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(a) For an individual who is placed in an assisted living home under 7 AAC 47.400, the department will pay the appropriate minimum daily reimbursement rate established by 7 AAC 47.470, multiplied by the number of days of actual residence, minus the individual's share of the cost of care as calculated under 7 AAC 47.450.
(b) Except for a placement under 7 AAC 47.510, payment will begin only after an eligibility determination has been made under 7 AAC 47.400. The department will make payment directly to the home on a monthly basis for services provided under 7 AAC 47.475. Payment will cover the day of admission, but not the day of departure.
(c) The department's payment will not increase to compensate for the withholding of an individual's social security, SSI, or APA benefit when the withholding is due to an overpayment caused by fraud or failure to report a change, unless protection of the individual outweighs the issue of that fraud or failure to report.
(d) If an individual placed in an assisted living home under 7 AAC 47.400 has no income, the department may pay a personal-needs allowance of $100 monthly to the home for that individual. The home shall give the personal-needs allowance to the individual, unless the home has obtained written authorization under 7 AAC 75.310 to manage the individual's personal-needs allowance, or management of the allowance is included in the individual's residential services contract executed under AS 47.33.210 and assisted living plan prepared under AS 47.33.220 and 47.33.230.
History: Eff. 11/23/80, Register 76; am 6/18/82, Register 82; am 8/12/82, Register 83; am 1/14/2000, Register 153; am 6/28/2002, Register 162
Authority: AS 47.05.010
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Last modified 7/05/2006