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 130.250 - Adult day services
Universal Citation: 7 AK Admin Code 130.250
Current through November 28, 2024
(a) The department will pay for adult day services that
(1) are provided to a recipient
in one of the following recipient categories:
(A) older adults or adults with physical
disabilities;
(B) adults with
physical and developmental disabilities;
(2) are provided in accordance with the
department's Adult Day Services Conditions of Participation,
adopted by reference in
7
AAC 160.900;
(3) are approved under
7
AAC 130.217 and
7
AAC 130.218 as part of the recipient's support plan;
and
(4) receive prior
authorization.
(b) The department will consider health, social, and related support services to be adult day services if the services are
(1)
provided in a non-institutional community setting on a regular basis for not
more than 10 hours per day, not including transportation to and from the
setting; however, the department will allow more than 10 hours per day if the
department determines that the recipient is unable to benefit from
(A) other home and community-based waiver
services; or
(B) services provided
by family members or community supports; and
(2) planned to promote the optimal
functioning of the recipient by meeting both health and social service
needs.
(c) The department will not pay for adult day services that duplicate
(1) services performed by personal care
assistants under
7
AAC 125.010 -
7
AAC 125.199; or
(2) other home and community-based waiver
services.
(d) In this section, "non-institutional community setting" means a setting other than a hospital, nursing facility, or ICF/MR.
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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