Page 2578

(c) The department will not pay a provider for any activity or service that is not specified in 7 AAC 127.040 and identified in a recipient’s support plan as approved by the department. (d) A recipient’s Community First Choice personal care service level authorization or an amendment to a Community First Choice personal care service level authorization developed under 7 AAC 127.095 will not take effect until approved by the department. (e) The department may authorize Community First Choice personal care services for a specific length of time, not to exceed a 12-month period. (Eff. 10/1/2018, Register 227) Statutory Authority: Authority: AS 47.05.010 AS 47.07.036

AS 47.07.030 AS 47.07.040 7 AAC 127.095. Amendments to service level authorization for Community First Choice personal care services. (a) The department will increase or reduce the time authorized for Community First Choice personal care services before the end of a recipient’s current authorization period if the department determines that

(1) a recipient has experienced a change that alters the recipient’s need for assistance with ADLs, IADLs, or other covered services after the recipient’s last assessment or amendment to the service level authorization;

(2) the recipient’s living environment, support services, or informal supports or caregivers changed after the recipient’s last assessment; or

(3) the recipient received Community First Choice services that are no longer authorized under 7 AAC 105 — 7 AAC 160. (b) To request an amendment to a service level authorization before the end of the recipient’s current authorization period, the recipient’s personal care services agency shall

(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