7 AAC 43.800. Home health care services and coverage

(a) The following home health care services, provided upon recommendation of a licensed physician as part of a plan of care developed in accordance with 7 AAC 43.801, will be covered under Medicaid:

(1) the following services, at a payment rate determined under 7 AAC 43.805(c) , if they are provided to a recipient in the recipient's place of residence by a public or private organization that the department has certified as a home health agency for purposes of Medicare:

(A) intermittent or part-time skilled nursing services that are provided by a registered nurse or a licensed practical nurse, under the continued direction of the recipient's physician, and within the scope of the nurse's license;

(B) home health aide services that are prescribed by and under the continued direction of a physician and supervised by a registered nurse;

(D) physical therapy, occupational therapy, speech-language pathology services, and audiology services that are prescribed by a physician and provided to a recipient by or under the supervision of a qualified practitioner;

(2) skilled nursing services, at a payment rate determined under 7 AAC 43.850 - 7 AAC 43.868, if

(A) they are provided by a rural health clinic enrolled under 7 AAC 43.850;

(B) they are provided to a recipient by a registered nurse who receives written orders from the recipient's physician, and those services are within the scope of the nurse's license;

(C) the location of the recipient's place of residence is not served by any public or private organization that the department has certified as a home health agency for purposes of Medicare; and

(D) the recipient is homebound under 7 AAC 43.860(b) (1).

(b) for purposes of this section, a place of residence

(1) includes an assisted living home licensed under AS 47.33; and

(2) does not include a hospital, skilled nursing facility, or intermediate care facility.

History: Eff. 8/18/79, Register 71; am 6/27/92, Register 122; am 9/1/94, Register 131; am 2/1/97, Register 141; am 10/12/97, Register 144; am 4/28/2005, Register 174

Authority: AS 47.05.010

AS 47.07.030

The Alaska Administrative Code was automatically converted to HTML from a plain text format. Every effort has been made to ensure its accuracy, but neither Touch N' Go Systems nor the Law Offices of James B. Gottstein can be held responsible for any possible errors. This version of the Alaska Administrative Code is current through June, 2006.

If it is critical that the precise terms of the Alaska Administrative Code be known, it is recommended that more formal sources be consulted. Recent editions of the Alaska Administrative Journal may be obtained from the Alaska Lieutenant Governor's Office on the world wide web. If any errors are found, please e-mail Touch N' Go systems at E-mail. We hope you find this information useful. Copyright 2006. Touch N' Go Systems, Inc. All Rights Reserved.