Alaska Administrative Code › Title 7 - Health and Social Services › Part 8 - Medicaid Coverage and Payment › Chapter 130 - Medicaid Coverage; Home and Community-Based Waiver Services › Article 2 - Home and Community-Based Waiver Services; Nursing Facility and ICF/MR Level of Care › 7 AAC 130.270 - Employment services

Current through May 31, 2024
(a) The department will pay for employment
				  services if they are
(1) provided in
				  accordance with the department's
Employment Services Conditions of
				  Participation
, adopted by reference in
				  7 AAC 160.900;
(2) provided to a recipient in one of the
				  following recipient categories:
(A) children
				  with complex medical conditions;
(B) adults with physical and developmental
				  disabilities;
(C) individuals with
				  intellectual and developmental disabilities;
(3) are provided in person or using distance
				  delivery that is justified and approved in a support plan to a recipient
				  individually or as a member of a group; the units of service requested for
				  distance delivery
(A) may not be more than 10
				  percent of the total units of employment services approved for a plan year;
				  and
(B) must be justified and
				  approved in the recipient's support plan;
(4) approved under
				  7 AAC 130.217 as part of the recipient's support plan; if a
				  recipient is under 22 years of age, the support plan must document that the
				  employment services do not duplicate or supplant educational services for which
				  a recipient is eligible under 4 AAC 52;
(5) planned, if in the case of a recipient
				  who is self-employed, to help the recipient earn an income that is comparable
				  to the income received by other people who are not individuals with
				  disabilities, who are self-employed in similar occupations or in similar tasks,
				  and who have similar training, experience, and skills;
(6) in compliance with
				  29 U.S.C.
				  794g (
				  sec.
				  458,
				  P.L.
				  113-128 (Workforce Innovation Opportunity Act)),
				  that limits the use of a subminimum wage;
(7) provided to the recipient because the
				  recipient's disability requires intensive support and training to perform in a
				  work setting;
(8) based on the
				  recipient's abilities, interests, priorities, and career goals, determined
				  through a person-centered planning process that includes a review of the
				  recipient's relevant medical, social, educational, and other records;
(9) provided in decreasing amounts over time,
				  as the recipient meets the specific service outcomes and employment-related
				  goals identified in the person-centered support plan;
(10) provided with the primary objective and
				  expected outcome of the recipient becoming gainfully employed, as defined in
				  AS
				  23.15.095,
(A) in an integrated workplace where
				  recipients work with and alongside individuals without disabilities;
				  and
(B) for compensation at or
				  above the minimum wage and not less than the compensation paid by the employer
				  for the same or similar work performed by an individual is not
				  disabled;
(11) provided
				  in a manner that protects the recipient's health, safety, and welfare;
				  and
(12) services for which the
				  department has given prior authorization.