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department may authorize personal care services for one or more of the following types of physical assistance to enable a recipient to complete an ADL:
(1) for the ADL of bed mobility, for a recipient who is non-ambulatory, moving a recipient to and from a lying position, turning a recipient from side to side in a bed, or positioning a recipient in a bed; the department will not authorize time for the ADL of bed mobility if moving, turning, or positioning a recipient is necessary for the performance of the ADL of transferring, locomotion, toileting, or bathing;
(2) for the ADL of transferring, moving a recipient between one surface and another, including to and from a bed, chair, or wheelchair; the department will not authorize time for the ADL of transferring if the moving of a recipient is necessary for the performance of the ADLs of toileting or bathing;
(3) for the ADL of locomotion, if the physical assistance of a personal care assistant is necessary for a recipient to walk
(A) between locations in the recipient’s residence; or
(B) to and from a location in the recipient’s residence to a vehicle used by the recipient to access a routine medical or dental appointment; the department will not authorize time for the ADL of locomotion for
(i) a recipient who is self-sufficient with an assistive device; or
(ii) locomotion that is necessary for the performance of the ADLs of toileting and bathing;
(4) for the ADL of dressing, the putting on, fastening, unfastening, and removal of the recipient’s clothing, support hose, or prosthesis;
(5) for the ADL of eating,
(A) eating, drinking, or other oral intake, except that, regardless of the number of times the recipient eats and drinks each day, the department will not approve more time than that allowed in Personal Care Services: Service Level of Computation, adopted by reference in 7 AAC 160.900, for the consumption of three meals a day;
(B) for a recipient in a consumer-directed personal care services program only, tube feeding, manual or with a mechanical device, if the recipient has a written plan for feeding from the recipient’s licensed physician, physician assistant, or advanced practice registered nurse that is qualified to practice under AS 08 or 7 AAC 105.200(c); the written plan must
(i) specify the method for administration of the enteral nutrition product and fluids; and
(ii) provide instructions for the recipient’s personal care assistant to follow regarding the method of administration, the enteral nutrition product and fluids to be used and the amount for each feeding, the rate of flow and duration of each feeding, and the feeding