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Review Unit

What does the Review Unit Do?

Overview

The Review Unit is responsible for the regulatory review and authorization of services through the following programs:

    • Waiver Programs:
        • Adults Living Independently (ALI)
        • Adults with Physical and Developmental Disabilities (APDD)
        • Children with Complex Medical Conditions (CCMC)
    • Personal Care Services (PCS) Program

After successful application and assessment by the Intake and Assessment Unit using the Consumer Assessment tool, the Review Unit applies current State and Federal regulations to determine approval or denial of services. If services are denied, applicants will receive notification of the reason that they are not eligible and instruction on how to contest the decision to deny services. If services are approved, applicants will receive notification regarding which services are approved and in what scope, duration and frequency. Applicants to the PCS Program will receive a service level authorization detailing exactly what kind(s) of assistance has been approved and at what level. Applicants to waiver programs will receive notice of approval, followed by an authorized Plan of Care, written by their chosen Care Coordinator, and approved by the Review Unit. Applicants with approved services may contest any decision that are included with their approval notice. Approved services are provided by certified agencies throughout Alaska.

Waiver programs offer a choice between home and community-based services and institutional care for people who meet a nursing facility level of care. In order to access programs, a person must be eligible for Medicaid. This involves meeting financial and resource limits, as found through an interview and application process with the Division of Public Assistance (DPA). Once eligible for waiver, examples of possible services include respite care, chore, residential living, care coordination, environmental modifications and various other services.

Personal Care Services provide support related to an individual’s activities of daily living (i.e. bathing, dressing, eating) as well as instrumental activities of daily living (i.e. shopping, laundry, light housework). PCS is provided statewide in Alaska through certified agencies.

Purpose

The purpose of the waiver is to offer a choice between home and community-based services and institutional care for people who meet waiver service criteria. The ALI Waiver is available to adults age 21 and over. The APDD waiver is available to persons age 21 and over who have been determined to be Developmentally and physically Disabled.

The Children with Complex Medical Conditions (CCMC) waiver serves children and young adults under the age of 22 years. Children who receive services from this waiver experience medical fragility and are often dependent on frequent lifesaving treatments or interventions and/ or are dependent on medical technology. A registered nurse employed by an SDS grantee agency completes a screening process for the child and submits it to Senior and Disabilities Services.

The purpose of the personal care services program is to provide physical assistance, usually in the home, with activities of daily living as well as assistance with shopping, housework, laundry etc.


Other programs you may be interested in:

Grants Services – This service assists families and individuals experiencing Intellectual and developmental disabilities, dementia and related disorders, family caregivers of seniors aged 60 and over, grandparents raising grandchildren aged 55 or over, seniors aged 60 and over or frail/disabled seniors in need of assistance in the home.

 

Other important links:


Anchorage Office

Rodney George, HPM III
550 W. 8th Ave.
Anchorage, AK 99501-3574
Tel: (907) 269-3453
Fax: (907) 269-3689
Toll Free: 1-800-478-9996