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(a) Using the assessment conducted in accordance with 7 AAC 125.020 for each recipient, the department will
(1) determine the total time for personal care services for which the department will pay using the Personal Care Services: Service Level Computation, adopted by reference in 7 AAC 160.900; and
(2) develop a service level authorization that identifies the specific ADLs, IADLs, and other activities in 7 AAC 125.030 that the personal care assistant is authorized to perform to provide the level of assistance approved by the department. (b) The total time authorized under (a)(1) of this section may be used to provide any AOL, IADL, or other activity, covered under 7 AAC 125.030, that is identified in the recipient’s service level authorization developed under (a)(2) of this section. The department will not pay a provider for performance of any activity that is not identified in a recipient’s service level authorization. (c) A recipient’s service level authorization, or an amendment to a recipient’s service level authorization developed under 7 AAC 125.026, takes effect upon approval by the department. (d) The department will authorize personal care services for a specific length of time, not to exceed a 12-month period. (Eff. 1/26/2012, Register 201; am 7/22/2017, Register 223) Statutory Authority: Authority: AS 47.05.010 AS 47.07.030 7 AAC 125.026. Amendments to service level authorization. (a) The department will modify the time authorized for personal care services if the department determines that a recipient has experienced a change that alters the recipient’s need for physical assistance with ADLs, IADLs, or other covered services. (b) To request an amendment to a service level authorization before the end of the recipient’s current authorization period, a personal care services agency must
(1) complete and submit the request in the format provided by the department for that purpose; and
(2) submit all current medical or other relevant documentation that supports the claim