers, direct support professionals, advocates, Tribal partners, care coordinators, and other community members.
While people brought different experiences and perspectives to the conversation, several messages were heard again and again: people want more choice, more flexibility, strong supports, a system that is simple to use, and a self-direction program designed specifically for the realities of Alaska.
The Statewide Self-Direction Community Findings Report captures those voices, the themes that emerged across communities, and the priorities Alaskans believe should guide the development of self-directed Medicaid services in our state.
At the heart of it all is a simple principle: Nothing about us without us! As Alaska continues exploring self-direction, the people who use and support these services must remain at the center of the conversation.
Read the full report below and learn what Alaskans had to say about building a self-direction program that works for Alaska.