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 130.218 - Person-centered practice
Universal Citation: 7 AK Admin Code 130.218
Current through November 28, 2024
(a) Based on capacity and interest in participation, the recipient of home and community-based waiver services shall lead the planning process that results in a support plan under 7 AAC 130.217 and this section.
(b) The planning process must
(1) recognize and support the recipient as
central to the process with the authority to specify goals and needs, to
request meetings at times and locations convenient to the recipient, including
distance delivery if the recipient request it, and to revise the support plan
when necessary;
(2) include the
recipient, the recipient's representative, individuals chosen by the recipient
to participate in the planning process, and the providers selected by the
recipient to render home and community-based waiver services other than
providers of
(A) transportation services
under 7 AAC 130.290;
(B) environmental modification services under
7
AAC 130.300; or
(C) specialized medical equipment under
7
AAC 130.305;
(3) respond to recipient requests in a timely
manner;
(4) reflect cultural
considerations;
(5) provide
information the recipient needs to make informed choices regarding services and
supports; the information must be in plain language, and presented in a manner
accessible to a recipient with disabilities or limited English proficiency;
and
(6) include strategies for
solving conflicts or disagreements that might arise during the process,
including conflict-of-interest guidelines for all planning
participants.
(c) The providers, selected in accordance with (d) of this section, must collaborate with the recipient, and with the individuals chosen by the recipient to participate in the planning process, to develop for the recipient a written, person-centered support plan . The support plan must
(1) address the clinical and support needs
identified through a functional assessment conducted in accordance with
7
AAC 130.213;
(2) reflect the recipient's strengths and the
recipient's preferences for delivery of services and supports;
(3) identify the elements important to the
recipient to achieve the quality of life the recipient wishes, including the
recipient's goals and desired outcomes;
(4) identify
(A) the services and supports, paid and
unpaid, that will assist the recipient to achieve the recipient's goals and
desired outcomes;
(B) the providers
of those services and supports, including natural supports; and
(C) for each service
(i) the number of units, the frequency, and
the projected duration of that service; and
(ii) an analysis of whether the service and
amount of that service is consistent with the assessment or
interim-level-of-care-review conducted under
7
AAC 130.213, the level-of-care-determination made in
accordance with
7
AAC 130.215, and the treatment plans, if any,
developed for the recipient;
(5) document the options for services and
supports that were offered to the recipient under (b)(5) of this
section;
(6) reflect that the
setting in which the recipient resides is chosen by the recipient;
(7) document any modification of the
requirements for provider-owned or operated residential settings in accordance
with 7 AAC
130.220(p);
(8) reflect the risk factors and measures in
place to minimize risks, including an individualized backup plan;
(9) identify the individuals responsible for
monitoring the plan;
(10) use plain
language, and be written in a manner that is both accessible to a recipient
with disabilities or limited English proficiency and makes the support plan
understandable by the recipient and the individuals important in supporting the
recipient;
(11) be finalized and
agreed to in accordance with
7
AAC 130.217(a)(4); any disagreement
among planning team members about outcomes or service levels, or any suggestion
by a team member that an outcome or service level should be different than the
one established in the support plan, must be documented and attached to the
support plan submitted to the department for consideration and approval;
and
(12) be distributed to the
recipient and all others involved in developing the support plan.
(d) The providers, recipient, and individuals chosen by the recipient to participate in the planning process must ensure that
(1) unnecessary or inappropriate
services and supports are not included in the support plan developed in
accordance with (c) of this section; and
(2) the settings in which home and
community-based services are rendered are integrated in and support access to
the greater community, including distance delivery when requested and
authorized.
Authority:AS 47.05.010
AS 47.07.030
AS 47.07.040
AS 47.07.045
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