Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 06 - Medical Services › Rule 016.06.12-033 - Alternatives for Adults with Physical Disabilities Waiver (APDWVR) Update Transmittal APDWVR-1-12

Current through Register Vol. 49, No. 6, June, 2024
Section II
			 Alternatives for Adults with Physical Disabilities Waiver
201.000
Arkansas Medicaid Enrollment
			 Requirements for Alternatives for
Adults with Physical Disabilities (Alternatives
				Waiver)
Alternatives for Adults with Physical Disabilities Waiver
				Program 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.
Consumer-Directed
			 Attendant Care
Consumer-Directed Attendant Care 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
				services to be provided.
DAAS certification of Attendant Care providers is contingent
				upon participation in the financial management services process as required by
				federal guidelines for consumer-directed programs. Participation in the
				financial management services process does not change the procedure for filing
				claims. Claims are submitted to HP Enterprise Services and are processed by HP
				Enterprise Services. Prior to payment, the fiscal intermediary deducts
				appropriate withholdings and processes Medicaid payment to the provider.
NOTE: For a beneficiary to qualify for self-direction,
				the beneficiary must be able to perform the tasks of an employer (recruit,
				hire, train, manage and fire his/her attendant care provider), as well as
				monitor the employee's timesheets and approve payment.
If the beneficiary cannot perform the employer duties, a
				legal representative (i.e. legal guardian, spouse or attorney-in-fact), may act
				on the beneficiary's behalf in the role of employer. An attorney-in-fact is a
				person who has been given the authority by the beneficiary under a power of
				attorney to direct the beneficiary's care. Directing a beneficiary's care would
				include recruiting, hiring, training, managing, terminating attendants,
				monitoring attendant service timesheets and approving payment.
If a beneficiary cannot perform the duties of an employer
				and does not already have a spouse, legal guardian or attorney-in-fact to
				direct the beneficiary's care, the beneficiary must receive services through an
				agency.
During assessment and reassessment, if determined the
				beneficiary is able to self-direct, the DAAS RN/Counselor will obtain the
				beneficiary's signature on the verification of ability to
				self-direct.
B.
Consumer-Directed Agency Attendant Care
Consumer-Directed Agency Attendant Care providers must be
				certified by the Division of Aging and Adult Services (DAAS) as having met all
				CMS-approved provider criteria for the services to be provided.
C.
Traditional Agency
			 Attendant Care
Traditional Agency Attendant Care providers must be certified
				by the Division of Aging and Adult Services (DAAS) as having met all
				CMS-approved provider criteria for the services to be provided.
D.
Environmental
			 Accessibility/Adaptations/Adaptive Equipment
Environmental Accessibility/Adaptations/Adaptive Equipment
				providers must be certified by the Division of Aging and Adult Services (DAAS)
				as having met all CMS-approved provider criteria for the services to be
				provided.
E.
Case
			 Management/Counseling Support
Case Management/Counseling Support providers must be certified
				by the Division of Aging and Adult Services (DAAS) as having met all
				CMS-approved provider criteria for the services to be provided.
It is the responsibility of all providers of Alternatives
				Waiver services to maintain current Division of Aging and Adult Services (DAAS)
				certification to avoid loss of provider eligibility. Required materials must be
				submitted to the Division of Aging and Adult Services.
View
				or print the Division of Aging and Adult Services contact
				information.
Certifications are renewed annually, with the
				exception of Agency Attendant Care providers, whose certifications are renewed
				every three years. If required recertification documents are not received by
				the Division of Aging and Adult Services prior to expiration of the current
				certificate, action will be taken to close the provider's identification number
				and Medicaid provider number. Payment cannot be authorized for services
				provided beyond the certification period.
Once received and it is determined that eligibility
				requirements are met for certification, DAAS will forward a copy of the DAAS
				certificate and licensure, if applicable, to HP along with the Medicaid
				contract and application.