1. (a) Personal care services do not include

   1. (1) application of dressings involving prescription medication and aseptic techniques, except as allowed under 7 AAC 125.030(d)(3);

   2. (2) invasive body procedures, including

      1. (A) tracheostomy care, deep suctioning, and care and maintenance of intravenous equipment;
      2. (B) tube feedings, except as allowed under 7 AAC 125.030(b)(5)(B);
      3. (C) insertion or removal of catheters or the administration of enemas;
      4. (D) injection of medication and administration of medication, except as provided under 7 AAC 125.030(d)(1);
   3. (3) cleaning an area not used directly by the recipient, home maintenance, or pet care, except care for a service animal under 7 AAC 125.030(c)(3)(F);
   4. (4) an activity that the department determines could be performed by the recipient;
   5. (5) respite care to relieve a member of the recipient's household, a family member, or a caregiver from the responsibility of caring for the recipient;
   6. (6) an activity that is not included in the recipient's service level authorization approved under 7 AAC 125.024;
   7. (7) care of other members of the recipient's household, babysitting, or social visitation;
   8. (8) services provided under 7 AAC 130 (Medicaid coverage; home and community-based waiver services);
   9. (9) supervision, except for supervision under 7 AAC 125.030(b)(5)(C);
   10. (10) oversight or standby functions;
   11. (11) monitoring of equipment;
   12. (12) an activity that supplants or duplicates assistance offered by an individual or organization without charge;
   13. (13) an activity for which payment for performance of that activity is the responsibility of a third party;

   14. (14) assistance with an IADL under 7 AAC 125.030(c) that

       1. (A) is the responsibility of the spouse of the recipient, the parent of a minor child who is the recipient, or an individual with a duty to support the recipient under state law,
       2. (B) duplicates services that other recipients living in the same residence receive as assistance with IADLs under this section or similar services under 7 AAC 127.087, and those services are sufficient to maintain a clean, sanitary, and safe environment for all recipients in that residence; however, the department may authorize assistance with an IADL that duplicates services if it is justified as necessary for the health, safety, and welfare of a recipient;
   15. (15) assistance with an activity that is a parental responsibility for a minor recipient, and that, if not provided, would be considered neglect of a child under AS 47.10.014;
   16. (16) range-of-motion exercise, walking exercise, or other types of exercise, except for passive range-of-motion as specified in 7 AAC 125.030(d)(5); or
   17. (17) any activity not specified in 7 AAC 125.030.
2. (b) The department will not make separate payment for personal care services under 7 AAC 125.010 - 7 AAC 125.199, if a recipient receives residential habilitation services as in-home support habilitation services under 7 AAC 130.265(h).
3. (c) A recipient that is eligible for both Community First Choice chore services under 7 AAC 127.087 and personal care services under 7 AAC 125.030(c) must choose either to receive chore services or to have similar activities performed as personal care services.

(Eff. 2/1/2010, Register 193; am 1/26/2012, Register 201; am 11/3/2012, Register 204; am 7/1/2015, Register 214; am 7/22/2017, Register 223; am 1/1/2021, Register 236)

Authority: AS 47.05.010, AS 47.07.030