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direction of the recipient’s attending physician. In this subsection, “skilled nursing service” has the meaning given in 7 AAC 125.399. (d) Private-duty nursing services include

(1) assessment;

(2) administration of treatment related to technological dependence; and

(3) monitoring and maintaining parameters, machinery, and interventions. (e) A private-duty nursing service may not be performed by

(1) a personal care assistant;

(2) a home health aide;

(3) a member of the immediate family; or

(4) other members of the recipient’s household. (f) Private-duty nursing services do not include housekeeping, laundry, shopping, meal preparation, or transportation. (g) This section does not apply to specialized private-duty nursing services under 7 AAC 130.285 provided to a recipient who is receiving home and community-based waiver services. (h) The department will not pay for a private-duty nursing service

(1) if requested to enable the recipient to attend school or other activities outside the home, and if the same service is not needed to enable the recipient to live successfully in the home, hospital, or nursing facility;

(2) during the hours a recipient attends a child care facility;

(3) for a recipient that is home schooled;

(4) in excess of the private-duty nursing services already authorized by the department;

(5) that is considered nurse supervision, including chart reviews, case discussions, scheduling of services, and respite care;

(6) that is provided for other members of the recipient’s household; or

(7) for which the department has not given prior authorization under 7 AAC 110.530. (Eff. 2/1/2010, Register 193; am 10/1/2011, Register 199; am 5/1/2016, Register 218) Statutory Authority: