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7 AAC 130.213. Assessment and interim level-of-care-review. (a) If an application under 7 AAC 130.211 and supportive diagnostic documentation reasonably indicate the need for services described in 7 AAC 130.211(a), the department will conduct an assessment of the applicant’s physical, emotional, and cognitive functioning to determine the
(1) recipient category under 7 AAC 130.205(d) for which the applicant is eligible; and
(2) level of care under 7 AAC 130.215 that the applicant requires. (b) If the department determines that an applicant meets the level-of-care requirement under 7 AAC 130.215, the department will send notice to the care coordinator for development of a support plan in accordance with 7 AAC 130.217 and 7 AAC 130.218. (c) To request an evaluation to determine whether a recipient has a continuing need for home and community-based waiver services, the recipient must submit a new application with current information in accordance with 7 AAC 130.207 not later than 90 days before the expiration of the period covered by the preceding level-of-care approval. The recipient must submit a new application in order to continue receiving home and community-based services after the expiration of the previous period. (d) For recipients enrolled in the recipient categories specified in 7 AAC 130.205(d)(1), (2), and (4), the department will
(1) evaluate the recipient to determine if the recipient continues to meet the eligibility requirements of 7 AAC 130.205(d) and level-of-care requirement under 7 AAC 130.215 by conducting
(A) an assessment for