Section 7 AAC 140.530 - Transfer from nonacute care to nursing facility care(a) This section applies only to a recipient who (1) already receives services in a nursing facility and who appears to require placement in another nursing facility; or(2) is in the recipient's home or other nonacute care setting and who appears to require placement in a nursing facility.(b) The department will consider authorizing placement in a nursing facility under this section based upon (1) the completed request for nursing facility level-of-care authorization, on the form provided by the department, and that includes the information required in 7 AAC 140.505(b); and(2) the nursing facility's utilization review committee's evaluation for the request for nursing facility authorization.(c) The department will evaluate the request for nursing facility level-of-care authorization and the recommendation of the nursing facility's utilization review committee and either concur in the placement or request that the utilization review committee review additional information to support the level-of-care decision. If the department does not find sufficient justification to continue placement in the nursing facility, the department will advise the facility that it has no more than 30 days after the date of notification to arrange for discharge or alternative placement of the recipient. If, at the end of the 30-day period, the recipient has not been discharged or transferred, payment to the facility will be made at the facility's intermediate care facility rate or the statewide weighted average intermediate care facility rate if the facility does not provide intermediate care. If, at the end of the 30-day period, the recipient has been recommended for discharge and the facility has not yet discharged the recipient, the department will terminate payment.Eff. 2/1/2010, Register 193Authority:AS 47.05.010
AS 47.07.030
AS 47.07.040