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recipient at home. To be paid as continuous home care, a minimum of eight hours of care described in 42 C.F.R. 418.204, adopted by reference in 7 AAC 160.900, must be provided in each 24-hour period, and may be supplemented with homemaker and home health aide services; more than half of the continuous home care hours must be nursing care. If care less skilled than nursing services is required on a continuous basis to maintain the recipient at home, that care will be paid as routine home care. (g) The interdisciplinary group required by (d) of this section must include a doctor of medicine or osteopathy, a registered nurse, a social worker, and a counselor. (Eff. 2/1/2010, Register 193) Statutory Authority: Authority: AS 47.05.010 AS 47.07.030 AS 47.07.040 7 AAC 140.280. Hospice care for individuals under 21 years of age. (a) Except as otherwise provided in this section, the department may enroll a hospice care provider and pay for hospice care services for a recipient under 21 years of age in the same manner as in 7 AAC 140.270 — 7 AAC 140.275 and 7 AAC 145.690. In addition to satisfying the requirements in 7 AAC 140.275, and no earlier than 12 months before hospice care services begin, the recipient must have had an EPSDT screening that meets the requirements in 7 AAC 110.205 for coverage. (b) In addition to the hospice care services eligible for payment under 7 AAC 140.275(c), a recipient under 21 years of age may receive private-duty nursing services rendered by or under the supervision of a registered nurse in a recipient’s home. The department will pay for those private-duty nursing services provided in a recipient’s home at the in-state rate established under 7 AAC 145.250. The department will not pay for out-of-state private-duty nursing services under this section. (Eff. 2/1/2010, Register 193) Statutory Authority: Authority: AS 47.05.010 AS 47.07.030 AS 47.07.040