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7 AAC 145.540. Home and community-based waiver services; residential psychiatric treatment center level-of-care payment rates. Repealed. (Eff. 2/1/2010, Register 193; repealed 11/3/2012, Register 204) 7 AAC 145.545. Exceptional changes to payment rates for personal care services, Community First Choice services, long-term services and supports targeted case management services, and home and community-based waiver services. (a) If application of the methodology in the department’s Rate-Setting Methodology for Personal Care Services, Community First Choice Services, Long-Term Services and Supports Targeted Case Management Services, and Waiver Services, adopted by reference in 7 AAC 160.900, results in a rate in the Chart of Personal Care Services and Community First Choice Services Rates, Chart of Long-Term Services and Supports Targeted Case Management Services Rates, or Chart of Waiver Services Rates, adopted by reference in 7 AAC 160.900, that does not allow reasonable access to quality care provided by an efficiently and economically managed provider, the department may increase the rate if

(1) the department finds by clear and convincing evidence that the rate established using the department’s Rate-Setting Methodology for Personal Care Services, Community First Choice Services, Long-Term Services and Supports Targeted Case Management Services, and Waiver Services, adopted by reference in 7 AAC 160.900, does not allow for reasonable access to quality care provided by an efficiently and economically managed provider; and

(2) increasing the rate is in the public interest. (Eff. 3/1/2018, Register 225; am 10/1/2018, Register 227; am 5/1/2023, Register 246) Statutory Authority: Authority: AS 47.05.010 AS 47.07.036 AS 47.07.045

AS 47.07.030 AS 47.07.040 Article 8. Payment Rates; Behavioral Health Services. Rule