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(1) either
(A) assess the recipient to determine if the recipient continues to meet the eligibility requirements of 7 AAC 130.205(d)(3) and the level-of-care requirement under 7 AAC 130.215(3); the department will schedule an assessment based on the age of the recipient or earlier if the department determines it necessary, as follows:
(i) annually for recipients at least three years of age and under seven years of age;
(ii) as necessary for recipients seven years of age or older; or
(B) conduct an interim level-of-care review for each year an assessment is not conducted and confer with the care coordinator for the recipient, to confirm that the recipient continues to meet the level-of-care requirement; if the interim level-of-care review indicates that there has been a material change in the recipient’s condition, the department will conduct an assessment; and
(2) after an assessment or interim level-of-care review under this subsection, notify the recipient, the recipient’s representative, and the recipient’s care coordinator of the department’s determination. (f) If the department finds, based on an assessment under this section, that the recipient no longer requires the level of care described in 7 AAC 130.215, the department will
(1) forward the assessment for review by an independent qualified health care professional in accordance with AS 47.07.045(b) and 7 AAC 130.219(e)(4); and
(2) notify the recipient and the recipient’s care coordinator of the referral and extension of the notification timeframe under 7 AAC 130.207(c)(3). (g) If the department determines that translation services for a non-English speaking applicant or interpretation services for a deaf applicant are necessary for an assessment under this section, the department will secure and pay for those services. (h) The department may schedule and conduct an assessment by teleassessment for an applicant or recipient who submits to the department an application in accordance with 7 AAC 130.207. If the department selects an applicant or recipient for a teleassessment, the department may request that the applicant or recipient provide information to the department about the residential setting of the applicant or recipient before the teleassessment is scheduled. (Eff. 7/1/2013, Register 206; am 7/1/2015, Register 214; am 11/5/2017, Register 224; am 3/31/2021, Register 238; am 1/22/2023, Register 245) Statutory Authority: