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(a) The department will reimburse for chore services that
(1) are approved under 7 AAC 43.1030 as part of the recipient's plan of care;
(2) receive prior authorization; and
(3) do not exceed
(A) 10 hours per week for recipients within the following recipient categories:
(i) adults with physical disabilities;
(ii) older adults; or
(B) five hours per week for recipients within the following recipient categories:
(i) children with complex medical conditions; however, if a recipient in that recipient category has a documented history of respiratory illness, the department will reimburse for chore services not to exceed 10 hours per week;
(ii) individuals with mental retardation and developmental disabilities.
(b) The department will consider the following services to be chore services:
(1) regular cleaning within the residence used by the recipient;
(2) performing heavy household chores, including
(A) washing floors, windows, and walls;
(B) tacking down loose rugs and tiles;
(C) moving heavy items of furniture; and
(D) snow shoveling in order to provide safe access and egress;
(3) food preparation and shopping for recipients in the following recipient categories:
(A) adults with physical disabilities;
(B) older adults;
(4) other services that the department determines necessary to maintain a clean, sanitary, and safe environment with respect to the residence used by the recipient.
(c) The department will not authorize chore services if
(1) the recipient or anyone else in the household is capable of performing or financially providing for them;
(2) any other relative or caregiver of the recipient, or any community or volunteer agency or third party payer is capable of or responsible for the provision of those services; or
(3) the recipient's residence is a rental property, and the department determines those services to be the responsibility of the landlord under the lease or applicable law.
History: Eff. 5/15/2004, Register 170
Authority: AS 47.05.010
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Last modified 7/05/2006