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1/1/2021, Register 236; am 3/31/2021, Register 238) Statutory Authority: Authority: AS 47.05.010 AS 47.07.030 AS 47.07.040 7 AAC 130.260. Day habilitation services. (a) The department will pay for day habilitation services that

(1) are provided to a recipient in one of the following recipient categories:

(A) children with complex medical conditions, if the recipient is three years of age or older;

(B) adults with physical and developmental disabilities:

(C) individuals with intellectual and developmental disabilities, if the recipient is three years of age or older;

(2) are provided in accordance with the department’s Day Habilitation Services Conditions of Participation, adopted by reference in 7 AAC 160.900;

(3) are approved under 7 AAC 130.217 and 7 AAC 130.218 as part of the recipient’s support plan; and

(4) receive prior authorization. (b) The department will consider habilitation services to be day habilitation services if the services

(1) are provided in a residential or community-based setting, to a recipient individually or as a member of a group; a day habilitation service may not duplicate a service provided in residential settings that bill for daily rate services;

(2) include round-trip transportation for the recipient between the recipient’s residence and the site where services are provided unless the recipient’s support plan reflects that other transportation will be provided;

(3) provide active teaching or training that assists the recipient to acquire, retain, or improve the self-help, socialization, and adaptive skills necessary to live independently, autonomously, and full integrated in home and community-based settings; the skills may additionally do one or more of the following: