Alaska Administrative Code › Title 7 - Health and Social Services › Part 8 - Medicaid Coverage and Payment › Chapter 125 - Medicaid Coverage; Personal Care Services and Home Health Care Services › Article 1 - Personal Care Services › 7 AAC 125.040 - Personal care services; excluded services

Current through May 31, 2024
(a) 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 service animal
				  under
				  7 AAC 125.030(c)(3)(F);
(4) an activity that the department
				  determines could be performed by the recipient;
(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 125.024;
(7) care of other members of the recipient's
				  household, babysitting, or social visitation;
(8) services provided under 7 AAC 130
				  (Medicaid coverage; home and community-based waiver services);
(9) supervision, except for supervision under
				  7 AAC 125.030(b)(5)(C);
(10) oversight or standby
				  functions;
(11) monitoring of
				  equipment;
(12) an activity that
				  supplants or duplicates assistance offered by an individual or organization
				  without charge;
(13) an activity
				  for which payment for performance of that activity is the responsibility of a
				  third party;
(14) assistance with
				  an IADL under
				  7 AAC 125.030(c) that
(A) is the responsibility of the spouse of
				  the recipient, the parent of a minor child who is the recipient, or an
				  individual with a duty to support the recipient under state law,
(B) duplicates services that other recipients
				  living in the same residence receive as assistance with IADLs under this
				  section or similar services under 7 AAC 127.087, and those services arc
				  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;
(15) 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;
(16) 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
(17) any activity not specified in
				  7 AAC 125.030.