1. (a) After establishing initial Medicaid eligibility, the department will determine if a recipient must pay a portion of the cost of the recipient's long-term care services or home and community-based waiver services. If a recipient or a recipient's representative, on behalf of the recipient, fails to pay the cost-of-care liability for home and community-based waiver services, the department may terminate the recipient's eligibility for home and community-based waiver services.

2. (b) The post-eligibility requirements of 7 AAC 100.550 - 7 AAC 100.579 apply to an individual

   1. (1) residing in a medical institution and receiving long-term care services, except for an SSI or APA recipient who receives SSI or APA

      1. (A) cash benefits because the individual is temporarily institutionalized for a period of 90 days or less; or
      2. (B) personal needs payments under 7 AAC 40.390; or
   2. (2) receiving home and community-based waiver services and who is determined eligible for Medicaid under 7 AAC 100.002(d)(4) or (8).

(Eff. 7/20/2007, Register 183; am 8/1/2020, Register 235)

Authority: AS 47.05.010, AS 47.07.020, AS 47.07.040