Page 2662

(D) addresses how the acuity payment under this section would be used to improve management of the recipient’s physical condition or behavior; and

(2) the supporting evidence required under (d) or (e) of this section, as appropriate. (d) If the recipient needs the support described in (b)(2) of this section because of the recipient’s physical condition, in whole or in part, the request for additional services must include, in addition to the information required under (c) of this section,

(1) a copy of the recipient’s most recent medical evaluation conducted as part of an assessment under 7 AAC 130.213 specific to the recipient’s support plan under 7 AAC 130.217 and 7 AAC 130.218;

(2) a record of the recipient’s dates of hospital admission and discharge or of other medical interventions during the 30 days immediately preceding the date of the request;

(3) a copy of the recipient’s clinical record under 7 AAC 105.230(d)(6) documenting 24 hours of activity for each of the 30 days immediately preceding the date of the request; and

(4) a description of how administration of medication is managed, and how other recurring medical treatments are managed. (e) If the recipient needs the support described in (b)(2) of this section because of the recipient’s behavior, in whole or in part, the request for prior authorization must include, in addition to the information required under (c) of this section, a copy of the recipient’s

(1) most recent medical and psychological evaluations conducted as part of an assessment under 7 AAC 130.213 specific to the recipient’s support plan under 7 AAC 130.217 and 7 AAC 130.218; and

(2) clinical record under 7 AAC 105.230(d)(6) documenting 24 hours of activity for each of the 30 days immediately preceding the date of the request. (f) The department will not approve additional services under this section for more than 12 consecutive months. (g) The department may terminate authorization for services under this section at any time if the department verifies that the recipient’s physical condition or behavior no longer requires additional services under this section. (h) A provider who receives an acuity payment under this section shall

(1) provide workers to provide the services described in (b)(2) of this section; and

(2) ensure that at least one worker is awake at all times to provide those services. (Eff. 4/1/2012, Register 201; am 7/1/2013, Register 206; am 7/1/2015, Register 214; am 11/5/2017, Register 224; am 3/1/2018, Register 225; am 3/31/2021, Register 238) Statutory Authority: