7 AAC 43.200. Structured rehabilitation services

In order to justify placement at a skilled level of care, the following services must be required by physician orders and provided at least five days a week until the recipient's condition fails to show continued improvement through objective evidence:

(1) on-going assessment of structured rehabilitation needs and potentials; services must be concurrent with the management of a patient care plan, including tests and measurements of range of motion, strength, balance, coordination, endurance, functional ability, activities of daily living, perceptual deficiencies, and speech, language or hearing disorders;

(2) therapeutic exercises or activities which, because of the type of exercises employed or the condition of the patient, must be performed by or under the supervision of a qualified physical therapist or occupational therapist, to ensure the safety of the patient and the effectiveness of the treatment;

(3) gait evaluation and treatment;

(4) range-of-motion exercises which are part of the active treatment of a specific disease which has resulted in a loss of or restriction of mobility;

(5) maintenance therapy when specialized knowledge and judgment of a qualified therapist are required to design and establish a maintenance therapy program based on an initial evaluation and periodic reassessment of the patient's needs and consistent with the patient's capacity and tolerance;

(6) ultra-sound, short-wave, and micro-wave therapy treatments;

(7) hot pack, infra-red treatments, paraffin baths; in particular cases where the patient's condition is complicated by circulatory deficiencies, areas of desensitization, open wounds, fractures, or other complications;

(8) services of a communications specialist, speech pathologist, or audiologist when necessary for the restoration of function in speech or hearing.

History: Eff. 8/18/79, Register 71; readopt 8/7/96, Register 139

Authority: AS 47.05.010

AS 47.07.050

Editor's note: Effective 8/7/96, Register 139, the Department of Health and Social Services readopted 7 AAC 43.200 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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