7 AAC 43.1045. Day habilitation services

(a) The department will reimburse for day habilitation services that

(1) are provided to a recipient in one of the following recipient categories:

(A) children with complex medical conditions;

(B) adults with physical disabilities; however, the department will reimburse only if a recipient in that recipient category is also diagnosed as experiencing a developmental disability:

(2) are approved under 7 AAC 43.1030 as part of the recipient's plan of care; and

(3) receive prior authorization.

(b) The department will consider habilitation services to be day habilitation services if they

(1) take place in a nonresidential setting, separate from the home, assisted living home licensed under AS 47.33, or foster home licensed under AS 47.35 in which the recipient resides; for purposes of this paragraph, day habilitation services include transportation of the recipient between the home, assisted living home, or foster home where the recipient resides and the site where the services are provided; and

(2) do not replace, enhance, or supplement educational services for which the recipient is eligible under 4 AAC 52.

History: Eff. 5/15/2004, Register 170

Authority: AS 47.05.010

AS 47.07.030

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