Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 06 - Medical Services › Rule 016.06.07-025 - ElderChoices Home and Community-Based (H&CB) 2176 Waiver Provider Manual Update Transmittal #79

Current through Register Vol. 49, No. 6, June, 2024
All ElderChoices home and community-based (H&CB) waiver
				providers must meet the following criteria to be eligible to participate in the
				Arkansas Medicaid Program:
A.
			 ElderChoices H&CB Waiver providers must be certified by the Division of
			 Aging and Adult Services (DAAS) as having met all Centers for Medicare and
			 Medicaid Services (CMS) approved provider criteria for the service(s) they wish
			 to enroll to provide.
B. The
			 provider must complete and submit to the EDS Provider Enrollment Unit a
			 provider application (form DMS-652), a Medicaid contract (form DMS-653) and a
			 Request for Taxpayer Identification Number and Certification (Form W-9). A copy
			 of the current certification must accompany the provider application and
			 Medicaid contract. Subsequent certification renewals must be submitted upon
			 receipt.
View or print a provider application (form DMS-652),
			 Medicaid contract (form DMS-653) and Request for Taxpayer Identification Number
			 and Certification (Form W-9).
Certification by the Division of Aging and Adult Services
				does not guarantee enrollment in the Medicaid program.
C. Enrollment as a Medicaid provider is
			 conditioned upon approval of a completed provider application and the execution
			 of a Medicaid provider contract. Persons and entities that are excluded or
			 debarred under any state or federal law, regulation or rule are not eligible to
			 enroll, or to remain enrolled, as Medicaid providers.
All providers must maintain their provider files at the EDS
				Provider Enrollment Unit by submitting current certification, licensure, etc.,
all DAAS-issued certification renewals and any other renewals
				affecting their status as a Medicaid-eligible provider
. Failure to
				submit required documents will result in termination of the provider's
				eligibility for reimbursement of services. Providers may avoid a cancellation
				of provider eligibility by timely submission of required materials to the EDS
				Medicaid Provider Enrollment Unit.
View or print the Provider
				Enrollment Unit contact information.
Copies of certifications and renewals required by DAAS must be
				maintained by DAAS to avoid loss of provider certification. These copies must
				be submitted to DAAS ElderChoices Provider Certification.
View or print the Division of Aging and Adult Services
				ElderChoices Provider Certification contact
				information.
211.000
Scope
The Arkansas Medical Assistance (Medicaid) Program offers
				certain home and community-based outpatient services as an alternative to
				nursing home placement. These services are available to individuals aged 65
				years or older who require an intermediate level of care in a nursing facility.
				The community-based services offered through the ElderChoices Home and
				Community-Based 2176 Waiver, described herein as ElderChoices, are as
				follows:
A. Adult Foster
			 Care
B. Homemaker
			 Services
C. Chore
			 Services
D. Home-Delivered
			 Meals
E. Personal Emergency
			 Response System
F. Adult Day
			 Care
G. Adult Day Health Care H.
			 Respite Care
I. Adult Companion
			 Services
These services are designed to maintain Medicaid eligible
				persons at home in order to preclude or postpone institutionalization of the
				individual.
In accordance with
				42 CFR
				441.301(b)(1)(ii)
				ElderChoices services may not be provided to inpatients of nursing facilities,
				hiospitais or othier inpatient institutions.