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 127.130 - Consumer-directed Community First Choice personal care services; provider agencies

Universal Citation: 7 AK Admin Code 7 AAC 127.130

Current through November 28, 2024

(a) In addition lo meeting the requirements under this chapter, a personal care services agency that administers a Community First Choice consumer-directed program shall

(1) perform, at least once every six months, a review of the recipient's services, including
(A) interviewing the recipient at the recipient's residence to evaluate whether services were provided as authorized, and that those services meet the recipient's continuing needs;

(B) interviewing the recipient's personal care assistant to evaluate the service records, including timesheets and case notes prepared by the recipient's personal care assistant;

(C) documenting in the recipient's record if the review concludes that the services provided are consistent with the recipient's Community First Choice support plan; and

(D) submitting to the department an amendment to the recipient's Community First Choice support plan when the recipient's needs change sufficiently to warrant an amendment;

(2) maintain communications with the recipient, the recipient's health care providers, as appropriate, and the personal care assistant; and

(3) maintain a service record for each recipient that includes
(A) a copy of each Community First Choice support plan, assessment, and documentation of reviews under (1) of this subsection, including amendments under 7 AAC 127.095;

(B) a copy of all personal care assistant timesheets, signed by the recipient, the recipient's representative, or the representative's designee, and all personal care assistant case notes; and

(C) records of all contacts between the provider agency and the recipient, the recipient's health care providers, as appropriate, and the personal care assistant that are related to the health, safety, and welfare of the recipient.

(b) The department may waive the requirement that the review under (a)(1) of this section occur every six months if

(1) the recipient's residence is in a remote community or location;

(2) the provider agency performs a review of the recipient's services at least once in a 12-month period;

(3) instead of the omitted six-month review the provider agency conducts, at the time the six-month review would occur, a telephonic or electronic meeting with the recipient and the recipient's Community First Choice personal care assistant for the review of services; and

(4) the provider agency requests a waiver in a formal provided by the department. and documents to the department's satisfaction that waiving one of the six-month reviews will not compromise the health, safety, or welfare of the recipient.

(c) A provider agency that administers a consumer-directed program shall collect and verify consumer-directed personal care assistants' timesheets, and submit claims based on those timesheets to the department.

(d) A provider agency that administers a consumer-directed program shall work with the recipient, the recipient's representative, or the representative's designee, and with the care coordinator to

(1) identify possible risks to the health, safety, and welfare of the recipient if the recipient's regularly scheduled personal care assistant is unable to provide those services available; and

(2) develop a backup plan that identities the responsibilities of the provider agency and the recipient for obtaining the personal care services or other assistance if the recipient's regularly scheduled personal care assistant is unable to provide those services.

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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