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subject to the following limitations:

(1) a recipient’s care coordinator must demonstrate, to the department’s satisfaction in the recipient’s support plan developed under 7 AAC 130.217 and 7 AAC 130.218, that the following criteria were evaluated to determine that a family home habilitation services site is appropriate to provide services to the recipient:

(A) the needs of the recipient, including the need for specialized medical technology;

(B) the capacity of the primary caregiver to provide services for the specific needs of the recipient;

(C) the adequacy of the provider’s plan for primary caregiver training, recipient safety, service monitoring, and oversight regarding the number of individuals living at the site;

(D) the suitability of the physical site for the recipient;

(E) the number and the relationship to the primary caregiver of other individuals living at the site, and whether any medical conditions or behavioral characteristics of

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Page 2657

Official source

subject to the following limitations:

(1) a recipient’s care coordinator must demonstrate, to the department’s satisfaction in the recipient’s support plan developed under 7 AAC 130.217 and 7 AAC 130.218, that the following criteria were evaluated to determine that a family home habilitation services site is appropriate to provide services to the recipient:

(A) the needs of the recipient, including the need for specialized medical technology;

(B) the capacity of the primary caregiver to provide services for the specific needs of the recipient;

(C) the adequacy of the provider’s plan for primary caregiver training, recipient safety, service monitoring, and oversight regarding the number of individuals living at the site;

(D) the suitability of the physical site for the recipient;

(E) the number and the relationship to the primary caregiver of other individuals living at the site, and whether any medical conditions or behavioral characteristics of

(i)those individuals could create a risk to the health,…#

(i) those individuals could create a risk to the health, safety, and welfare of the recipient; and

(ii)the recipient could create a risk to the health,…#

(ii) the recipient could create a risk to the health, safety, and welfare of those individuals;

(F) the ability of other individuals living at the site to provide self-care;

(G) the degree to which any adults and children living at that site, regardless of whether those individuals receive any form of financial support from a public or private source, are dependent upon the primary caregiver for their health, safety, and welfare; and

(H) the nature of any complaints regarding the physical site, quality of care, the primary caregiver, or others living at the site, and how the provider certified in accordance with 7 AAC 130.220(a)(1)(E) resolved those complaints.

(2) the department will authorize payment for services in a family home habilitation services site for not more than three recipients, if each recipient was evaluated and approved to receive services in accordance with the criteria in this subsection, and unless the director of the departmental division responsible for home and community-based waiver services waives the limit on the number of recipients

(A) to allow siblings of the recipient to live at the same site; or

(B) because the provider certified in accordance with 7 AAC 130.220(a)(1)(E) demonstrates to the department’s satisfaction that the primary caregiver’s obligations to a larger number of individuals, including any adults or children dependent upon the caregiver, will not jeopardize the health, safety, and welfare of the recipient or other dependents; the director will