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revised as of January 2003;

(18) the Specialized Medical Equipment Fee Schedule, dated January 25, 2019, for home and community-based waiver services and Community First Choice Services;

(19) the State of Alaska, Department of Health, Behavioral Health Inpatient Psychiatric Review Provider Manual, revised as of October 2015;

(20) Medicaid Hospital and Long-Term Care Facility Reporting Manual, dated August 22, 2022;

(21) Medicaid Log of Uninsured Care Reporting Form, dated February 26, 2002;

(22) the Handicapping Labiolingual Deviation (HLD) Index Report, revised as of October 2010;

(23) repealed 12/1/2022;

(24) the Alaska Geographic Differential Study 2008, Table I-1, dated April 30, 2009;

(25) the Cost Survey andCost Survey Instructions, dated August 18, 2022, for providers of personal care services under 7 AAC 125.010 — 7 AAC 125.199 and home and community-based waiver services under 7 AAC 130;

(26) repealed 6/30/2021;

(27) repealed 4/24/2020;

(28) repealed 4/24/2020;

(29) the Personal Care Services: Service Level Computation, revised as of June 2, 2017;

(30) the Certificate to Request Funds for Abortion, revised as of December 2013;

(31) repealed 3/31/2021;

(32) the Adult Day Services Conditions of Participation, dated September 5, 2017;

(33) the Care Coordinator Certification Application, dated May 2, 2013;

(34) the Care Coordination Services and Long Term Services and Supports Targeted Case Management Conditions of Participation, dated July 1, 2022;

(35) the Community First Choice Chore Services Conditions of Participation, effective January 1, 2021;

(36) the Day Habilitation Services Conditions of Participation, dated July 1, 2022;

(37) the Developmental Disabilities (DD) Registration and Review form, dated January 4, 2018;

(38) the Material Improvement Reporting for ALI/APDD Waivers, dated May 2, 2013;