Section 7 AAC 127.087 - Chore services(a) The department will pay for chore services that (1) comply with the department's (A)Provider Conditions of Participation for Home and Community-Based Waiver Services and Community First Choice Chore Services, adopted by reference in 7 AAC 160.900; and(B)Community First Choice Chore Services Conditions of Participation, adopted by reference in 7 AAC 160.900;(2) are approved under 7 AAC 127.039 or 7 AAC 130.217 as part of the recipient's support plan;(3) receive prior authorization; and(4) do not exceed 10 hours for each week during the period that a support plan is in effect, up to a maximum of 520 hours for a one-year support plan, except that if more than one recipient lives in the residence where services are to be provided, the department (A) will limit the number of hours to that necessary to maintain a clean, sanitary, and safe environment for each recipient; and(B) will base the number of hours allowed on (i) the degree to which the tasks listed in (b) of this section are necessary for each recipient or benefit all recipients in the residence;(ii) whether the services would duplicate services received by any recipient under this chapter, 7 AAC 125.010 - 7 AAC 125.199, or 7 AAC 130; and(iii) the justification for the number of hours provided in each recipient's support plan.(b) The department will consider the following tasks to be chore services: (1) routine cleaning within the recipient's residence;(2) performing heavy household chores, including (A) washing floors, windows, and walls;(B) securing loose rugs and tiles;(C) moving heavy items of furniture;(D) snow removal sufficient to provide safe access and egress for the recipient;(E) hauling water for use in the recipient's residence;(F) disposing of human excreta; and(G) chopping or collecting firewood, if firewood is used as the primary source of energy for heating, bathing, or cooking in the recipient's residence;(3) food preparation and shopping;(4) other tasks that the department determines necessary to maintain a clean, sanitary, and safe environment with respect to the recipient's residence.(c) The department will either deny or limit the time authorized for chore services if (1) an individual that lives in the recipient's home is responsible for performing the chores described in (b) of this section, and the individual is a member of the recipient's immediate family, an individual with a duty to support the recipient under state law, or a caregiver for the recipient;(2) a community or voluntary agency is willing to perform those chores for the recipient;(3) a third party is responsible for paying for the performance of those chores for the recipient;(4) the recipient's residence is a rental property, and the department determines those services to be the responsibility of the landlord under the lease or applicable law;(5) a provider certified under 7 AAC 127.050 to provide chore services designates an individual to provide chore services, and that individual resides in the same residence as the recipient of chore services; or(6) the recipient's meals are provided in a congregate setting or delivered to the recipient's residence.(d) If a recipient is eligible for chore services under this section and eligible for Community First Choice personal care services under this chapter, the recipient must choose to either receive the chore services described in this section or to have similar tasks performed as personal care services.(e) The department will not pay or may reduce the time for chore services allowed under (a)(4) of this section if (1) a recipient's performance of a task is planned as habilitation; or(2) a recipient's meals are provided in a congregate setting or delivered to the recipient's residence.Eff. 1/1/2021, Register 236, January 2021; am 10/16/2022, Register 244, January 2023Authority:AS 47.05.010
AS 47.07.030
AS 47.07.040