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(2) any modification to a residential facility that is owned or leased by a home and community-based waiver services provider;

(3) a general-utility adaptation, modification, or improvement to the existing residence, unless necessary to reduce the risk of serious injury or illness to the recipient and another practical modification is not available; for purposes of this paragraph, general-utility adaptations, modifications, or improvements include

(A) routine maintenance of, or improvements to, flooring, bathroom furnishings, roofing, appliances, and central air conditioning;

(B) heating system or sewer system replacement;

(C) changes or additions to cabinets or shelves that are not necessary to make the cabinet or shelf accessible or functional for a recipient as part of an environmental modification;

(4) an adaptation, modification, or improvement to the exterior of the dwelling, or to an outbuilding, yard, driveway, or fence, except for an adaptation, modification, or improvement to a door, exterior stairs, or a porch, if necessary for ingress or egress for the recipient;

(5) duplicate accessibility modifications to the same residence;

(6) a hot tub, spa, sauna, or permanently installed hydrotherapy device;

(7) an installed backup generator system;

(8) elevator installation, repair, or maintenance;

(9) a modification that

(A) supplants equipment or items already provided through any other means; and

(B) is primarily for the convenience of the recipient or caregiver. (k) Notwithstanding (a) of this section, the department will not pay for an environmental modification that has prior authorization if

(1) a recipient plans to move or has moved from a residence or has died; or

(2) a residence in which the recipient lives for any period of time is for sale. (Eff. 2/1/2010, Register 193; am 7/1/2013, Register 206; am 7/1/2015, Register 214; am 11/5/2017, Register 224; am 3/31/2021, Register 238) Statutory Authority: Authority: AS 47.05.010 AS 47.07.030 AS 47.07.040