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(a) The department will reimburse for adult day services that
(1) are provided to a recipient in one of the following recipient categories:
(A) adults with physical disabilities;
(B) older adults;
(2) are approved under 7 AAC 43.1030 as part of the recipient's plan of care;
(3) receive prior authorization; and
(4) are provided to a recipient who does not experience a developmental disability.
(b) The department will consider health, social, and related support services to be adult day services if
(1) they are provided in a protective setting, other than a nursing facility, during any part of a day, but less than 24 hours per day; and
(2) recipients attend those services on a planned basis during specified hours.
(c) The department will not reimburse for adult day services that duplicate
(1) services performed by personal care assistants under 7 AAC 43.750 - 7 AAC 43.795; or
(2) other home and community-based waiver services.
History: Eff. 5/15/2004, Register 170
Authority: AS 47.05.010
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Last modified 7/05/2006