Page 2822

facility who applies while in the facility; and

(2) submits annually, for each state fiscal year and on a form approved by the department, a request for ICF/IID authorization that, for

(A) the first request, explains the reason for admission and provides a detailed summary of the recipient’s habilitative plan of care developed as required in 7 AAC 140.610(a); and

(B) subsequent requests, provides a detailed summary of the reevaluation of the recipient as required in 7 AAC 140.610(c). (c) In determining whether a recipient qualifies under this section for ICF/IID services, the department will base its decision on the determination of a qualified intellectual disability professional within the department that the recipient meets the functional criteria in (d) of this section, and that the recipient has at least one of the following conditions:

(1) intellectual or developmental disability that meets the diagnostic criteria for code 317 or 318.0, 318.1, or 318.2, as set out in the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders, adopted by reference in 7 AAC 160.900; the recipient must have an intelligence quotient of 70 points or less as determined by an individual, standardized psychological evaluation, plus up to five points to account for any measurement error;

(2) a condition that is

(A) one other than mental illness, psychiatric impairment, or a serious emotional or behavioral disturbance; and

(B) found to be closely related to intellectual or developmental disability because that condition results in impairment of general intellectual functioning and adaptive behavior similar to that of individuals with intellectual or developmental disabilities; the condition must be diagnosed by a licensed physician and require treatment or services similar to those required for individuals with intellectual or developmental disabilities;

(3) cerebral palsy that is diagnosed by a licensed physician; however, a deficit in intellectual ability need not be present;

(4) seizure disorder that is diagnosed by a licensed physician; however, a deficit in intellectual ability need not be present;

(5) autism that has been diagnosed by a mental health professional clinician and that meets the diagnostic criteria for code 299.00, as set out in the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders, adopted by reference in 7 AAC 160.900. (d) Each condition identified in (c) of this section must

(1) have originated before the age of 22 years;