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7 AAC 130.275. Intensive active treatment services. (a) The department will pay for intensive active treatment services

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

(A) adults with physical and developmental disabilities;

(B) individuals with intellectual and developmental disabilities, 21 years of age and older;

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

(3) that receive prior authorization; and

(4) for which the professional providing or supervising the services

(A) assesses the recipient’s need for services for a problem or disorder specified in (b)(2) of this section;

(B) develops a written plan for time-limited treatment or therapy that addresses that problem or disorder, including an estimated number of units of service, if any, reserved for distance delivery; distance delivery may not be more than 10 percent of the total authorized units of service; and

(C) in addition to the written plan, submits documentation to the department indicating that the recipient needs immediate intervention for that problem or disorder, and that the problem or disorder, if left untreated, would place the recipient at risk of institutionalization. (b) The department will consider a service to be an intensive active treatment services if the service

(1) provides specific treatment or therapy that will maintain or improve the ability of the recipient to function effectively;

(2) is in the form of time-limited interventions that address

(A) the recipient’s personal, social, behavioral, or mental problem;

(B) the recipient’s substance use disorder; or

(C) a family problem related to the recipient’s problem or disorder;

(3) requires the knowledge possessed only by professionals specially trained in specific disciplines, and the services of those professionals are not otherwise covered as Medicaid