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 130.209 - Expedited application, assessment, level-of-care determination, and support plan

Universal Citation: 7 AK Admin Code 130.209

Current through November 28, 2024

(a) The department will conduct an expedited review of a complete application that is submitted in accordance with 7 AAC 130.207 if the applicant has no natural supports to meet the applicant's needs and the applicant qualifies because of

(1) a diagnosis of a terminal illness with a life expectancy of six months or less:

(2) imminent or recent discharge from a general acute care hospital or nursing facility; the applicant must submit the application not later than seven days after the date of discharge;

(3) an unplanned absence of a primary unpaid caregiver due to a medical or family emergency or hospitalization;

(4) the declining health of a primary unpaid caregiver that makes the caregiver unable to continue to provide care for the applicant;

(5) the death of a primary unpaid caregiver 30 or fewer days before the date of the application; or

(6) a referral from the office of the department responsible for adult protective services or the office of the department responsible for children's services.

(b) Not later than five business days after the date it receives the expedited application, the department will notify the applicant and the applicant's care coordinator in writing of any missing information or documentation needed to make the expedited application complete. Unless the department receives the missing information or documentation not later than five business days after the date of the notice of an incomplete application, the department will deny the expedited application. The applicant may submit another complete application that will be processed in accordance with 7 AAC 130.207.

(c) Not later than 10 business days after the department determines that the application is complete, 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.

(d) Not later than 15 days after the date of the department's notice to the recipient and the recipient's care coordinator that the recipient meets the level-of-care requirement, the recipient's care coordinator shall submit a support plan to the department for approval in accordance with 7 AAC 130.217 and 7 AAC 130.218.

(e) Not later than 10 days after the department receives the complete support plan, the department will notify the recipient and the recipient's care coordinator of the department's approval or disapproval of specific services identified in the support plan.

Authority:AS 47.05.010

AS 47.07.030

AS 47.07.040

AS 47.07.045

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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