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Whether a recipient's level-of-care needs are best met by skilled care or intermediate care is determined by considering the type of care required, the qualifications of the person necessary to provide direct care, and whether the recipient's overall condition is relatively stable or unstable. The division or the division's designee will make a level-of-care evaluation in accordance with the guidelines established in the Criteria for Placement section of the Manual for Prior Authorization of Long Term Care Services , prepared by the division of medical assistance, as revised October 1993, and adopted by reference. The division will make the final level-of-care decision based upon that evaluation. Oral information may not be accepted to support a level-of-care decision.
History: Eff. 8/18/79, Register 71; am 1/26/94, Register 129; readopt 8/7/96, Register 139; am 11/13/97, Register 144
Authority: AS 47.05.010
Editor's note: The Manual for Prior Authorization of Long Term Care Services , prepared by the division of medical assistance, may be obtained by contacting the division of medical assistance, certification and licensing section, 4796-6 Business Park Boulevard, Building H, Anchorage, Alaska 99503.
Effective 8/7/96, Register 139, the Department of Health and Social Services readopted 7 AAC 43.190 in its entirety, without change, under AS 47.05 and AS 47.07. Executive Order No. 72 transferred certain rate-setting authority to the department.
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Last modified 7/05/2006