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community-based waiver service under this chapter; and

(3) if nursing oversight and care management services are to be provided, a nursing plan in accordance with 7 AAC 130.235 is included. (c) Not later than 30 business days after the department receives the complete support plan, the department will notify the recipient, the recipient’s representative, and the recipient’s care coordinator of the department’s approval or disapproval of specific services. (d) A recipient’s care coordinator shall

(1) prepare an amendment to the recipient’s support plan if

(A) a modification is required to meet the recipient’s needs because of a change of circumstances related to the health, safety, and welfare of the recipient; or

(B) the recipient needs an increase or decrease in the number of service units approved under (a) — (c) of this section or in a prior amendment to the support plan;

(2) secure the signature, either in person or electronically, of

(A) the recipient or recipient’s representative indicating that the recipient or recipient’s representative agrees to the plan of care amendment; and

(B) a representative of each provider of services that are modified by the amendment indicating the provider agrees to render the services as specified in the plan of care amendment; and

(3) submit the support plan amendment to the department not later than 10 business days after the date of a change in circumstances or a change in the number of service units, unless the care coordinator has submitted to the department written documentation of unusual circumstances that prevent timely completion of a support plan amendment, and the department has approved a later submission date. (e) Not later than 30 business days after the department receives a complete support plan amendment, the department will notify the recipient, the recipient’s representative, and the recipient’s care coordinator of the department’s approval or disapproval of specific services. (Eff. 7/1/2013, Register 206; am 7/1/2015, Register 214; 11/5/2017, Register 224; am 10/1/2018, Register 227; am 3/31/2021, Register 238; am 9/18/2022, Register 243) Statutory Authority: Authority: AS 47.05.010 AS 47.07.040

AS 47.07.030 AS 47.07.045