Alaska Administrative Code
Title 7 - Health and Social Services
Part 8 - Medicaid Coverage and Payment
Chapter 140 - Medicaid Coverage; Facility and Facility-Based Services
Article 7 - Nursing Facility Services: ICF and SNF
7 AAC 140.535 - Continuing placement in a nursing facility
Universal Citation: 7 AK Admin Code 140.535
Current through November 28, 2024
(a) The department will consider authorizing the continuing placement of a recipient in a nursing facility if the nursing facility
(1) submits
a request for nursing facility level-of-care authorization, on a form provided
by the department, and that includes the information required in
7
AAC 140.505(b); subsequent request
forms must be submitted no less than semiannually following admission to an
intermediate care facility and no less than quarterly following admission to a
skilled nursing facility;
(2) has
determined that the level of care is appropriate based upon the recommendation
of the nursing facility's utilization review committee;
(3) gives the authorized department
representative full access to the nursing facility's records pertaining to the
recipient, including the opportunity for the department representative to
personally read charts and records;
(4) has included in the recipient's record a
copy of all utilization review committee reports and request for nursing
facility level-of-care authorization forms;
(5) has written policies that state that only
those persons are accepted whose needs can be met by the nursing facility
directly or in cooperation with community resources or other providers of care
with which the facility is affiliated or has a contract; it is the
responsibility of the facility to monitor admissions carefully to ensure that
the nursing facility only admits recipients that it has the capability to
treat.
(b) A nursing facility unable to provide appropriate care for a recipient must notify the department and assist in prompt transfer of that person to a facility that can provide the care needed.
(c) If a recipient believes the level-of-care determination is incorrect, the recipient may request a hearing under 7 AAC 49.
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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