---
title: "Alaska Medicaid Look-Back Period | Funding LTC Marketplace"
url: https://fundingltcmarketplace.com/states/alaska/medicaid-look-back-period/
description: "Alaska reviews five years of transfers and uses the local nursing-facility payment rate, not one statewide published divisor."
last_updated: 2026-10-20
author: George A. Mellendorf, CLTC, LTCP (Central States Insurance Services, Inc.)
publisher: Funding LTC Marketplace
note: Educational content; not legal, tax or financial advice. Markdown copy of the HTML page at the URL above.
---
Alaska · Look-Back & Penalties

# Alaska Medicaid Look-Back Period

Last updated 2026-10-20

Alaska applies a standard 60-month, or five-year, look-back to Nursing Home Medicaid and HCBS waiver applicants, counted immediately before the application. Under the current eligibility guide, a transfer made for less than fair market value during that window can lead to a period of Medicaid ineligibility — though notably, the ABD Medicaid pathway doesn't use this same long-term-care look-back.

A 2025 Alaska elder-law presentation, citing ADLTC 554D, describes the review as reaching back five years from whichever comes later: institutionalization or the LTC Medicaid application date. It also notes the state presumes that any transfer made by the applicant or their spouse was intended to establish eligibility, maintain it, or avoid recovery — unless the client rebuts that presumption with convincing evidence to the contrary.

## Sources and official resources

- [Alaska Department of Health: Apply for Medicaid](https://health.alaska.gov/en/services/division-of-public-assistance-dpa-services/apply-for-medicaid/)
- [U.S. Code: 42 U.S.C. § 1396p (liens, estate recovery, transfers of assets, Partnership disregard)](https://www.law.cornell.edu/uscode/text/42/1396p)

Rules and figures change. Confirm current details with the agency before you act.

[← Back to the full Alaska guide](https://fundingltcmarketplace.com/states/alaska/)