reglab/statecodes huggingface dataset:
Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 05 - Developmental Disabilities Services › Rule 016.05.07-006 - Policy 1090 - Licensing Policy for Center-Based Community Services

Current through Register Vol. 49, No. 6, June, 2024
1.
Purpose
.
This policy has been prepared to
			 implement Ark. Code Ann.
			 20-48-201 et.
			 seq.
2.
Scope
.
This policy is applicable to all
			 Division of Developmental Disabilities Services (DDS) staff charged with
			 implementation of licensure standards and to the nonprofit community programs
			 and components of nonprofit community programs required to be licensed by DDS.
A. A nonprofit community program or program
			 component that provides center-based, nonresidential services to individuals
			 with developmental disabilities is required to be licensed by DDS.
B. Providers of Vocational Maintenance and
			 Supported Employment Services must be currently licensed as a supported
			 employment vendor by Arkansas Rehabilitation Services (ARS) and have certified
			 Job Coaches. Continued licensure and job coach certification is a qualification
			 requirement for the period the nonprofit community program is licensed to
			 provide Vocational Maintenance and Supported Employment Services.
Further, if a Sheltered Workshop or other adult development
				service of a nonprofit community program or program component is paying a
				commensurate wage, the nonprofit community program or program component must
				maintain current wage and hour certification from the U.S. Department of
				Labor.
C. A nonprofit
			 community program or program component that provides preschool must maintain
			 current licensure in accordance with the Child Care Facility Licensing Act,
			 Ark. Code Ann.
			 20-78-201 et.
			 seq.
D. All educational services
			 provided by a nonprofit community program or program component for school-age
			 children must be approved by the Special Education Section of the Arkansas
			 Department of Education and monitored and regulated by the applicable Local
			 Education Agency in accordance with P.L. 94-142 and rules established by the
			 Special Education Section of the Arkansas Department of Education.
Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 05 - Developmental Disabilities Services › Rule 016.05.07-007 - Policy 1089 - Criteria for Expansion of DDS Services Policy

Current through Register Vol. 49, No. 6, June, 2024
1.
Purpose.
This policy implements Ark. Code Ann.
			 §
								20-48-105,
			 as amended by Act 645 of 2007.
2.
Scope.
This policy applies to all
			 Division of Developmental Disabilities Services ("DDS" or "division") staff
			 charged with implementation of licensure requirements, and to DDS licensed
			 community based providers of nonresidential services covered under the Arkansas
			 DDTCS program to individuals who have a developmental disability. This policy
			 does not apply to DDS Waiver Services or Early Intervention Services.
3.
Definitions.
A.
Existing Provider:
1) A DDS licensed nonprofit community program
			 that offers nonresidential services covered under the Arkansas DDTCS program at
			 an approved site within the county in question, or;
2) A DDS licensed nonprofit community program
			 that does not have an approved site in a county but provides developmental
			 disabilities services covered under the Arkansas DDTCS program to 10 or more
			 individuals who reside in that county.
Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 05 - Developmental Disabilities Services › Rule 016.05.09-002 - Policy 1089 - Criteria for Expansion of DDS Services Policy

Current through Register Vol. 49, No. 6, June, 2024
1.
Purpose.
This policy implements Ark. Code Ann.
			 §
								20-48-105,
			 as amended by Act 645 of 2007.
2.
Scope.
This policy applies to all
			 Division of Developmental Disabilities Services ("DDS" or "division") staff
			 charged with implementation of licensure requirements, and to DDS licensed
			 community based providers of nonresidential services that are or could be
			 covered under the Arkansas DDTCS program to individuals who have a
			 developmental disability. This policy does not apply to DDS Waiver Services or
			 Early Intervention Services
3.
Definitions.
A.
Existing Provider:
1) A DDS licensed nonprofit community program
			 that offers nonresidential services covered imder the Arkansas DDTCS program at
			 an approved site within the county in question, or;
2) A DDS licensed nonprofit community program
			 that does not have an approved site in a county but provides developmental
			 disabilities services covered under the Arkansas DDTCS program to 10 or more
			 individuals who reside in that county.
2) A nonprofit community program that was
			 issued a DDS license on or before February 1, 2007, that does not operate an
			 approved site but provides developmental disabilities services.
Replacement Notation: This policy replaces DDS Policy # 1089
				dated September 1, 2007
Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 05 - Developmental Disabilities Services › Rule 016.05.11-001 - Policy 3018- Mortality Review of Deaths of Persons Receiving Alternative community Services Waiver Services

Current through Register Vol. 49, No. 6, June, 2024
INTRODUCTION
The Alternative Community Services (ACS) Mortality Review is an
				integral part of the Continuous Quality Improvement process for the Division of
				Developmental Disabilities Services (DDS). The mortality review is a process
				that entails a review of the specific circumstances of the death of an
				individual by at least one of two committees as well as a review of cumulative
				data regarding information on all deaths occurring within specific
				periods.
The review is not investigative in nature. Rather, the purpose
				is to facilitate Continuous Quality Improvement by gathering information to
				identify systemic issues that may benefit from scrutiny and analysis in order
				to make system improvement and to provide opportunities for organizational
				learning.
I.
Purpose
The purpose of the review is to identify issues and trends
				related to deaths of Alternative Community Services Waiver service recipients
				in order to improve Division and Provider practices by:
1. Identifying social, health and systems
			 strengths and weaknesses as they impact circumstances leading to
			 death,
2. Recommending changes in
			 procedures, resources and service delivery systems that impact circumstances
			 leading to death,
3. Influencing
			 the development of policies and laws regarding provision of ACS Waiver
			 services, and
4. Gathering data
			 about deaths among individuals with developmental disabilities, such as cause
			 of death and demographic information so that the DDS may aggregate data over
			 time to identify and analyze trends.
Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 05 - Developmental Disabilities Services › Rule 016.05.13-001 - Policy 1010 - Service Concern Resolution

Current through Register Vol. 49, No. 6, June, 2024
1.
Purpose
. This
			 policy provides the administrative procedure for receiving reports, gathering
			 information, and resolving concerns regarding any organization or individual
			 licensed or certified by DDS to provide services to persons with
			 disabilities.
2.
Scope
. DDS will accept reports of concerns from any
			 person.
3.
Service
			 Concern
. DDS will accept for investigation any concern regarding
			 services provided by a licensed or certified program to an individual with a
			 developmental disability.
DDS will not accept concerns related to employee grievances
				against their employer or any personnel issues, unless it affects the provision
				of services to individuals.
4.
Receipt of
			 Concerns.
Any DDS staff person who receives verbal or written
			 service concerns will immediately relay the information to the DDS Quality
			 Assurance Investigation Unit.
5.
Mandated Reporting Responsibility.
DDS employees will
			 fulfill their responsibility as mandated reporters by reporting any covered
			 incident to Adult Protective Services or the Child Abuse Hotline, as
			 appropriate.
A. The DDS staff who reports the
			 incident to the appropriate hotline must inform the DDS Quality Assurance
			 Assistant Director that they have made the report.
B. The DDS Quality Assurance Assistant
			 Director will contact the Executive Director of the provider agency and provide
			 them with the details of the report, excluding the name of the reporter.
Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 05 - Developmental Disabilities Services › Rule 016.05.17-003 - DDS Policy 1076 - Appeals

Current through Register Vol. 49, No. 6, June, 2024
1.
			 Purpose. This policy is provided to allow for appealing decisions made by
			 Developmental Disabilities Services (DDS) regarding the following programs:
A. Human Development Centers (HDCs)
B. Community Programs and Services
C. Medicaid Home and Community Based Waiver
			 Services
D. Licensure of Community
			 Programs/Services and Certification of Providers of Waiver Services, Providers
			 of Early Intervention Voucher Services and Independent (Self-Employed) Care
			 Coordinators
E. Nursing Facility,
			 PASSAR determinations. These determinations are made, as required, by the 1987
			 Omnibus Budget Reconciliation Act (OBRA) for persons with a ID/DD diagnosis who
			 seek admission or for whom admission is sought to a Nursing Facility. It
			 includes annual reviews for continued stay.
Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 05 - Developmental Disabilities Services › Rule 016.05.17-007 - Policy # 1035 Agency Definition of Disability/Eligibility for Services

Current through Register Vol. 49, No. 6, June, 2024
1.
Purpose
. This policy has been prepared to set minimum
			 parameters for determining eligibility to receive services from Developmental
			 Disabilities Services (DDS).
2.
Scope
. All individuals and their families applying for
			 services offered by DDS.
3.
Definitions
. For purposes of this policy, Primary
			 Disability/Condition, Primary Diagnosis, and Other Disabilities are defined as
			 follows:
A. Primary Disability - That
			 condition which renders the most serious impairment and/or condition which has
			 the greatest impact on an individual's ability to function, as outlined in
			 Arkansas Statute Ann.
			 20-48-101.
B. Primary Diagnosis - A medical designation,
			 determined by a physician, usually denoting etiology of disabling
			 condition.
C. Other Disabilities -
			 Any condition(s) which accompanies the primary disability, and further hinders
			 the development of an individual.
Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 05 - Developmental Disabilities Services › Rule 016.05.18-002 - Adult Developmental Day Treatment New 18, State Plan Amendment #2018-007 & DDS Standards for Certification and Monitoring for Center-based Community Services

Current through Register Vol. 49, No. 6, June, 2024
200.000
ADULT DEVELOPMENTAL DAY TREATMENT (ADDT) GENERAL INFORMATION
201.000 Arkansas Medicaid Participation
			 Requirements for Adult
Developmental Day Treatment (ADDT) Providers
Adult Developmental Day Treatment (ADDT) providers must meet
				the Provider Participation and enrollment requirements contained within Section
				140.000 of this manual as well as the following criteria to be eligible to
				participate in the Arkansas Medicaid Program:
A. Each provider of ADDT must be licensed as
			 an Adult Developmental Day Treatment clinic by the Division of Provider
			 Services and Quality Assurance (DPSQA), as the regulatory entity governing
			 licensure.
B. A copy of the current
			 license must accompany the provider application and the Medicaid
			 contract.
Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 05 - Developmental Disabilities Services › Rule 016.05.18-003 - Summary of the Occupational Therapy, Physical Therapy, and Speech Thereapy Provider Manual

Current through Register Vol. 49, No. 6, June, 2024
201.110 School
			 Districts, Education Service Cooperatives, and Early Intervention Day
			 Treatment, or Adult Developmental Day Treatment
A school district, education service cooperative, Eariy
				intervention Day Treatment (EIDT) program or Adult Developmental Day Treatment
				(ADDT) program may contract with or employ qualified therapy practitioners.
				Effective for dates of service on and after October 1, 2008, the individual
				therapy practitioner who actually perfonns a service on behalf of the facility
				must be identified on the claim as the performing provider when the facility
				bills for that service. This action is taken in compliance with the federal
				Improper Payments Information Act of 2002 (IPIA),
				Public
				Law 107-300 and the resulting Payment Emar Rate
				Measurement (PERM) program initiated by the Centers for Medicare and Medicaid
				Services (CMS).
If a facility contracts with a qualified therapy practitioner,
				the criteria for group providers of therapy services apply (See Section 201.100
				of the Occupational, Physical. Speech Therapy Services manual). The qualified
				therapy practitioner who contracts with the facility must be enrolled with
				Ar1[LESS THAN]ansas Medicaid. The contract practitioner who performs a service
				must be listed as the performing provider on the claim when the facility bills
				for that sen/ice.
If a facility employs a qualified therapy practitioner, that
				practitioner has the option of either enrolling with Arkansas Medicaid or
				requesting a Practitioner Identification Number (View or print form DMS-7708K
				The employed practitioner who performs a service must be listed as the
				performing provider on the claim when the facility bills for that
				service.
The following requirements apply only to Arkansas school
				districts and education service cooperatives that employ (via a form W-4
				relationship) qualified practitioners to pnDvide therapy services.
A. The Aritansas Department of Education must
			 certify a school district or education service cooperative.
1. The Arkansas Department of Education must
			 provide a list, updated on a regular basis, of all school districts and
			 education service cooperatives certified by the Arkansas Department of
			 Education to the Medicaid Provider Enrollment Unit of the Division of Medical
			 Services.
2. The Local Education
			 Agency (LEA) number must be used as the license number for the school district
			 or education service cooperative.
Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 05 - Developmental Disabilities Services › Rule 016.05.18-008 - Repeal of the Community and Employment Supports Waiver Provider Manual; Community and Employment support Waiver Minium Certification Standards and Amendments to DDS Policy 1091

Current through Register Vol. 49, No. 6, June, 2024
ARKANSAS DEPARTMENT OF HUMAN SERVICES DIVISION OF DEVELOPMENTAL
				DISABILITIES SERVICES DDS DIRECTOR'S OFFICE POLICY DDS POLICY 1091
				CERTIFICATION AND MONITORING POLICY FOR FIRST CONNECTIONS-PART C OF THE
				INDIVIDUALS WITH DISABILITIES EDUCATION ACT (IDEA)
1.
Purpose
.
The Arkansas Department of Human Services, Division of
				Developmental Disabilities Services (
"DDS"
) is the
				lead agency for the federal early intervention program in the State of Arkansas
				for infants and toddlers with disabilities and their families, under Part C of
				the Individuals with Disabilities Education Act (
"First
				Connections"
). DDS, as the lead agency, is responsible for the
				implementation, general administration and oversight of the First Connections
				program. As part of its oversight responsibility, DDS must ensure that the
				activities of participants in the First Connections program align with Part C
				of the Individuals with Disabilities Education Act
				("
IDEA
") and the guidelines issued by the Office of
				Special Education Programs ("
OSEP
"). DDS carries out
				this oversight responsibility through a certification and monitoring
				program.
This policy has been prepared to implement Ark. Code Ann.
				20-48-201
et. seq,,
for the purpose of establishing the policies and
				procedures applicable to the First Connections certification and monitoring
				program. An appeal of any decision made pursuant to this policy may be filed
				according to procedures outlined in DDS Policy #1076, or any replacement or
				successor appeals policy.
2.
Scope
.
D.
This policy applies to:
(i) individuals and organizations that
			 provide or seek to provide First Connections services (as defined in Section 3
			 below) through the First Connections program; and
(ii) all staff responsible for the
			 certification and monitoring of individuals and organizations participating in
			 the First Connections program.
Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 05 - Developmental Disabilities Services › Rule 016.05.20-001 - Children with Chronic Health Conditions (CHC)

Current through Register Vol. 49, No. 6, June, 2024
1.
Purpose
. To
			 establish the eligibility criteria and covered services under the Children with
			 Chronic Health Conditions (CHC) program of the Department of Human Services,
			 Division of Developmental Disabilities Services (DDS).
2.
Mission
. CHC is
			 committed to ensuring that Children with Special Health Care Needs (CSHCN) in
			 Arkansas receive the services and support necessary to achieve their greatest
			 potential. CHC will work together with families and health care providers to
			 promote assessment, intervention, education, and coordination of
			 services.
3.
Authority
. Title V of the Social Security Act,
			 codified at 42 USC §§ 701 et seq.
4.
Definitions
. For
			 purposes of this policy, the following definitions apply:
A.
Activities of Daily Living
			 (ADLs)-
The basic tasks of everyday life, including eating,
			 communication, dressing, mobility, bathing, and toileting.
B.
Children with Chronic Health
			 Conditions Program (CHC)
- Arkansas's program for CSHCN funded by the
			 Maternal and Child Health Services Block Grant. The CHC program is housed
			 within the Division of Developmental Disabilities Services (DDS) in the
			 Department of Human Services (DHS).
C.
Children with Special Health Care
			 Needs (CSHCN)
- The Maternal and Child Health Bureau (MCHB) broadly
			 defines CSHCN as those that "have or are at increased risk for chronic
			 physical, developmental, behavioral, or emotional conditions and who also
			 require health and related services of a type or amount beyond that required by
			 children generally."
Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 05 - Developmental Disabilities Services › Rule 016.05.20-003 - ADDT-1-20; SPA#2020-0020; Rules for DDS ADDT

Current through Register Vol. 49, No. 6, June, 2024
STATE PLAN UNDER TITLE XIX OF THE SOCIAL SECURITY ACT
				MEDICAL ASSISTANCE PROGRAM STATE
ARKANSAS
ATTACHMENT 3.1-A
AMOUNT, DURATION AND SCOPE OF SERVICES
				PROVIDED
9. Clinic Services
(1) Adult Developmental Day Treatment (ADDT)
			 Services
Limited to comprehensive day treatment centers offering the
				following
core
services to beneficiaries age 18 and above:
a.
Assessment and Treatment Plan
			 Development
,
2
units per year
b. Adult Day Habilitation Services, 5 units
			 per day, 1 hour each c. Provision of noon meal
c. Provision of noon meal
Optional Services available through ADDT in conjunction with
				core services are as follows:
a.Physical therapy - Services must be
			 prescribed by a physician and provided by or under the supervision of a
			 qualified physical therapist.
b.
			 Speech
-language
therapy - Services must be referred by a physician
			 and provided by or under the supervision of a qualified speech
			 pathologist.
c. Occupational
			 therapy - Services must be prescribed by a physician and provided by or under
			 the supervision of a qualified occupational therapist.
Occupational, Physical, and Speech
-Language
Therapy Services are provided in accordance with Items 3.1-A.4b(15),
				3.1-A.11, 3.1-B.4b(15), and 3.1-B(11).
Extensions of the benefit limit for all ADDT services will be
				provided if medically necessary.
Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 05 - Developmental Disabilities Services › Rule 016.05.20-004 - EIDT-1-20; Rules for DDS EIDT

Current through Register Vol. 49, No. 6, June, 2024
Section
			 II
Early Intervention Day Treatment
201.000
Arkansas Medicaid
			 Participation Requirements for Early Intervention Day Treatment (EIDT)
			 Providers
A provider must meet the following participation requirements
				in order to qualify as an Early Intervention Day Treatment (EIDT) provider
				under the Arkansas Medicaid Program:
A. Complete the Provider Participation and
			 enrollment requirements contained within Section 140.000 of the Arkansas
			 Medicaid provider manual;
B. Obtain
			 an Early Intervention Day Treatment license issued by the Arkansas Department
			 of Human Services, Division of Provider Services and Quality Assurance (DPSQA);
			 and,
C. Except as provided in
			 Section 201.200, obtain a Child Care Facility license issued by DPSQA.
EIDT providers may furnish and claim reimbursement for covered
				EIDT services subject to all requirements and restrictions set forth and
				referenced in this manual.
Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 05 - Developmental Disabilities Services › Rule 016.05.21-002 - DDS Admin. 1089, Expansion of Children's Early Intervention Day Treatment Sevices

Current through Register Vol. 49, No. 6, June, 2024
ARKANSAS DEPARTMENT OF HUMAN SERVICES DIVISION OF DEVELOPMENTAL
				DISABILITIES SERVICES DDS DIRECTOR'S OFFICE POLICY MANUAL
I.
Purpose.
This policy
			 implements Ark. Code Ann. §
								20-48-105,
			 as amended by Act 1017 of 2013.
II.
Scope.
This policy applies to all Division of Developmental
			 Disabilities Services ("DDS" or "Division") staff charged with implementation
			 of licensure requirements, and to DDS licensed community based providers of
			 nomesidential services to adults that are or could be covered under the
			 Arkansas DDTCS program
This policy does not apply to the provision or regulation of
				services under the ACS Waiver Program or to Early Intervention services
				delivered pursuant to the Individuals with Disabilities Education Improvement
				Act of 2004 ("IDEA"),
				Public
				Law 108-446.
III.
Definitions.
1.
Existing Provider:
A) A DDS licensed nonprofit community program
			 that offers nomesidential services to adults covered under the Arkansas DDTCS
			 program at an approved site within the county in question, or;
B) A DDS licensed nonprofit community program
			 that does not have an approved site in a county but provides developmental
			 disabilities services covered under the Arkansas DDTCS program to 20 or more
			 adults who reside in that county.
C) A nonprofit community program that was
			 issued a DDS license on or before February 1, 2007, that does not operate an
			 approved site but provides developmental disabilities services to
			 adults.
Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 05 - Developmental Disabilities Services › Rule 016.05.21-003 - Occupational Therapy, Physical Therapy, and Speech-Language Pathology Medicaid Manual

Current through Register Vol. 49, No. 6, June, 2024
200.000
OCCUPATIONAL THERAPY, PHYSICAL THERAPY, AND SPEECH-LANGUAGE PATHOLOGY
			 GENERAL INFORMATION
201.000
Arkansas Medicaid Participation Requirements 1-1-22
201.100
Individual Service Provider
			 Participation Requirements 1-1-22
Individual providers of occupational therapy, physical therapy,
				and speech-language pathology services must meet the following requirements to
				be eligible to participate in the Arkansas Medicaid Program:
A. Complete the Provider Participation and
			 enrollment requirements contained within Section 140.000 of this manual;
			 and
B. Meet the participation
			 requirements of the applicable service discipline in Section 202.000 of this
			 manual.
Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 05 - Developmental Disabilities Services › Rule 016.05.22-003 - Rules for the Division of Developmental Disabilities Services First Connections Program

Current through Register Vol. 49, No. 6, June, 2024
Under Part C of the Individual with Disabilities
				Education Act
LAST UPDATED: July 1, 2022
Subchapter 1.
General
.
101.
Authority
.
(a) These standards are promulgated under the
			 authority of Ark. Code Ann. §
										20-14-503.
(b) The Division of Developmental
			 Disabilities Services (DDS) is the designated lead agency for the State of
			 Arkansas, responsible for performing all certification, general supervision,
			 monitoring, and other regulatory functions involved in the implementation and
			 administration of Part C of the IDEA.
Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 05 - Developmental Disabilities Services › Rule 016.05.22-005 - ADDT and EIDT Transportation Services

Current through Register Vol. 49, No. 6, June, 2024
Section
			 II
Adult Developmental Day Treatment
201.000
Arkansas Medicaid Participation
			 Requirements for Adult Developmental Day Treatment (ADDT) Providers
A provider must meet the following participation requirements
				to qualify as an Adult Developmental Day Treatment (ADDT) provider under
				Arkansas Medicaid:
A. Obtain an Adult
			 Developmental Day Treatment license issued by the Arkansas Department of Human
			 Services, Division of Provider Services and Quality Assurance, and
B. Complete the provider participation and
			 enrollment requirements contained within Section 140.000 of this manual
ADDT providers may furnish and claim reimbursement for covered
				ADDT services subject to all requirements and restrictions set forth and
				referenced in this manual.
Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 05 - Developmental Disabilities Services › Rule 016.05.24-002 - Developmental Screen for Children (48 to 60 mos.)

Current through Register Vol. 49, No. 6, June, 2024
Section II
Child Health Services/Early and Periodic Screening,
				Diagnosis, and Treatment
215.295
Early Intervention Day
			 Treatment (EIDT) Screening
A developmental screening must be performed prior to signing a
				DHS-642 ER referring a beneficiary for their initial evaluations to determine
				eligibility for early intervention day treatment (EIDT) services.
A. A developmental screening is only required
			 prior to initially referring a beneficiary for EIDT services. A developmental
			 screening is not required to be performed on a beneficiary already receiving
			 EIDT services.
B. The developmental
			 screening must have been administered within the twelve (12) months immediately
			 preceding the date of the DMS-642 ER.
C. The developmental screen instrument used
			 must be a validated tool recommended by the American Academy of
			 Pediatrics.
Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 06 - Medical Services › Rule 016.06.04-082 - DDS Alternative Community Services (ACS) Update #46

Current through Register Vol. 49, No. 6, June, 2024
272.100
DDS
			 Alternative Community Service (ACS) Waiver Procedure Codes
The following procedure codes and any associated modifier(s)
				must be billed for DDS Alternative Community Services (ACS) Waiver Services.
				Prior authorization is required for all services.
National Code
M1
M2
PA
Description
Unit of Service
POS for
Paper
Claims
POS for
Electronic
Claims
H2016
Y
ACS Supported Living (Individual)
1 Day
4,0
12,99
H2016
52
Y
ACS Supported Living (Group)
1 Day
4,0
12,99
H20231
Y
ACS Supported Employment
15
Minutes
0
99
T20282
Y
ACS Specialized Medical Supplies
1 Month
4,0
12,99
T2022
Y
ACS Case Management Services
1 Month
4,0
12,99
T20253
Y
ACS Consultation Services
1
Hour
4,0
12,99
T2034
Y
ACS Crisis Center Services
1 Day
0,4
99, 12
T20344
U1
22
Y
ACS Crisis Intervention Services
1
Hour
0,4
99, 12
1individuals are limited to a
				maximum of 32 units (8 hours) of supported employment services per date of
				service.
A breakdown of the supported employment units of service
				include:
One unit = 15 minutes to 21 minutes Two units = 22 minutes to
				37 minutes Three units = 38 minutes to 52 minutes Four units = 53 minutes to 67
				minutes
2Reimbursement cannot exceed $300
				per month.
3individuals may receive twenty-five
				(25) hours of ACS consultation services per waiver-eligible year.
4 Crisis intervention services may
				require a maximum of 24 hours of service during any one day.
The following list contains the procedure codes used for ACS
				physical adaptations. Physical adaptations have a benefit limit of $7500 per
				year.
National Code
M1
M2
PA
Description
POS for
Paper
Claims
POS for
Electronic
Claims
K0108
Y
Other accessories
4
12
S5160
Y
Emergency response system; installation and
						  testing
4
12
S5161
Y
Emergency response system; service fee, per month
						  (excludes installation and testing)
4
12
S5162
Y
Emergency response system; purchase only
4
12
S5165
U1
Y
Home modifications, per service
4
12
Refer to Section
				272.200 for definitions of the
				place of service codes listed above.
Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 06 - Medical Services › Rule 016.06.04-083 - DMS-2004-R-20, DMS-2004-J-1: Exogen - Ultrasonic Osteogenic Stimulator for Treatment of Non-Union Fractures

Current through Register Vol. 49, No. 6, June, 2024
Effective for dates of service on and after March 1, 2005,
				Arkansas Medicaid will cover ultrasonic osteogenic stimulator (Exogen) for the
				treatment of non-union fractures for all ages.
A. Prior authorization (PA) from the
			 Utilization Review section of the Division of Medical Services will be
			 required.
1. The PA process will be the same
			 as for all durable medical equipment (DME) procedure codes that require PA. The
			 patient's physician must prescribe the device and make a referral to the DME
			 provider.
2. Prior authorization
			 request requires documentation of the following:
a. A minimum of two sets of radiographs,
			 separated by a minimum of 90 days, and obtained prior to starting treatment
			 with the osteogenic stimulator.
b.
			 Multiple views of the fracture site for each radiograph.
c. The physician's written statement that
			 there has been no clinically significant evidence of fracture healing in the
			 interval between the two sets of radiographs.
d. If the opposing surfaces of a fracture are
			 greater than 5mm apart, then surgical intervention would be required prior to
			 utilizing a bone stimulator.
3. Prior authorization of the device may be
			 approved for up to 180 days. If the need for the device extends beyond 180
			 days, an additional PA is required. Documentation which includes updated
			 evaluations must be submitted with the PA request.
Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 06 - Medical Services › Rule 016.06.04-086 - Official Notice DMS-2004-L-19, DMS-2004-R-21

Current through Register Vol. 49, No. 6, June, 2024
Enterra Therapy for Treatment of
				Gastroparesis
Effective for dates of service on and after March 1, 2005,
				Arkansas Medicaid will cover Enterra, implantable neurostimulator
				therapy.
A. Coverage of Enterra
			 therapy is limited to individuals ages 18 through 69 with diabetic and
			 idiopathic gastroparesis (diagnosis codes 536.3 and 250.6).
1. Service will include the implantable
			 neurostimulator electrode(s) and the neurostimulator pulse generator.
2. Implantation procedures for
			 neurostimulator pulse generator and the neurostimulator electrodes are covered
			 as inpatient surgical procedures.
a. The
			 surgical procedures require prior authorization (PA) by Arkansas Foundation for
			 Medical Care, Inc. (AFMC). Refer to your provider manual for AFMC PA request
			 procedures.
b. An approval letter
			 from the Institutional Review Board is required. Patient's record must include
			 documentation that further total parental nutrition (TPN) therapy is not an
			 option.
3. Procedure for
			 revision or removal of the peripheral neurostimulator electrodes does not
			 require PA, but claim will be manually reviewed prior to
			 reimbursement.
Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 06 - Medical Services › Rule 016.06.04-087 - DMS-2004-A-7; DMS-2004-L-17; DMS-2004-R-18

Current through Register Vol. 49, No. 6, June, 2024
I.
Introduction
Effective for dates of service on and after February 1, 2005,
				Arkansas Medicaid will cover gastrointestinal tract imaging with wireless
				endoscopy capsule.
II.
Coverage
Wireless endoscopy capsule is a procedure utilized for
				visualization of small bowel mucosa.
A. The capsule will be covered for evaluation
			 of occult gastrointestinal bleeding in the anemic patient when:
1. The site of the bleeding has not been
			 identified by previous gastrointestinal endoscopy, colonoscopy push endoscopy
			 or other radiological procedures.
2. An abnormal x-ray of the small intestine
			 is documented without an identified site of bleeding.
3. An initial diagnosis of suspected Crohn's
			 disease without the evidence of disease is made based on conventional
			 diagnostic tests such as small bowel follow through and upper and lower
			 endoscopy.
4. The evaluation
			 indicates obscure gastrointestinal bleeding suspected of being small bowel in
			 origin as evidenced by prior inconclusive upper and lower endoscopic
			 studies.
Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 06 - Medical Services › Rule 016.06.05-009 - Hearing Services Provider Manual Update Transmittal #49

Current through Register Vol. 49, No. 6, June, 2024
Section II
Hearing Services
201.000
Arkansas Medicaid
			 Participation Requirements for Hearing Aid
Dealers
Hearing aid dealers must meet the following criteria to
				participate in the Arkansas Medicaid Program.
A. Hearing aid
			 dealers/physicians/audiologists must be licensed in their states as Hearing Aid
			 dealers. However, audiologists licensed in Arkansas may render both audiology
			 service and the dispensing of hearing aids with their audiologist license. A
			 current copy of the hearing aid license must accompany the provider application
			 and Medicaid contract.
1. A copy of
			 subsequent state licensure renewal must be forwarded to Provider Enrollment
			 within 30 days of issuance. If the renewal document(s) have not been received
			 within this timeframe, the provider will have an additional final 30 days to
			 comply.
2. Failure to timely submit
			 verification of license renewal will result in termination of enrollment in the
			 Arkansas Medicaid Program.
Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 06 - Medical Services › Rule 016.06.05-010 - Private Duty Nursing Update Transmittal #56

Current through Register Vol. 49, No. 6, June, 2024
Section II
Private Duty
			 Nursing Services
201.100
Private Duty Nursing Services Providers
Providers of Private Duty Nursing Services (PDN) must meet the
				following criteria in order to be eligible for participation in the Arkansas
				Medicaid Program:
A. The PDN provider
			 must have either a Class A or Class B license issued by the Arkansas Department
			 of Health. It must be designated on the license that the PDN agency is a
			 provider of extended care services.
1. A copy
			 of the license must accompany the provider application and Medicaid
			 contract.
2. Subsequent licensure
			 must be provided when issued by the Arkansas Department of Health.
3. For purposes of review under the Arkansas
			 Medicaid Program, agencies enrolled as Class B operators providing private duty
			 nursing services must adhere to those standards governing quality of care,
			 skill and expertise applicable to Class A operators.
Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 06 - Medical Services › Rule 016.06.05-011 - Development Disabilities Day Treatment Clinic Services Provider Manual Update #60

Current through Register Vol. 49, No. 6, June, 2024
Section II
Developmental Day Treatment Clinic Services
201.000
Arkansas Medicaid
			 Participation Requirements for Developmental Day Treatment Clinic Services
			 (DDTCS) Providers
All providers of DDTCS services must meet the following
				criteria to be eligible for participation in the Arkansas Medicaid
				Program:
A. Each provider of DDTCS
			 services must be licensed as a developmental day treatment clinic by the
			 Division of Developmental Disabilities Services (DDS), Arkansas Department of
			 Human Services.
1. A copy of the current
			 license must accompany the provider application and the Medicaid
			 contract.
2. Copies of renewed
			 licenses must be submitted to the Provider Enrollment Unit of the Division of
			 Medical Services when they are issued.
Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 06 - Medical Services › Rule 016.06.05-012 - Transportation Provider Manual Update Transmittal #67

Current through Register Vol. 49, No. 6, June, 2024
Section II
Transportation
251.000
Introduction to Billing
Ambulance transportation providers use the CMS-1500 claim
				format to bill the Arkansas Medicaid Program for services provided to eligible
				Medicaid recipients. Each claim should contain charges for only one
				recipient.
Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 06 - Medical Services › Rule 016.06.05-013 - Division of Youth Services (DYS) and Division of Children and Family Services (DCFS) Targeted Case Management Update #4

Current through Register Vol. 49, No. 6, June, 2024
Provider Manual Update Transmittal No. 4
REMOVE Section
Date
262.200-262.300
4-1-05
INSERT Section
Date
262.200-262.300
Explanation of
				Updates
Effective on and after July 1, 2005, sections 262.200 and
				262.300 are being revised to replace modifier "22" with modifier "UA."
Paper versions of this update transmittal have updated pages
				attached to file in your provider manual. See Section I for instructions on
				updating the paper version of the manual. For electronic versions, these
				changes will be automatically incorporated.
If you need this material in an alternative format, such as
				large print, please contact our Americans with Disabilities Act Coordinator at
				(501) 682-6789 or 1-877-708 -8191. Both telephone numbers are voice and
				TDD.
If you have questions regarding this transmittal, please
				contact the EDS Provider Assistance Center at 1-800-457 -4454 (Toll-Free)
				within Arkansas or locally and Out-of-State at (501) 376-2211.
Arkansas Medicaid provider manuals (including update
				transmittals), official notices and remittance advice (RA) messages are
				available for downloading from the Arkansas Medicaid website:
				www.medicaid.state.ar.us.
Thank you for your participation in the Arkansas Medicaid
				Program.
Roy Jeffus, Director
Section
			 II
Division of Youth Services (DYS) and Division of Children
				and Family Services (DCFS) Targeted Case Management
262.200 DYS Procedure Codes
Procedure Code
Required Modifier
Required Modifier
Description
T1017
U1
UA
DYS targeted case management
262.300 DCFS Procedure Codes
Procedure Code
Required Modifier
Required Modifier
Description
T1017
U3
UA
DCFS targeted case management
Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 06 - Medical Services › Rule 016.06.05-018 - Nurse Practitioner Update Transmittal #52

Current through Register Vol. 49, No. 6, June, 2024
Section II
Nurse Practitioner
SECTION II - NURSE PRACTITIONER CONTENTS
203.100
The Nurse Practitioner's Role
			 in the Pharmacy Program
Medicaid covers prescription drugs in accordance with policies
				and regulations set forth in this section and pursuant to orders
				(prescriptions) from authorized prescribers. The Arkansas Medicaid Program
				complies with the Medicaid Prudent Pharmaceutical Purchasing Program (MPPPP)
				which was enacted as part of the Omnibus Budget Reconciliation Act (OBRA) of
				1990.
This law requires Medicaid to limit coverage to drugs manufactured
				by pharmaceutical companies that have signed rebate agreements.
Except
				for drugs in the categories excluded from coverage, Arkansas Medicaid covers
				all drug products manufactured by companies with listed labeler codes.
An advanced nurse practitioner with prescriptive
				authority (verified by the Certificate of Prescriptive Authority Number issued
				by the licensing authority of the state in which services are furnished) may
				only prescribe legend drugs and controlled substances identified in the state
				licensing rules and regulations. Medicaid reimbursement will be limited to
				prescriptions for drugs in these schedules.
A. Prescribers must refer to the Arkansas
			 Medicaid Web site at
http://www.medicaid.state.ar.us/
to
			 obtain the following information:
1.
			 Multisource Drugs Listing/Generic Upper Limits.
2. Covered cough and cold preparations (see
			 part C, number 7 of this section).
3. Covered over-the-counter (OTC) products
			 (see part C, number 8 of this section).
4. Drugs requiring prior authorization (PA),
			 the forms to be completed for PA requests and the procedures required of the
			 prescriberto request prior authorization.
5. List of alternative drugs that do not
			 require PA.
6. Information on
			 MedWatch, the Food and Drug Administration (FDA) Safety Information and Adverse
			 Event Reporting Program.
As additions or deletions by labelers are submitted to the
				state by Centers for Medicare and Medicaid Services (CMS), the Web site is
				updated.
Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 06 - Medical Services › Rule 016.06.05-019 - Rehabilitative Hospital Provider Manual Update Transmittal #53

Current through Register Vol. 49, No. 6, June, 2024
242.122
Procedure Codes Requiring Modifiers
Treatment and therapy procedure codes may not be billed in
				conjunction with revenue code 0459. The basic non-emergency service is included
				in the coverage of the therapies.
Procedure Code
Modifier
Description
T1015
U1
Outpatient Hospital Clinic Room Charge. This room
						  charge includes supplies and non-physician staffing.
77417
U1
Therapeutic Radiology Port Film(s)
77417
U2
Therapeutic Radiology Port Film(s)
77417
U3
Therapeutic Radiology Port Film(s)
92507
UB
Individual Speech Therapy by SLPA
92508
UB
Group Speech Therapy by SLPA
97110
UB
Individual Physical Therapy by Physical Therapy
						  Assistant
97150
U1 UB
Group Occupational Therapy by Occupational Therapy
						  Assistant
97150
UB
Group Physical Therapy by Physical Therapy
						  Assistant
97530
UB
Individual Occupational Therapy by Occupational Therapy
						  Assistant
99401
UA
Outpatient Hospital Clinic Room Charge-Periodic Family
						  Planning Visit
99402
UA
Outpatient Hospital Clinic Room Charge-Basic Family
						  Planning Visit
Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 06 - Medical Services › Rule 016.06.05-020 - Hospital/Critical Access Hospital (CAH)/End-Stage Renal Disease (ESRD) Update Transmittal #76

Current through Register Vol. 49, No. 6, June, 2024
Section II
			 Hospital/Critical Access Hospital (CAH)/End Stage Renal Disease (ESRD)
272.132
Procedure Codes Requiring
			 Modifiers
Procedure Code
Modifier
Description
T1015
U1
Outpatient Hospital Clinic Room Charge. This room
						  charge includes supplies and non-physician staffing.
77417
U1
Therapeutic Radiology Port Film(s)
77417
U2
Therapeutic Radiology Port Film(s)
77417
U3
Therapeutic Radiology Port Film(s)
92507
UB
Individual Speech Therapy by SLPA
92508
UB
Group Speech Therapy by SLPA
97110
UB
Individual Physical Therapy by Physical Therapy
						  Assistant
97150
U1 UB
Group Occupational Therapy by Occupational Therapy
						  Assistant
97150
UB
Group Physical Therapy by Physical Therapy
						  Assistant
97530
UB
Individual Occupational Therapy by Occupational Therapy
						  Assistant
99401
UA
Outpatient Hospital Clinic Room Charge-Periodic Family
						  Planning Visit
99402
UA
Outpatient Hospital Clinic Room Charge-Basic Family
						  Planning Visit
Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 06 - Medical Services › Rule 016.06.05-021 - ARKids First-B Update Transmittal #23

Current through Register Vol. 49, No. 6, June, 2024
Section II ARKids First-B
223.100
Procedure for Extension of
			 Benefits
A. Medical Supplies
To request a benefit extension for medically necessary medical
				supplies; submit form DMS-699, Request for Extension of Benefits, a completed
				ARKids First-B claim and additional medical records, if needed, to substantiate
				medical necessity to the Division of Medical Services Utilization Review
				Section.
View or print the Division of Medical Services
				Utilization Review Section address.
The Benefit Limit
				Review Committee, which includes medical personnel, will review the medical
				records and notify the requesting provider of the approval or denial of the
				request. The approved notice will contain an authorization number that must be
				shown on the claim.
B.
			 Speech Therapy
If the provider determines the recipient needs more speech
				therapy services than those allowed in the Occupational, Physical, Speech
				Therapy Provider Manual, a form DMS-671, Request for Extension of Benefits for
				Clinical, Outpatient, Laboratory and X-Ray Services, must be completed and sent
				to the Arkansas Foundation for Medical Care.
View or print
				AFMC contact information. View or print form
				DMS-671.
Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 06 - Medical Services › Rule 016.06.05-023 - DDS Alternative Community Services (ACS) Update #51

Current through Register Vol. 49, No. 6, June, 2024
272.100
DDS
			 Alternative Community Service (ACS) Waiver Procedure 7-1-05
Codes
The following procedure codes and any associated modifier(s)
				must be billed for DDS Alternative Community Services (ACS) Waiver Services.
				Prior authorization is required for all services.
Procedure Code
M1
M2
PA
Description
Unit of Service
POS for
Paper
Claims
POS for
Electronic
Claims
H2016
Y
ACS Supported Living (Individual)
1 Day
4,
0
12,99
H2016
UB
Y
ACS Supported Living (Group)
1 Day
4,
0
12,99
H20231
Y
ACS Supported Employment
15
Minutes
0
99
T20282
Y
ACS Specialized Medical Supplies
1 Month
4,
0
12,99
T2022
Y
ACS Case Management Services
1 Month
4,
0
12,99
T20253
Y
ACS Consultation Services
1
Hour
4,
0
12,99
T2034
Y
ACS Crisis Center Services
1 Day
o,
4
99, 12
T20344
U1
UA
Y
ACS Crisis Intervention Services
1
Hour
o,
4
99, 12
individuals are limited to a maximum of 32 units (8 hours) of
				supported employment services per date of service.
A breakdown of the supported employment units of service
				include:
One unit = 15 minutes to 21 minutes Two units = 22 minutes to
				37 minutes Three units = 38 minutes to 52 minutes Four units = 53 minutes to 67
				minutes
Reimbursement cannot exceed $300 per month.
individuals may receive twenty-five (25) hours of ACS
				consultation services per waiver-eligible year.
4 Crisis intervention services may require a
			 maximum of 24 hours of service during any one day.
The following list contains the procedure codes used for ACS
				physical adaptations. Physical adaptations have a benefit limit of $7500 per
				year.
Procedure Code
M1
M2
PA
Description
POS for
Paper
Claims
POS for
Electronic
Claims
K0108
Y
Other accessories
4
12
S5160
Y
Emergency response system; installation and
						  testing
4
12
S5161
Y
Emergency response system; service fee, per month
						  (excludes installation and testing)
4
12
S5162
Y
Emergency response system; purchase only
4
12
S5165
U1
Y
Home modifications, per service
4
12
Refer to section
				272.200 for definitions of the
				place of service codes listed above.