Alaska Administrative Code
Title 7 - Health and Social Services
Part 8 - Medicaid Coverage and Payment
Chapter 127 - Community First Choice Personal Care Services
7 AAC 127.070 - Provider termination of services to a recipient

Universal Citation: 7 AK Admin Code 7 AAC 127.070

Current through November 28, 2024

(a) Not later than 30 days before a provider of Community First Choice services terminates services to a recipient, the provider agency shall send written notice of service termination to the department, the recipient, and the recipient's care coordinator.

(b) A provider agency may terminate services to a recipient without the notice required in (a) of this section if the provider agency has evidence that

(1) continuing services to the recipient will
(A) jeopardize the safety of the provider, an employee of the provider, or an individual receiving services from the provider: or

(B) endanger the health, safety, and welfare of the recipient; and

(2) documents the measures that the provider agency took to address the circumstances that resulted in immediate termination of the recipient.

(c) For a recipient terminated from a consumer-directed program because of a lack of cognitive capacity to self-direct personal care services or a documented history of self-neglect, the agency administering the program shall inform that recipient of

(1) the recipient's eligibility to transfer to, and to receive personal care services through, an approved personal care services agency offering an agency-based program; and

(2) the requirements under 7 A AC 125.140(e) regarding representation and documentation of capacity if the recipient elects to continue in a consumer-directed program.

(d) A Community First Choice services provider that terminates services to a recipient under (b) of this section shall

(1) comply with the requirements of (a) of this section, except for the 30-day time frame for notice of termination;

(2) refer the recipient to the office of the department responsible for adult protective services or child protective services as appropriate, if the provider has any concern that the immediate termination of services will place the recipient at risk of harm; and

(3) refer suspected misrepresentation, fraud, and waste of Medicaid funds to the department.

(d) A provider that intends to close, sell, or change ownership of a business certified under 7 AAC 127.050 shall send written notice of that intention to the department and to each affected recipient and that recipient's care coordinator not later than 60 days before the closure, sale, or change in ownership.

Authority:AS 47.05.010

AS 47.07.030

AS 47.07.036

AS 47.07.040

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.
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