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 130.211 - Screening of applications

Universal Citation: 7 AK Admin Code 130.211

Current through November 28, 2024

(a) The department will pay for and review, in any 365-day period, one application for home and community-based waiver services to determine whether there is a reasonable indication that the applicant might need services at a level of care provided in a hospital, nursing facility, or ICF/MR in 30 or fewer days unless the applicant receives home and community-based waiver services under this chapter.

(b) The care coordinator selected by the applicant to assist with the application shall

(1) inform the applicant regarding the care coordinator's relationship as an employee of any provider certified under 7 AAC 130.220 and of any relationship described in 7 AAC 130.240(e); and

(2) provide to the department a complete application in accordance with 7 AAC 130.207, and relevant and contemporaneous documentation that
(A) addresses each medical and functional condition that places the applicant into a recipient category listed in 7 AAC 130.205(d); and

(B) indicates the applicant's need for home and community-based waiver services.

(c) Following notification of a decision by the department that an applicant would not need services as specified in (a) of this section, the applicant may submit, and the department will pay for and review, another application within the time period in (a) of this section, only if a material change in the applicant's condition occurred after submission of a prior application. In this subsection, "material change in the applicant's condition" means an alteration in the applicant's health, behavior, or functional capacity of sufficient significance that the department is likely to reach a different decision regarding the applicant's need for home and community-based waiver services.

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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