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 125.180 - Review and appeal rights

Universal Citation: 7 AK Admin Code 125.180

Current through November 28, 2024

(a) A recipient that is terminated from an agency-based personal care services program may appeal that termination through the complaint process established by the personal care services agency.

(b) If the assessment under 7 AAC 125.020 indicates that an individual is not capable of managing consumer-directed services because of a lack of cognitive capacity, or if a recipient is terminated from a consumer-directed personal care services program because the recipient lacks cognitive capacity to manage personal care services, the recipient may request a hearing under 7 AAC 49.

(c) A recipient may request a hearing under 7 AAC 49

(1) for a decision by the department to
(A) reduce or end the time allowed for a personal care services covered activity on the recipient's current service level authorization;

(B) deny time on a service level reauthorization for a personal care services activity that was included in a previous service level authorization if that activity is listed in 7 AAC 125.030;

(C) terminate the recipient's authorization to receive personal care services in accordance with 7 AAC 125.026(d); or

(D) deny personal care services, alter review of an initial application under 7 AAC 125.012, because the recipient does not qualify for those services; or

(2) if the application is not acted upon with reasonable promptness.

Authority:AS 47.05.010

AS 47.07.030

Disclaimer: These regulations may not be the most recent version. Alaska may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.