Page 2685

under 7 AAC 130.255;

(20) “risk of institutionalization” means it is likely that the recipient’s current condition would require the recipient to be relocated, within the support plan year, from the recipient’s current residence to an acute care hospital, nursing facility, or intermediate care facility for individuals with intellectual disabilities;

(21) “teleassessment” means the use of audio, visual, or data communication methods to complete an assessment;

(22) “distance delivery”

(A) means a face-to-face interaction between a recipient and a provider, using a secure web-based platform that is compliant with P.L. 104-191 (Health Insurance Portability and Accountability Act of 1996 (HIPAA));

(B) does not include the use of a telephone without a video component;

(23) “material change in condition” means an alteration in the applicant’s health, behavior, or functional capacity of sufficient significance that the department is likely to reach a different decision regarding the applicant’s need for home and community-base waiver services. (Eff. 2/1/2010, Register 193; am 11/3/2012, Register 204; am 7/1/2013, Register 206; am 7/1/2015, Register 214; am 11/5/2017, Register 224; am 10/1/2018, Register 227; am 10/1/2020, Register 235; am 3/31/2021, Register 238; am 9/18/2022, Register 243; am 1/22/0023, Register 245) Statutory Authority: Authority: AS 47.05.010 AS 47.07.030 AS 47.07.040 Chapter 135. Medicaid Coverage; Behavioral Health Services. Article 1. Scope; Eligibility; Enrollment; Authorization (7 AAC 135.010 — 7 AAC 135.065) 2. Medicaid Behavioral Health Services (7 AAC 135.100 — 7 AAC 135.370) 3. Residential Behavioral Rehabilitation Services (7 AAC 135.800) 4. General Provisions (7 AAC 135.900 — 7 AAC 135.990) Article 1. Scope; Eligibility; Enrollment; Authorization. Rule 7 AAC 135.010. Scope of Medicaid behavioral health services