Alaska Admin. Code tit. 7, § 145.500 – Personal care and Community First Choice services payment rates

(a) For providing personal care services under 7 AAC 125.010 - 7 AAC 125.199 and Community First Choice services under 7 AAC 127, the department will pay a unit of service at the lesser of
1. (1) payment rates established in the department's Chart of Personal Care Services and Community First Choice Services Rates, adopted by reference in 7 AAC 160.900; or
2. (2) the amount charged by the provider in accordance with 7 AAC 145.020.
(b) Each July 1 that the payment rates listed in the Chart of Personal Care Services and Community First Choice Services Rates, adopted by reference in 7 AAC 160.900, are not re-established under (d) of this section, the department will adjust the payment rates for inflation using the CMS Home Health Agency Market Basket in the most recent quarterly publication of Global Insight's Healthcare Cost Review available 60 days before July 1.
(c) Each July 1 that the payment rates listed in the Chart of Personal Care Services and Community First Choice Services Rates, adopted by reference in 7 AAC 160.900, are re-established under (d) of this section or adjusted under (b) of this section, the rates will be further adjusted to reflect regional differences in the cost of doing business based on the designated planning regions described in Table I-1 of the Alaska Geographic Differential Study 2008, dated April 30, 2009, and adopted by reference in 7 AAC 160.900 with a factor of 1.00 being the lowest factor applied and with the four southeast regional factors being averaged to a single weighted applicable factor of 1.09.
(d) The payment rates listed in the department's Chart of Personal Care Services and Community First Choice Services Rates, adopted by reference in 7 AAC 160.900, will be re-established at least every four years using the department's Rate-Setting Methodology for Personal Care Services, Community First Choice Services, Long-Term Services and Supports Targeted Case Management Services, and Waiver Services, adopted by reference in 7 AAC 160.900.

(Eff. 2/1/2010, Register 193; am 3/1/2011, Register 197; am 8/18/2015, Register 215; am 10/1/2017, Register 223; am 3/1/2018, Register 225; am 10/1/2018, Register 227; am 7/1/2019, Register 231; am 1/1/2021, Register 236; am 5/1/2023, Register 246)

Authority: AS 47.05.010, AS 47.07.030, AS 47.07.040