7 AAC 74.060 - Admission and discharge
(a) Except as
provided in (b) and (d) of this section, decisions concerning admission,
continued residence and participation, and discharge shall be made by the
pioneers' home administrator with advice from the interdisciplinary care team
for the pioneers' home.
(b)
Admission to or continued residency or participation in a pioneers' home or
service will not be approved for a person while the person has
(1) a communicable, contagious, or infectious
disease that would pose a significant threat to the health, safety, or welfare
of other residents or recipients; a cold, influenza, or similar illness is not
considered a significant threat for purposes of this paragraph; or
(2) a behavior problem that would threaten
the health, safety, or welfare of that person or other residents or recipients,
as determined by the department.
(c) A person will not be admitted as a
resident or recipient, or be required to remain as a resident or recipient,
unless that person or the person's legal representative freely and knowingly
consents to the person's entering or remaining at the pioneers' home or in the
service program.
(d) A resident may
not continue residency at a pioneers' home, or a recipient may not continue to
receive day services or respite services, if the department determines that the
resident or recipient has sufficient assets and income to pay for care and
support and that payments for care and support are in arrears.
(e) A resident will be discharged if the
resident is absent from the home for more than 60 consecutive days, unless the
absence
(1) was necessitated by a referral to
another health care facility under
7
AAC 74.010(c); or
(2) is authorized under
7
AAC 74.035(b).
(f) For applicants for admission as a
pioneers' home resident, the department will
(1) receive all new applications, verify
eligibility, and list all eligible applicants in chronological order by date
that the application was received;
(2) maintain a waiting list, known as the
active waiting list, comprised of all applicants who desire to enter the
pioneers' home of their choice within 30 days after an admission invitation is
received;
(3) maintain a waiting
list, known as the inactive waiting list, comprised of all applicants who
desire to enter the pioneers' home of their choice at some future undetermined
time, but not within the time period specified in (2) of this
subsection;
(4) verify continued
eligibility for admission under
7
AAC 74.015 annually for all applicants on the active
and the inactive waiting lists using available data;
(5) transfer an applicant's name from the
inactive waiting list to the active waiting list upon written request from the
applicant or the applicant's representative; the applicant's name will be
listed on the active waiting list in the chronological order in which the
original application was received;
(6) transfer an applicant's name from the
active waiting list to the inactive waiting list if the applicant is offered
placement in a pioneers' home in which the applicant has expressed interest,
but refuses the offer or fails to enter the home within 30 days after the date
of the offer;
(7) require an
applicant who is transferred to the inactive waiting list under (6) of this
subsection to remain on that list for at least 180 days before applying for a
transfer to the active waiting list under (5) of this subsection; and
(8) require an application to verify
continued eligibility for admission under
7
AAC 74.015 if the department is unable to verify
continued eligibility under (4) of this subsection.
(g) Admission to or continued residency in a
pioneers' home will not be approved unless the person provides proof, from the
United States Social Security Administration, that the person is currently
enrolled, if eligible, in Medicare Part A (42 U.S.C. 1395c-
1395i-6), Medicare Part B
(42 U.S.C.
1395j-
1395w-6) coverage under the Social
Security Act, and Medicare Part D (42 U.S.C. 1395w-101-
1395w-154) under the Medicare
Modernization Act of 2003 or has private medical insurance providing coverage
at least as extensive as that provided by Medicare Parts A, B, and D. If the
person is not currently enrolled in Medicare Parts A, B, and D and the general
enrollment period open for Medicare Parts A, B, and D for a calendar year has
passed, the person may satisfy the requirements of this subsection by providing
evidence from the United State Social Security Administration that the person
has applied for Medicare Parts A, B, and D during the last open
enrollment.
Notes
Authority:AS 47.55.010
AS 47.55.020
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