(a)
Community First Choice 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 certified service
animal under
7
AAC 125.030(c)(3)(F);
(4) an activity that the department
determines could be performed by the recipient except as provided under
7
AAC 127.040(a)(2)(B) and
(C);
(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 127.090;
(7) care of other members of the recipient's
household, baby sitting, or social visitation;
(8) services provided under 7 AAC
130;
(9) monitoring of
equipment;
(10) an activity that
supplants or duplicates assistance offered by an individual organization
without charge;
(11) an activity
for which payment for performance of that activity is the responsibility of a
third party;
(12) assistance with
an lADL under
7
AAC 125.030(c) that
(A) is the responsibility of an immediate
family member; or
(B) duplicates
services that other recipients living in the same residence receive as
assistance with IADLs under this section, 7 AAC 125, or similar services under
7
AAC 127.087, and those services are 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;
(13) 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;
(14) 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
(15) any activity not specified in
7
AAC 127.040.
(b) The department will not make separate
payment for Community First Choice personal care services under this chapter,
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 for Community First Choice personal
care services under
7
AAC 127.040(a)(2) must choose to
receive chore services or to have similar activities performed as Community
First Choice personal care services.
