Section 7 AAC 127.045 - Community First Choice excluded services(a) Community First Choice personal care services do not include (1) application of dressings involving prescription medication and aseptic techniques, except as allowed under 7 AAC 125.030(d)(3);(2) invasive body procedures, including (A) tracheostomy care, deep suctioning, and care and maintenance of intravenous equipment;(B) tube feedings, except as allowed under 7 AAC 125.030(b)(5)(B);(C) insertion or removal of catheters or the administration of enemas;(D) injection of medication and administration of medication, except as provided under 7 AAC 125.030(d)(1);(3) cleaning an area not used directly by the recipient, home maintenance, or pet care, except care for a certified service animal under 7 AAC 125.030(c)(3)(F);(4) an activity that the department determines could be performed by the recipient except as provided under 7 AAC 127.040(a)(2)(B) and (C);(5) respite care to relieve a member of the recipient's household, a family member, or a caregiver from the responsibility of caring for the recipient;(6) an activity that is not included in the recipient's service level authorization approved under 7 AAC 127.090;(7) care of other members of the recipient's household, baby sitting, or social visitation;(8) services provided under 7 AAC 130;(9) monitoring of equipment;(10) an activity that supplants or duplicates assistance offered by an individual organization without charge;(11) an activity for which payment for performance of that activity is the responsibility of a third party;(12) assistance with an lADL under 7 AAC 125.030(c) that (A) is the responsibility of an immediate family member; or(B) duplicates services that other recipients living in the same residence receive as assistance with IADLs under this section, 7 AAC 125, or similar services under 7 AAC 127.087, and those services are sufficient to maintain a clean, sanitary, and safe environment for all recipients in that residence; however, the department may authorize assistance with an IADL that duplicates services if it is justified as necessary for the health, safety, and welfare of a recipient;(13) assistance with an activity that is a parental responsibility for a minor recipient, and that, if not provided, would be considered neglect of a child under AS 47.10.014;(14) range-of-motion exercise, walking exercise, or other types of exercise, except for passive range-of-motion as specified in 7 AAC 125.030(d)(5); or(15) any activity not specified in 7 AAC 127.040.(b) The department will not make separate payment for Community First Choice personal care services under this chapter, if a recipient receives residential habilitation services as in-home support habilitation services under 7 AAC 130.265(h).(c) A recipient that is eligible for both Community First Choice chore services under 7 AAC 127.087 and for Community First Choice personal care services under 7 AAC 127.040(a)(2) must choose to receive chore services or to have similar activities performed as Community First Choice personal care services. Eff. 10/1/2018, Register 227, October 2018; am 1/1/2021, Register 236, January 2021Authority:AS 47.05.010
AS 47.07.030
AS 47.07.036
AS 47.07.040