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(2) the department will certify a provider agency as a care coordination agency provider for care coordination services provided under 7 AAC 130.240; notwithstanding agency certification, each individual employed by that agency to provide care coordination services must be certified separately and individually in accordance with 7 AAC 130.238;

(3) the department will certify a provider agency as a residential supported-living services provider for residential supported-living services provided under 7 AAC 130.255. (b) To receive payment for home and community-based waiver services, a provider must enroll in the Medicaid program under 7 AAC 105.210 and must be certified under this section. To be certified by the department, a provider must submit, in a format provided by the department, a complete application, and

(1) to provide services at an in-state location, the provider must meet and comply with the applicable standards of certification criteria, including

(A) the provider qualifications and program standards, set out in the department’s Provider Conditions of Participation for Home and Community-Based Waiver Services and Community First Choice Chore Services, adopted by reference in 7 AAC 160.900; and

(B) for each service the provider plans to offer to recipients of home and community-based waiver services, 7 AAC 127.087 (choreservices) or the provisions of this chapter applicable to each service and the conditions of participation adopted by reference in 7 AAC 160.900 and applicable to that service; or

(2) to provide services at an out-of-state location,

(A) must meet all applicable Medicaid home and community-based waiver services certification and licensing requirements of the jurisdiction in which the provider is located;

(B) must meet all applicable Medicaid home and community-based waiver services provider qualification and program standards of that jurisdiction;

(C) may provide to a recipient only the services that the provider is certified to offer at that out-of-state location; at the request of the department, for each service that the provider will render to a recipient, the provider must verify the provider’s qualifications and capacity to provide the specified services to that recipient; and

(D) must submit critical incident reports to the department in accordance with 7 AAC 130.224. (c) The department will certify a provider who meets and complies with the standards of certification for a

(1) probationary certification of one year, during which the department will not certify an additional service under 7 AAC 125.010, 7 AAC 125.199, 7 AAC 127, and this chapter, or service location beyond those approved at the beginning of the probationary certification period,