Alaska Administrative Code
Title 7 - Health and Social Services
Part 8 - Medicaid Coverage and Payment
Chapter 128 - Long-Term Services and Supports Targeted Case Management
7 AAC 128.010 - Long-term services and supports targeted case management
Universal Citation: 7 AK Admin Code 7 AAC 128.010
Current through November 28, 2024
(a) The services provided under this section must assist and enable an individual eligible under 7 AAC 125.010 - 7 AAC 125.199, 7 AAC 127, or 7 AAC 130 to access necessary medical, social, educational, developmental, and related services,
(b) The department will pay for the long-term services and supports targeted case management services as specified in 7 AAC 145.290 for
(1)
the following, prepared and submitted in a format provided by the department:
(A) one initial application for home and
community-based waiver services or Community First Choice services; the
department may approve one additional application for an individual who does
not qualify for services based on the individual's first application;
(B) one initial support plan for home and
community-based waiver services and Community First Choice services;
(C) annual renewal support plans for home and
community-based waiver services and Community First Choice services;
and
(2) case management
for Community First Choice services only if for the month services are billed,
(A) the recipient's care coordinator prepared
and submitted a support plan amendment in a format provided by the
department;
(B) the recipient's
care coordinator was in contact with the recipient on occasions agreed to by
the recipient, and the time and frequency of the contacts are indicated in the
recipient's support plan; or
(C)
when contact with the recipient's care coordinator was initiated by the
following individuals:
(i) the recipient or
the recipient's representative;
(ii) members of the team responsible for
developing the recipient's support other than the recipient's care
coordinator;
(iii) provider
agencies or individuals who provide formal or informal care and supports for
the recipient;
(iv) the department,
if the contact results in activity required of the recipient's care
coordinator.
(c) The documents submitted for both initial and renewal support plans under this section must
(1) indicate the individual's choice of
service as described under
7
AAC 130.218(c)(5);
(2) comply with
7
AAC 127.039, if the support plan specifics Community
First Choice services and other long-term services and supports under
7
AAC 127.039(a)(3); and
(3) comply with the provisions of
7
AAC 130.217 and
7
AAC 130.218, if the support plan specifies home and
community-based waiver services under 7 AAC 130.
(d) To be eligible to receive payment for services under this section, a provider must be
(1) certified under and comply with the
requirements of
7
AAC 130.220 and
7
AAC 130.238; and
(2) enrolled as a provider of care
coordination services in accordance with
7
AAC 105.210.
Authority:AS 47.05.010
AS 47.07.030
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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