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(Eff. 10/1/2018, Register 227; am 10/19/2024, Register 252) Statutory Authority: Authority: AS 47.05.010 AS 47.07.036 AS 47.40.045

AS 47.07.030 AS 47.07.040 Editor’s note: Effective July 1, 2022, Executive Order 121 split the former Department of Health and Social Services into the Department of Health and the Department of Family and Community Services. As of Register 242 (July 2022), the regulations attorney made a conforming technical revision under sec. 138, E.O. 121 and AS 44.62.125(b)(6), to 7 AAC 127.015. 7 AAC 127.025. Eligibility and enrollment for Community First Choice services; level of care determination. (a) The department will pay a provider for Community First Choice services authorized in a recipient’s support plan developed under 7 AAC 127.039, and provided in accordance with the applicable requirements of this chapter, for an individual that is

(1) a current Medicaid recipient;

(2) eligible for coverage under (d) of this section; and

(3) enrolled under (f) of this section. (b) A recipient is not eligible to receive Community First Choice services while

(1) in a location identified in 7 AAC 127.075(b); or

(2) receiving services under 7 AAC 125.010 — 7 AAC 125.199. (c) A recipient enrolled in the Community First Choice services program is eligible to receive other Medicaid services for which the recipient is otherwise eligible. (d) For the department to determine whether an individual is eligible for Community First Choice services under this section, the individual must require a level of care provided in one of the following:

(1) a nursing facility, as determined under 7 AAC 130.215;

(2) an intermediate care facility for individuals with intellectual disabilities, as