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 127.087 - Chore services
Universal Citation: 7 AK Admin Code 7 AAC 127.087
Current through November 28, 2024
(a) The department will pay for chore services that
(1) comply
with the department's
(A)Provider
Conditions of Participation for Home and Community-Based Waiver Services and
Community First Choice Chore Services, adopted by reference in
7
AAC 160.900; and
(B)Community First Choice Chore
Services Conditions of Participation, adopted by reference in
7
AAC 160.900;
(2) are approved under
7
AAC 127.039 or
7
AAC 130.217 as part of the recipient's support
plan;
(3) receive prior
authorization; and
(4) do not
exceed 10 hours for each week during the period that a support plan is in
effect, up to a maximum of 520 hours for a one-year support plan, except that
if more than one recipient lives in the residence where services are to be
provided, the department
(A) will limit the
number of hours to that necessary to maintain a clean, sanitary, and safe
environment for each recipient; and
(B) will base the number of hours allowed on
(i) the degree to which the tasks listed in
(b) of this section are necessary for each recipient or benefit all recipients
in the residence;
(ii) whether the
services would duplicate services received by any recipient under this chapter,
7
AAC 125.010 -
7
AAC 125.199, or 7 AAC 130; and
(iii) the justification for the number of
hours provided in each recipient's support
plan.
(b) The department will consider the following tasks to be chore services:
(1)
routine cleaning within the recipient's residence;
(2) performing heavy household chores,
including
(A) washing floors, windows, and
walls;
(B) securing loose rugs and
tiles;
(C) moving heavy items of
furniture;
(D) snow removal
sufficient to provide safe access and egress for the recipient;
(E) hauling water for use in the recipient's
residence;
(F) disposing of human
excreta; and
(G) chopping or
collecting firewood, if firewood is used as the primary source of energy for
heating, bathing, or cooking in the recipient's residence;
(3) food preparation and shopping;
(4) other tasks that the department
determines necessary to maintain a clean, sanitary, and safe environment with
respect to the recipient's residence.
(c) The department will either deny or limit the time authorized for chore services if
(1)
an individual that lives in the recipient's home is responsible for performing
the chores described in (b) of this section, and the individual is a member of
the recipient's immediate family, an individual with a duty to support the
recipient under state law, or a caregiver for the recipient;
(2) a community or voluntary agency is
willing to perform those chores for the recipient;
(3) a third party is responsible for paying
for the performance of those chores for the recipient;
(4) the recipient's residence is a rental
property, and the department determines those services to be the responsibility
of the landlord under the lease or applicable law;
(5) a provider certified under
7
AAC 127.050 to provide chore services designates an
individual to provide chore services, and that individual resides in the same
residence as the recipient of chore services; or
(6) the recipient's meals are provided in a
congregate setting or delivered to the recipient's residence.
(d) If a recipient is eligible for chore services under this section and eligible for Community First Choice personal care services under this chapter, the recipient must choose to either receive the chore services described in this section or to have similar tasks performed as personal care services.
(e) The department will not pay or may reduce the time for chore services allowed under (a)(4) of this section if
(1) a recipient's performance of a task is
planned as habilitation; or
(2) a
recipient's meals are provided in a congregate setting or delivered to the
recipient's residence.
Authority:AS 47.05.010
AS 47.07.030
AS 47.07.040
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