Section 7 AAC 127.060 - Responsibilities of personal care assistants providing Community First Choice personal care services(a) A personal care assistant employed by an agency providing Community First Choice personal care services shall maintain, for Medicaid billing purposes, a contemporaneous record of services provided to each recipient. The record must include (1) a copy of the service level authorization (A) signed by, or bearing the legal mark of, the recipient, the recipient's representative, or the representative's designee appointed in accordance with 7 AAC 127.115(c); and(B) signed by the department;(2) a copy of the support plan (A) signed by, or bearing the legal mark of, the recipient, the recipient's representative, or the representative's designee appointed in accordance with 7 AAC 127.1 15(c); and(B) signed by the department;(3) documentation of services performed under the support plan, including case notes;(4) a copy of any amendments to the recipient's support plan prepared under 7 AAC 127.039 and approved by the department;(5) timesheets that indicate(A) the dale, lime, and length of each visit, and the services provided during each visit; and(B) for each visit, the signature or legal mark of the recipient, the recipient's representative, or the representative's designee appointed in accordance with 7 AAC 127.115(c) verifying that the services were provided as reported by the personal care assistant.(b) If a recipient chooses to receive Community First Choice personal care services from another provider agency or personal cure assistant, the former provider agency or personal care assistant shall deliver the record required under (a) of this section to the appropriate Community First Choice services provider agency chosen by the recipient not more than two business days after the date of the change or discontinuation.(c) If a personal care assistant terminates employment, the personal care assistant shall deliver the record required under (a) of this section to the appropriate Community First Choice services provider agency not later than two business days after the date of termination.(d) A personal care assistant may not (1) accept payment in any form from a recipient for any Medicaid-reimbursable service; or(2) solicit clients for personal care services.(e) A personal care assistant shall keep all information concerning a recipient confidential in accordance with F.L. 104-191 (Health Insurance Portability and Accountability Act of 1996).(f) A personal care assistant is subject to the reporting requirements of AS 47.17.020 and AS 47.24.010.(g) If a personal care assistant is charged with, convicted of, found not guilty by reason of insanity for. or adjudicated as a delinquent for a bamer crime listed in 7 AAC 10.905, (1) the personal care assistant shall inform the Community First Choice services provider agency not more than 24 hours, or not later than close of business the next business day, whichever is sooner, after the date that the personal care assistant was charged, convicted, found not guilty by reason of insanity, or adjudicated as a delinquent; and (2) the Comnunity First Choice services provider agency shall notify the department as required under 7 AAC 10.925(b).(h) A personal care assistant shall notify the Community First Choice services provider agency not more than 10 days after a change in the personal care assistant's (2) license, certification, or registration status; or(3) mailing address, physical address, or telephone number.(i) In this section, "case notes" means progress notes documented after or as services are provided, that (1) include the dale, time in and time out, activities provided, and how the recipient responded to care;(2) identify any changes, improvement, or decline in the recipient's health, safety, or welfare, including changes in physical or mental conditions;(3) are dated and signed by the personal care assistant who provided the services; and(4) are contained in and retained as part of the recipient's service record.Eff. 10/1/2018, Register 227, October 2018Authority:AS 47.05.010
AS 47.07.030
AS 47.07.036
AS 47.07.040