Description
This filing adopts new Alaska Administrative Code provisions governing Medicaid coverage and payment for two specialized residential habilitation service models: (1) Specialized Group‑Home Habilitation and (2) Specialized Family‑Home Habilitation. The regulations define eligibility criteria, provider certification requirements, limits on the number of recipients per site, documentation and oversight responsibilities, and payment restrictions (e.g., no separate billing for chores, transportation, meals, or respite). They also outline procedures for caregiver changes, relocations, and annual review of recipient plans. The changes become effective 30 days after filing (October 2 2026) and are intended to ensure appropriate care while controlling Medicaid expenditures.
• Applies to Medicaid‑eligible individuals requiring intensive residential habilitation.
• Sets licensing and staffing standards for assisted‑living‑type homes and family‑home settings.
• Limits service sites to two (or three with waiver) recipients, with strict caregiver‑relationship rules.
• Requires detailed support‑plan documentation and annual person‑centered planning meetings.
• Prohibits separate billing for ancillary services (chore, transportation, meals, etc.).