The department will determine an applicant's level of care as follows, and will provide notice to the applicant, the applicant's representative, and the applicant's care coordinator of the department's determination:

1. (1) for the recipient category of children with complex medical conditions, the department will determine, based on the results of the department's Nursing Facility Level of Care Assessment Form for Children, adopted by reference in 7 AAC 160.900, or an interim level-of-care review, whether

   1. (A) under 7 AAC 140.515 the applicant requires a level of care provided in a skilled nursing facility; or
   2. (B) under 7 AAC 140.510 the applicant requires a level of care provided in an intermediate care facility;

2. (2) for the recipient category of adults with physical and developmental disabilities, the department will determine, based on the results of the department's Consumer Assessment Tool (CAT), adopted by reference in 7 AAC 160.900, or an interim level-of-care review, whether the applicant has both a physical disability and a developmental disability, and whether

   1. (A) under 7 AAC 140.515 the applicant requires a level of care provided in a skilled nursing facility; or
   2. (B) under 7 AAC 140.510 the applicant requires a level of care provided in an intermediate care facility;

3. (3) for the recipient category of individuals with intellectual and developmental disabilities,

   1. (A) if the applicant is three years of age or older, the department will determine, based on the results of the Inventory for Client and Agency Planning (ICAP), adopted by reference in 7 AAC 160.900, whether under 7 AAC 140.600(c) and (d) the applicant requires a level of care provided in an ICF/IID;
   2. (B) if the applicant is younger than three years of age, the department will determine, based on the results of an evaluation that is age-appropriate, standardized, and norm-referenced, and that compares skills attainment to that of the applicant's peers, whether under 7 AAC 140.600(c) and (d)(1) and (2) the applicant requires a level of care provided in an ICF/IID;

4. (4) for the recipient category of older adults or adults with physical disabilities, the department will determine, based on the results of the department's Consumer Assessment Tool (CAT), adopted by reference in 7 AAC 160.900, or an interim level-of-care review, whether

   1. (A) under 7 AAC 140.515 the applicant requires a level of care provided in a skilled nursing facility; or
   2. (B) under 7 AAC 140.510 the applicant requires a level of care provided in an intermediate care facility.

(Eff. 7/1/2013, Register 206; am 3/31/2021, Register 238)