Arizona Administrative Code
Title 9 - HEALTH SERVICES
Chapter 28 - ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM - ARIZONA LONG-TERM CARE SYSTEM
Article 2 - COVERED SERVICES
Section R9-28-205 - Home and Community Based Services (HCBS)

Universal Citation: AZ Admin Code R 9-28-205

Current through Register Vol. 30, No. 38, September 20, 2024

A. Subject to the availability of federal funds, HCBS are covered services if provided to a member residing in the member's own home or an alternative residential setting. Room and board services are not covered in a HCBS setting.

B. The case manager shall authorize and specify in a case management plan any additions, deletions, or changes in home and community based services provided to a member or in accordance with R9-28-510.

C. Home and community based services include the following:

1. Home health services provided on a part-time or intermittent basis. These services include:
a. Nursing care;

b. Home health aide;

c. Medical supplies, equipment, and appliances;

d. Physical therapy;

e. Occupational therapy;

f. Respiratory therapy; and

g. Speech and audiology services;

2. Private duty nursing services;

3. Medical supplies and durable medical equipment, including customized DME, as described in 9 A.A.C. 22, Article 2;

4. Transportation services to obtain covered medically necessary services;

5. Adult day health services provided to a member in an adult day health care facility licensed under 9 A.A.C. 10, Article 5, including:
a. Supervision of activities specified in the member's care plan;

b. Personal care;

c. Personal living skills training;

d. Meals and health monitoring;

e. Preventive, therapeutic, and restorative health related services; and

f. Behavioral health services, provided either directly or through referral, if medically necessary;

6. Personal care services;

7. Homemaker services;

8. Home delivered meals, that provide at least one-third of the recommended dietary allowance, for a member who does not have a developmental disability under A.R.S. § 36-551;

9 Respite care services for no more than 600 hours per benefit year;

10 Habilitation services including:
a Physical therapy;

b Occupational therapy;

c Speech and audiology services;

d Training in independent living;

e Special development skills that are unique to the member;

f Sensory-motor development;

g Behavior intervention; and

h Orientation and mobility training;

11 Developmentally disabled day care provided in a group setting during a portion of a 24-hour period, including:
a Supervision of activities specified in the member's care plan;

b Personal care;

c Activities of daily living skills training; and

d Habilitation services;

12. Supported employment services provided to a member in the ALTCS transitional program under R9-28-306 who is developmentally disabled under A.R.S. § 36-551.

Disclaimer: These regulations may not be the most recent version. Arizona 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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