Page 2572
total time authorized in accordance with 7 AAC 127.090. (b) The department will not pay for Community First Choice personal care services in the following locations:
(1) a licensed skilled nursing or intermediate care facility or hospital;
(2) a licensed intermediate care facility for individuals with an intellectual disability or related condition (lCF/IDD);
(3) an assisted living home licensed under AS 47.32;
(4) an unlicensed residential setting that the department determines to fall within the definition of an assisted living home under AS 47.32.900;
(5) a residence where Community First Choice personal care services are provided under a contractual agreement;
(6) a general acute care hospital;
(7) an institution providing psychiatric services for individuals under 21 years of age, under 7 AAC 127.025(e);
(8) an institution for mental diseases for individuals 65 years of age and over, under 7 AAC 127.025(e). (c) The department will pay for Community First Choice personal care services for a recipient during a recipient’s temporary absence from the recipient’s community when the recipient travels to another location within the state or to a destination in another state if
(1) the services are requested before travel and are approved by the department in the service level authorization;
(2) the services are necessary to maintain the recipient’s current level of functioning, and the temporary absence is justified as
(A) medically necessary, as documented by a licensed physician that is qualified to practice under AS 08.64 or 7 AAC 105.200(c);
(B) an educational opportunity of limited duration that is not available in the recipient’s community or in the state, and that will further the recipient’s capacity for vocational or professional employment; or
(C) a vacation;
(3) the recipient’s need for assistance with ADLs, IADLs, and other covered services during the travel period can be met only by a Community First Choice personal care assistant;
(4) the services to be provided during the recipient’s temporary absence are the same as those provided when the recipient is in the recipient’s community;