Section 7 AAC 130.255 - Residential supported-living services(a) The department will pay for residential supported-living 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 Residential Supported-Living 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;(4) receive prior authorization; and(5) are provided in an assisted living home licensed under AS 47.32.(b) The department will consider services to be residential supported-living services if the services (1) are provided in a residential setting staffed 24 hours a day by on-site personnel capable of (A) meeting both scheduled and unpredictable resident needs; and(B) providing supervision, safety, and security;(2) assist a recipient in the assisted living home with(A) activities of daily living described in 7 AAC 125.030(b); and(B) supportive services, including social and recreational activities; and(3) are designed for a recipient that (A) can no longer live alone, but whose need for institutional level of care can be met though the support provided in the 24-hour residential supported-living setting; and(B) without the services, would require placement in a nursing facility for lack of alternate placements.(c) If a recipient is eligible for residential supported-living services, the department will not make separate payment for(1) chore services under 7 AAC 127.087;(2) meal services under 7 AAC 130.295, unless the meals are provided in a congregate setting other than an assisted living home licensed under AS 47.32;(3) respite care services payable under 7 AAC 130.280;(4) the recipient's room and board;(5) the cost of facility maintenance, upkeep, or improvement; or(6) activities or supervision for which a source other than Medicaid makes payment.(d) A provider of residential supported-living services under this section may not compel a recipient to be absent from the assisted living home for the convenience of the provider.Eff. 2/1/2010, Register 193; am 7/1/2013, Register 206; am 11/5/2017, Register 224, January 2018; am 1/1/2021, Register 236, January 2021; am 3/3/2021, Register 238, July 2021 Authority:AS 47.05.010
AS 47.07.030
AS 47.07.040