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(A) shelter, food, household maintenance, encouragement, and assistance to the residents;

(B) guidance as necessary in activities of daily living;

(C) social and recreational activities and opportunities; and

(D) arrangements made to secure medical services when the need is indicated;

(74) “residential psychiatric treatment center” means a freestanding facility that

(A) provides residential child care and inpatient psychiatric services for the diagnosis and treatment of child and adolescent mental, emotional, or behavioral disorders;

(B) is licensed under AS 47.32;

(C) meets the requirements of 7 AAC 140.400; and

(D) is not a provider eligible for payment under 7 AAC 150;

(75) “respite care” means care provided to an individual for the purpose of relief of family members or other regular care providers in the home, except for personal care assistants;

(76) “rural health clinic” means a facility that has filed an agreement with the department to provide rural health clinic services under Medicaid;

(77) “RVU” means relative value unit;

(78) “service” means a medical evaluation or procedure, drug, medical supply, item, equipment, transportation, or other benefit related to an individual’s health or delivery of health care;

(79) “skilled nursing facility” has the meaning given in 42 U.S.C. 1395i-3(a);

(80) “SNF” means a skilled nursing facility;

(81) “tribal health program” means a hospital, clinic, or other type of health care facility or program operated by

(A) the United States Department of Health and Human Services, Indian Health Service;

(B) an Indian tribe as defined in 25 U.S.C. 450b(e) and 458aaa(b);

(C) a tribal organization as defined in 25 U.S.C. 450b( l); or

(D) an inter-tribal consortium as defined in 25 U.S.C. 458aaa(a)(5) or established by federal law;

(82) “utilization review” means the process of evaluating the appropriateness and efficient use of medical services and facilities, including admission criteria, length of stay, and