Alaska Administrative Code › Title 7 - Health and Social Services › Part 8 - Medicaid Coverage and Payment › Chapter 140 - Medicaid Coverage; Facility and Facility-Based Services › Article 7 - Nursing Facility Services: ICF and SNF › 7 AAC 140.575 - Recipient personal funds and personal property

Current through May 31, 2024
(a) A recipient has
				  the right to manage the recipient's personal funds unless the recipient has
				  been adjudicated incapacitated or the recipient's incapacity has been
				  established in accordance with
				  AS
				  13.26.353, or the recipient has had a full
				  guardian appointed under
				  AS
				  13.26.116 or a conservator appointed under
				  AS
				  13.26.165. A recipient or a recipient's
				  representative may delegate holding, safeguarding, accounting, or managing
				  responsibilities to a nursing facility. If a recipient or a recipient's
				  representative delegates holding, safeguarding, accounting, or managing
				  responsibilities to a nursing facility, the nursing facility shall make the
				  account required under 42
				  C.F.R. 483.10(c), adopted by
				  reference in
				  7 AAC 160.900, available to the recipient. The account
				  may be used to hold the recipient's personal funds, including the amount set
				  aside for the recipient's personal needs allowance under
				  7 AAC 100.558. Recipient personal funds may be used to
				  purchase personal incidental items, supplies, or services not otherwise
				  furnished by the nursing facility or covered by Medicaid.
(b) If a recipient delegates holding,
				  safeguarding, accounting, or managing responsibilities to the nursing facility
				  under (a) of this section, the nursing facility must
(1) have on file a copy of a written
				  delegation;
(2) provide a written
				  receipt to the recipient each time the facility receives the recipient's
				  personal funds;
(3) deposit the
				  personal funds in a bank in a separate account, apart from any other bank
				  account or accounts of the facility; if any interest is earned on the account,
				  the interest must be apportioned in accordance with the amount of the
				  recipient's personal funds;
(4)
				  maintain an account record for the recipient; the account record must show in
				  detail, with supporting verification, the amount of personal funds received or
				  disbursed on behalf of the recipient;
(5) without charge, provide to a recipient at
				  least quarterly, an accounting of financial transactions made on the
				  recipient's behalf;
(6) notify the
				  recipient and the department when the recipient's accumulated personal funds
				  exceed $1,500;
(7) make the
				  recipient's personal funds available to the recipient upon request during
				  normal banking hours;
(8) require a
				  list of purchased items, including a description and price, and a receipt, for
				  all items purchased by any person shopping for the recipient, including
				  facility staff, an aide, a volunteer, a department employee, and a family
				  member; and
(9) get permission from
				  the recipient or the recipient's representative before withdrawing any amount
				  from the recipient's personal funds.