Alaska Administrative Code
Title 7 - Health and Social Services
Part 8 - Medicaid Coverage and Payment
Chapter 125 - Medicaid Coverage; Personal Care Services and Home Health Care Services
Article 1 - Personal Care Services
7 AAC 125.040 - Personal care services; excluded services
Universal Citation: 7 AK Admin Code 125.040
Current through November 28, 2024
(a) Personal care services do not include
(1) application of
dressings involving prescription medication and aseptic techniques, except as
allowed under
7
AAC 125.030(d)(3);
(2) invasive body procedures, including
(A) tracheostomy care, deep suctioning, and
care and maintenance of intravenous equipment;
(B) tube feedings, except as allowed under
7
AAC 125.030(b)(5)(B);
(C) insertion or removal of catheters or the
administration of enemas;
(D)
injection of medication and administration of medication, except as provided
under 7 AAC
125.030(d)(1);
(3) cleaning an area not used directly by the
recipient, home maintenance, or pet care, except care for a service animal
under 7 AAC
125.030(c)(3)(F);
(4) an activity that the department
determines could be performed by the recipient;
(5) respite care to relieve a member of the
recipient's household, a family member, or a caregiver from the responsibility
of caring for the recipient;
(6) an
activity that is not included in the recipient's service level authorization
approved under
7
AAC 125.024;
(7) care of other members of the recipient's
household, babysitting, or social visitation;
(8) services provided under 7 AAC 130
(Medicaid coverage; home and community-based waiver services);
(9) supervision, except for supervision under
7
AAC 125.030(b)(5)(C);
(10) oversight or standby
functions;
(11) monitoring of
equipment;
(12) an activity that
supplants or duplicates assistance offered by an individual or organization
without charge;
(13) an activity
for which payment for performance of that activity is the responsibility of a
third party;
(14) assistance with
an IADL under
7
AAC 125.030(c) that
(A) is the responsibility of the spouse of
the recipient, the parent of a minor child who is the recipient, or an
individual with a duty to support the recipient under state law,
(B) duplicates services that other recipients
living in the same residence receive as assistance with IADLs under this
section or similar services under
7
AAC 127.087, and those services arc sufficient to
maintain a clean, sanitary, and safe environment for all recipients in that
residence; however, the department may authorize assistance with an IADL that
duplicates services if it is justified as necessary for the health, safety, and
welfare of a recipient;
(15) assistance with an activity that is a
parental responsibility for a minor recipient, and that, if not provided, would
be considered neglect of a child under
AS
47.10.014;
(16) range-of-motion exercise, walking
exercise, or other types of exercise, except for passive range-of-motion as
specified in
7
AAC 125.030(d)(5); or
(17) any activity not specified in
7
AAC 125.030.
(b) The department will not make separate payment for personal care services under 7 AAC 125.010-7 AAC 125.199, if a recipient receives residential habilitation services as in-home support habilitation services under 7 AAC 130.265(h).
(c) A recipient that is eligible for both Community First Choice chore services under 7 AAC 127.087 and personal care services under 7 AAC 125.030(c) must choose either to receive chore services or to have similar activities performed as personal care services.
Authority:AS 47.05.010
AS 47.07.030
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