Section 7 AAC 145.660 - ICF/IID all-inclusive rate(a) The rate established for an intermediate care facility for the mentally retarded (ICF/MR) includes all services, supplies, and equipment required for complete care, except as otherwise provided in this section.(b) The following services are included in the ICF/MR all-inclusive rate and will not be paid for separately: (1) resident living staff, dental services, training and habilitation services, medical services, nursing services, pharmacy services, physical and occupational therapy services, psychological services, recreational services, social services, and speech pathology and audiology services, as prescribed in 42 C.F.R. 442.300 - 442.516, adopted by reference in 7 AAC 160.900;(2) nonprescription drugs;(3) periodic oxygen, if that is all that is required by the recipient;(4) all transportation in a facility's vehicle and related to the recipient's care and recreation;(5) an annual physical examination for a recipient in a long-term care facility.(c) The following services are not included in the ICF/MR all-inclusive rate:(1) services provided out of the facility by a physician, hospital, or other provider, other than services listed in (b)(1) of this section;(2) nonemergency, continuous heavy use of oxygen described in 7 AAC 140.615(a); if given prior authorization by the department, the department will pay the facility the facility's cost of the oxygen;(3) legend drugs and biologicals;(4) essential transportation for residents to and from a source of medical care; the department will pay the carrier directly for that essential transportation;(5) transportation for nonmedical reasons in a vehicle other than the facility's vehicle.Eff. 2/1/2010, Register 193Authority:AS 47.05.010
AS 47.07.030
AS 47.07.040
AS 47.07.070