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.