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(1) are provided to a recipient 21 years of age or older that meets the requirements of 7 AAC 110.525(a)(2) — (4) and that is in one of the following recipient categories:

(A) adults with physical and developmental disabilities;

(B) individuals with intellectual and developmental disabilities;

(C) older adults or adults with physical disabilities;

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

(3) receive prior authorization. (b) The department will consider services to be specialized private-duty nursing services if the services

(1) provide individualized care that is tailored to the specific needs of the recipient on a part-time, intermittent, or continuous basis;

(2) are provided by an individual licensed under AS 08.68 other than a certified nurse aide;

(3) are prescribed by a physician, a physician assistant, or an advanced practice registered nurse, licensed under AS 08, that specifies in writing the scope of care to be provided, including the type, frequency, and duration of that care; and

(4) are included in the recipient’s support plan. (c) The department will not pay for a service as a specialized private-duty nursing service if

(1) the service does not meet the requirements and limitations of 7 AAC 110.520 — 7 AAC 110.530; or

(2) an individual that is an employee of the home and community-based waiver services provider is not enrolled individually and separately in accordance with 7 AAC 110.520(b). (d) A provider of specialized private duty nursing services under this section shall use an electronic visit verification (EVV) system that is either provided or approved by the department. If a provider decides to use its own EVV system or vendor, that system must include at the time of service delivery, and report to the state’s EVV system, the following data:

(1) the name of the agency;

(2) the identity of the rendering provider;

(3) the identity of the recipient;

(4) the location of the service;

(5) the date of the service;