EMERGENCY RULEMAKING

1. 1. “Activities of Daily Living” or “ADL” means activities a member shall perform daily for the member’s regular day-to-day necessities, including but not limited to mobility, transferring, bathing, dressing, grooming, eating, and toileting as specified in Title 9 Chapter 28 Article 1.
2. 2. “Arizona Long Term Care System” or “ALTCS” means a Medicaid program administered by the AHCCCS Administration pursuant to Arizona Revised Statutes, Title 36, Chapter 29, Article 2 for an individual who is elderly or who has a physical or developmental disability.
3. 3. “Case Manager” means an individual assigned as responsible for locating, accessing, and monitoring the provision of service to an individual in conjunction with a clinical team as specified in A.A.C. Title 9, Chapter 28, and Title 6, Chapter 6.
4. 4. “Direct Care Services” means the services provided by Direct Care Workers or “DCW” that are collectively known as Direct Care Services. There are three types of services within ALTCS that are provided by DCW which consist of Attendant Care, Personal Care, and Homemaker services.
5. 5. “Extraordinary Care” means care that exceeds the range of activities that a spouse or a legally responsible parent of a minor child would ordinarily perform in the household on behalf of the ALTCS member if the member did not have a disability or chronic illness, and which is necessary to assure the health and welfare of the member.
6. 6. “Extraordinary Care Review” or “ECR” means a review process available to each member under the age of 18 who disagrees with the number of assessed hours for Direct Care Services, Habilitation Service, or both as a result of the age limitations set forth in the HNT.
7. 7. “Habilitation Service” means the services that help a person get and keep skills and functioning for daily living.
8. 8. “HCBS Needs Tool” or “HNT” means a standardized assessment instrument created by AHCCCS to evaluate the functional and support needs of ALTCS members who may benefit from receiving certain HCBS to support ADL and IADL. The HNT is specific to assessment of member need for Direct Care and Habilitation Service.
9. 9. “Health Care Decision Maker” or “HCDM” means an individual who is authorized to make health care treatment decisions for the patient. As applicable to the situation, this may include a parent of an unemancipated minor or an individual lawfully authorized to make health care treatment decisions as specified in Arizona Revised Statutes, Title 14, Chapter 5, Article 2 or 3 or A.R.S. §§ 8- 514.05, 36-3221, 36-3231 or 36-3281.
10. 10. “Home and Community Based Services” or “HCBS” means home and community-based services, as specified in A.R.S. §§ 36-2931 and 36-2939.
11. 11. “Instrumental Activities of Daily Living” or “IADL” means activities a member shall perform that are more complex in nature and necessary for independent living and community participation, such as managing money, preparing meals, shopping, doing laundry, and using transportation as specified in Title 9 Chapter 28 Article 1.
12. 12. “Person-Centered Service Plan” or “PCSP” means a written plan developed through an assessment of functional need that reflects each service and support, both paid and unpaid, that are important for and important to the member in meeting the identified needs and preferences for the delivery of each service and support. The PCSP shall also reflect the member’s strengths and preferences that meet the member’s social, cultural, and linguistic needs, individually identified and prioritized goals and desired outcomes, and reflect risk factors (including risks to member rights) and measures in place to minimize them, including individualized back-up plans and other strategies as needed.

Historical Note

New Section made by emergency rulemaking at 31 A.A.R. 4227 (October 31, 2025), with an immediate effective date of October 15, 2025; effective for 180 days (Supp. 25-4).

R9-28-1201. Repealed.

Historical Note

Adopted effective September 9, 1998 (Supp. 98-3). Amended by final rulemaking at 6 A.A.R. 3365, effective August 7, 2000 (Supp. 00-3). Section repealed by final rulemaking at 10 A.A.R. 820, effective April 3, 2004 (Supp. 04-1).