Ariz. Admin. Code § 9-28-205

Current through Register Vol. 30, No. 45, November 8, 2024

Section R9-28-205 - Home and Community Based Services (HCBS)

A. Subject to the availability of federal funds, HCBS are covered services if provided to a member residing in the member's own home or an alternative residential setting. Room and board services are not covered in a HCBS setting.

B. The case manager shall authorize and specify in a case management plan any additions, deletions, or changes in home and community based services provided to a member or in accordance with R9-28-510.

C. Home and community based services include the following:

1. Home health services provided on a part-time or intermittent basis. These services include:

a. Nursing care;

b. Home health aide;

c. Medical supplies, equipment, and appliances;

d. Physical therapy;

e. Occupational therapy;

f. Respiratory therapy; and

g. Speech and audiology services;

2. Private duty nursing services;

3. Medical supplies and durable medical equipment, including customized DME, as described in 9 A.A.C. 22, Article 2;

4. Transportation services to obtain covered medically necessary services;

5. Adult day health services provided to a member in an adult day health care facility licensed under 9 A.A.C. 10, Article 5, including:

a. Supervision of activities specified in the member's care plan;

b. Personal care;

c. Personal living skills training;

d. Meals and health monitoring;

e. Preventive, therapeutic, and restorative health related services; and

f. Behavioral health services, provided either directly or through referral, if medically necessary;

6. Personal care services;

7. Homemaker services;

8. Home delivered meals, that provide at least one-third of the recommended dietary allowance, for a member who does not have a developmental disability under A.R.S. § 36-551;

9 Respite care services for no more than 600 hours per benefit year;

10 Habilitation services including:

a Physical therapy;

b Occupational therapy;

c Speech and audiology services;

d Training in independent living;

e Special development skills that are unique to the member;

f Sensory-motor development;

g Behavior intervention; and

h Orientation and mobility training;

11 Developmentally disabled day care provided in a group setting during a portion of a 24-hour period, including:

a Supervision of activities specified in the member's care plan;

b Personal care;

c Activities of daily living skills training; and

d Habilitation services;

12. Supported employment services provided to a member in the ALTCS transitional program under R9-28-306 who is developmentally disabled under A.R.S. § 36-551.

Ariz. Admin. Code § R9-28-205

Adopted effective September 22, 1997 (Supp. 97-3). Amended by final rulemaking at 8 A.A.R. 2356, effective May 9, 2002 (Supp. 02-2). Amended by exempt rulemak- ing at 17 A.A.R. 1876, effective October 1, 2011 (Supp. 11-3). Exemption to amend rules to expire December 31, 2013 under Laws 2012, Chapter 299, Section 8 therefore this Section was amended by final rulemaking at 19 A.A.R. 2758, effective October 8, 2013 (Supp. 13-3).