Alaska Administrative Code
Title 7 - Health and Social Services
Part 8 - Medicaid Coverage and Payment
Chapter 130 - Medicaid Coverage; Home and Community-Based Waiver Services
Article 2 - Home and Community-Based Waiver Services; Nursing Facility and ICF/MR Level of Care
7 AAC 130.207 - Application for home and community-based waiver services
Universal Citation: 7 AK Admin Code 130.207
Current through November 28, 2024
(a) To apply for home and community-based waiver services under this chapter
(1) for the recipient categories of children
with complex medical conditions, adults with physical and developmental
disabilities, and older adults or adults with physical disabilities,
(A) an individual must participate in the
person-centered intake process approved by the department; in this
subparagraph, "person-centered intake process" means the process undertaken to
help an individual understand the individual's unmet needs and to explore the
resources available to meet those needs; and
(B) if the person-centered intake process
results in a recommendation for the services available under this chapter and
the individual desires them, the individual must submit to the department a
completed application in a format provided by the department with relevant
supporting documents;
(2) for the recipient category of individuals
with intellectual and developmental disabilities, an individual must
(A) first, submit to the department a
completed Intellectual & Developmental Disabilities (DD)
Registration and Review form, adopted by reference in
7
AAC 160.900; and
(B) next, follow the process set out in
7
AAC 130.206(b) and (d).
(b) The department will
(1) for the recipient categories in (a)(1) of
this section, send the applicant and the applicant's care coordinator notice in
writing of any missing information or documentation needed to make the
application complete not later than 14 business days after receipt of an
application; unless the department receives the missing information or
documentation not later than 15 business days after the date of the notice of
an incomplete application, the department will deny the application; and
(2) for the recipient category in
(a)(2) of this section, if the individual chooses to continue the application
process, follow the application process set out in
7
AAC 130.206(b), after which the
individual must follow the process set out in
7
AAC 130.206(b)(1) - (3) and the
individual's care coordinator must follow the process set out in
7
AAC 130.206(d).
(c) Not later than 30 business days after the department determines that an application under (a)(1) of this section is complete or the documents required under 7 AAC 130.206(d) have been submitted, the department will
(1) conduct an assessment
under 7 AAC 130.213;
(2) make a level-of-care determination under
7
AAC 130.215; and
(3) notify the applicant and care coordinator
of the level-of-care determination, except that the department may extend the
notification timeframe for an additional 30 business days if the department,
under 7 AAC 130.213(f),
forwards an assessment or reassessment for review by an independent qualified
health care professional in accordance with
AS
47.07.045(b) and
7
AAC 130.219(e)(4).
Authority: AS 47.05.010
AS 47.07.030
AS 47.07.040
AS 47.07.045
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