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Title 7 . Health and Social Services
Chapter 43 . Hearings
Section 800. Home health care services and coverage

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;

(C) supplies suitable for use in the home;

(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


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Last modified 7/05/2006