EMERGENCY RULEMAKING

1. A. The Case Manager shall utilize the HNT when appropriate as outlined in R9-28-1202 to assess or re-assess need for Direct Care Services and Habilitation Service:

   1. 1. At least annually if the member is currently receiving a service,
   2. 2. The initial or annual PCSP indicates a potential need for the service,
   3. 3. The member experiences a significant change in condition that causes the member’s health to improve or decline,
   4. 4. At any time the member requests to receive an updated assessment, or
   5. 5. When the member or HCDM request to be evaluated for HCBS in lieu of institutional care.

2. B. The ALTCS Case Manager shall use the HNT to determine if Direct Care Services, Habilitation Service, or both will be authorized as part of the member’s HCBS service array.

   1. 1. The HNT shall be reviewed during each quarterly case management review meeting.
   2. 2. The HNT shall be completed in collaboration with the member, their HCDM or anyone else requested to participate by the member or HCDM.
   3. 3. The HNT will include documentation of the member’s or HCDM’s description of unique need for each task on the tool.
   4. 4. The HNT shall identify and document each service need regardless of cost-effectiveness or service delivery method.
   5. 5. The completed HNT shall be incorporated by reference into the member’s PCSP.

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).