Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 27 - Department of Medical Services › Rule 016.27.21-009 - Division of Medical Services (DMS) Manual Extension

Current through Register Vol. 49, No. 6, June, 2024
Division of Medical Services (DMS)
COVID-19
Response Manual
January 1, 2022
200.000
OVERVIEW
201.000
Authority
The following rules are duly adopted and promulgated by the
				Division of Medical Services (DMS) of the Arkansas Department of Human Services
				(DHS) under the authority of Arkansas Code Annotated §§
									20-76-201
									20-77-107,
				and
				25-10-129.
202.000
Purpose
In response to the COVID 19 pandemic, DHS identified programs
				and services that required additional flexibility or changes to adapt to
				ensuring the health and safety of our clients. This manual details them so that
				DHS may render uninterrupted assistance and services to our clients.
203.000
Appeals
Appeal requests for the COVID-19 response policies must adhere
				to the policy set forth in the Medicaid Provider Manual Section 160.000
				Administrative Reconsideration and Appeals which can be accessed at
https://medicaid.mmis.arkansas.gov/Provider/Docs/all.aspx
.
203.000
Severability
Each section of this manual is severable from all others. If
				any section of this manual is held to be invalid, illegal, or unenforceable,
				such determination shall not affect the validity of other sections in this
				manual and all such other sections shall remain in full force and effect. In
				such an event, all other sections shall be construed and enforced as if this
				section had not been included therein.
260.000
MEDICAL
			 SERVICES
260.100
Medicaid Provider Manual Section I
260.101
Provider Enrollment Fingerprint
			 Submission Requirements
Section 141.103
concerning fingerprint submission
				requirements for high risk providers related to background screening is
				suspended through the termination of the federal public health emergency,
				including any extensions, or December 31, 2022, whichever comes first.
With respect to providers not already enrolled with another
				State Medicaid Agency or Medicare, DMS will waive the following screening
				requirements so the state may temporarily enroll the providers for the duration
				of the public health emergency or until December 31, 2022, whichever occurs
				first:
A. Payment of the application
			 fee -
			 42 C.F.R. §
										455.460
B. Criminal background checks associated with
			 Fingerprint-based Criminal Background Checks -
			 42 C.F.R. §
										455.434
C. Site visits -
			 42
			 C.F.R. §
										455.432
D. In-state/territory licensure requirements
			 -
			 42 C.F.R. §
										455.412
The Centers for Medicare and Medicaid Services (CMS) is
				granting 1135 waiver authority to allow Arkansas to enroll providers who are
				not currently enrolled with another SMA or Medicare so long as the state meets
				the following minimum requirements:
A. Must collect minimum data requirements to
			 file and process claims, including, but not limited to NPI.
B. Must collect Social Security Number,
			 Employer Identification Number, and Taxpayer Identification Number
			 (SSN/EIN/TIN), as applicable, to perform the following screening requirements:
1. OIG exclusion list
2. State licensure - provider must be
			 licensed, and legally authorized to practice or deliver the services for which
			 they file claims, in at least one state/territory
C. Arkansas must also:
1. Issue no new temporary provisional
			 enrollments after the date that the emergency designation is lifted,
2. Cease payment to providers who are
			 temporarily enrolled within six months from the termination of the public
			 health emergency, including any extensions, unless a provider has submitted an
			 application that meets all requirements for Medicaid participation and that
			 application was subsequently reviewed and approved by Arkansas before the end
			 of the six month period after the termination of the public health emergency,
			 including any extensions, and
3.
			 Allow a retroactive effective date for provisional temporary enrollments that
			 is no earlier than March 1, 2020.