7 AAC 47.471. Augmented rates; general

(a) Except for a resident who also receives financial assistance under 7 AAC 47.472, or from another agency, organization, or program for the cost of services provided in an assisted living home, the department may augment the minimum daily reimbursement rate set in 7 AAC 47.470 if a resident requires assistance with four or more activities of daily living, or if a resident requires a level of care, monitoring, and protective service that is significantly higher than that required for other residents of the home, including other residents with an impairment described in this subsection, to protect the resident from abuse, neglect, or exploitation because of

(1) severe alcohol or drug dependency acting out behavior, including use of alcohol or drugs in or out of the home;

(2) severe mental health, mental impairment, or emotional disturbance issues resulting in disruptive acting out behaviors, including aggressive, violent, offensive, or assaultive behavior;

(3) a major health impairment; or

(4) other variables or factors that make the resident extremely difficult to place and protect in an assisted living home.

(b) An augmented rate will be paid for each resident described in (a) of this section if the department finds that the resident is eligible for an augmented rate. The amount of the augmented rate will be based on the number of activities of daily living provided, and the level of care, monitoring, and protective services required, as follows:

(1) for a resident who requires assistance with four or more activities of daily living, the augmented rate is $7 a day for each additional activity of daily living, not to exceed $22 a day;

(2) for a resident described in (a)(1), (2), (3) or (4) of this section, the augmented rate is $15 a day;

(3) for a resident who requires assistance with four or more activities of daily living and who is described in (a)(1), (2), (3), or (4) of this section, the augmented rate is $22 a day.

(c) For an emergency placement, an additional augmented rate of up to $10 a day will be paid for a person described in (b)(1) or (2) of this section, not to exceed augmentation of $22 a day. An augmented rate under this subsection will be paid for no more than 31 days, unless the department determines that additional payment is necessary to protect the resident.

(d) An augmented rate paid on behalf of a resident is discontinued for any day that the resident is not living in the assisted living home.

History: Eff. 6/24/2004, Register 170

Authority: AS 47.05.010

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