(a) To be eligible for payment under 7 AAC 105 - 7 AAC 160 for providing a targeted case management service to a justice-involved youth,

1. (1) a provider must be enrolled in accordance with 7 AAC 105.210, and must provide documentation of at least one year of experience in

   1. (A) effective work with individuals reentering the community from a public institution; the work must demonstrate the provider's ability to provide the core elements of case management, including

      1. (i) comprehensive assessment and periodic reassessment of an individual's needs; and
      2. (ii) developing, implementing, coordinating, and administering reassessment of an individualized service plan;
   2. (B) coordinating and linking community medical, social, and other resources as required by the target population identified in (b) of this section; and
   3. (C) working with the target population identified in (b) of this section; or
2. (2) the provider must be an employee of the state who provides case management within the Department of Corrections or Department of Family and Community Services.

(b) The department will pay a provider for a targeted case management service provided to a justice-involved youth under 7 AAC 105.110(6)(B) for

1. (1) up to 30 hours during the time period

   1. (A) beginning 30 days before the recipient's release from incarceration as an inmate of a public institution; and
   2. (B) ending 30 days after the recipient's release from incarceration as an inmate of a public institution; and
2. (2) additional hours if the department gives prior authorization based on medical justification submitted by the provider.

(d) A targeted case management service provided to a justice-involved youth may include

1. (1) comprehensive assessment and periodic reassessment of individual needs, to determine the need for a medical, educational, social, or other service;
2. (2) development and periodic revision of an individualized service plan based on the information collected through the assessment;

3. (3) referral and related activities, including

   1. (A) scheduling appointments to help the eligible individual obtain needed services; and
   2. (B) activities to help link the eligible individual with medical, social, and educational providers or other programs and services that may provide needed services to address identified needs and achieve goals specified in the service plan; or
4. (4) monitoring and follow-up activities, including activities and contacts that are necessary to ensure that the service plan is effectively implemented and adequately addresses the needs of the eligible individual during the covered period of the targeted case management service.