Section 7 AAC 140.525 - Transfer from hospital care to nursing facility care(a) This section applies only to a recipient in a general acute care hospital or inpatient psychiatric hospital who appears to require placement in a nursing facility.(b) The department will consider authorizing placement in a nursing facility under this section only if (1) the nursing facility placement of the recipient is cooperatively planned by the recipient's attending physician, the medical director of the nursing facility, relevant specialists, the director of nursing of the nursing facility, and the discharge coordinator of the general acute care hospital or inpatient psychiatric hospital;(2) the discharge coordinator and the director of nursing evaluate the level-of-care needs of the recipient; and(3) the nursing facility submits a preliminary evaluation establishing the need for nursing facility placement; the primary evaluation must be made by (A) the attending physician;(B) the director of nursing; and(C) any therapist, specialist, or other professional involved in planning for the care of the recipient.(c) The preliminary evaluation must be included with the request for nursing facility level-of-care authorization on the form provided by the department and include the information required in 7 AAC 140.505(b), unless the recipient is exempt from care plan counseling under 7 AAC 140.520(c).(d) The preliminary evaluation and authorization form must be sent by certified mail, facsimile transmission, or secure electronic transmission, to the department on or before the date of the recipient's admission to the nursing facility.(e) After evaluating the preliminary evaluation and authorization form, the department will either concur in the placement or request that the nursing facility supply additional information to support the level-of-care placement. If, after reviewing all additional information provided, the department does not find sufficient justification for continued placement in the nursing facility, the department will advise the facility that it has no more than 10 days after the date of notification to transfer or discharge the recipient. If the department approves the placement, the department will notify the facility of the length of the certification and the date on or before which the facility's utilization review committee must review the placement.Eff. 2/1/2010, Register 193Authority:AS 47.05.010
AS 47.07.030
AS 47.07.040