Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 06 - Medical Services › Rule 016.06.09-034 - DDS Alternative Community Services (ACS) Waiver Update Transmittal # 105

Current through Register Vol. 49, No. 6, June, 2024
Section IIDDS
			 Alternative Community Services (ACS) Waiver
219.000
Adaptive Equipment
			 (Environmental Accessibility Adaptations)
Adaptive equipment service provides for the purchase, leasing
				and, as necessary, repair of adaptive, therapeutic and augmentative equipment
				required to enable individuals to increase, maintain or improve their
				functional capacity to perform daily life tasks that would not be possible
				otherwise.
Adaptive equipment needs for supportive employment for a person
				are also included. This service may include specialized medical equipment such
				as devices, controls or appliances that will enable the person to perceive, to
				control or to communicate with the environment in which they live.
Equipment may only be covered if not available to the
				individual from any other source. Professional consultation must be accessed to
				ensure that the equipment will meet the needs of the individual. All items must
				meet applicable standards of manufacture, design and installation.
Computer equipment may be approved when it allows the
				participant control of his or her environment, assists in gaining independence
				or when it can be demonstrated that it is necessary to protect the health and
				safety of the person. Computers will not be purchased to improve socialization
				or educational skills.
Printers may be approved for non-verbal persons.
Computer desks or other furniture items will not be
				covered.
Communication boards are allowable devices. Computers may be
				approved for communication when there is substantial documentation that a
				computer will meet the needs of the person more appropriately than a
				communication board.
Software will be approved only when required to operate the
				accessories included for environmental control or to provide text-to-speech
				capability.
Permanent modifications to make a participant/legally
				responsible party's vehicle accessible may be approved under certain
				conditions. See Section
				219.100 for more
				information.
Personal emergency response systems (PERS) may be approved when
				they can be demonstrated as necessary to protect the health and safety of the
				participant. PERS are electronic devices that enable individuals to secure help
				in an emergency. The individual may also wear a portable "help" button to allow
				for mobility. The system is connected to the individual's telephone and
				programmed to signal a response center once a "help" button is activated. The
				response center must be staffed by trained professionals.
PERS services are limited to individuals who live alone or who
				are alone for significant parts of the day and have no regular caregiver for
				extended periods of time and who would otherwise require extensive routine
				supervision.
219.100
Vehicle Modifications
Payment for permanent modifications of a vehicle is based on
				the cost of parts and labor, which must be quoted and paid separately from the
				purchase price of the vehicle to which the modifications are or will be
				made.
A. Transfer of any part of the
			 purchase price of a vehicle, including preparation and delivery, to the price
			 of a modification is a fraudulent activity. All suspected fraudulent activity
			 will be reported to the Program Integrity Section of the Division of Medical
			 Services for investigation.
B.
			 Reimbursement for a permanent modification cannot be used or considered as down
			 payment for a vehicle.
C. Lifts
			 that require vehicle modification and the modifications are, for purposes of
			 approval and reimbursement, one project and cannot be separated by plan of care
			 years in order to obtain up to the maximum of $7500 for each component.
Permanent vehicle modifications may be replaced if the vehicle
				is stolen, damaged beyond repair as long as the damage is not through
				negligence of the vehicle owner, or used for more than its reasonable useful
				lifetime.
A. A vehicle has reached its
			 reasonable useful lifetime when repairs are required to make the vehicle
			 useable, and the cost of the repairs exceeds the fair market value of the
			 vehicle in repaired condition.
B.
			 Cost of repair shall be determined by repair estimates from three qualified
			 repairers.
C. Vehicle value shall
			 be determined by reference to sales listing for similar vehicles within a 200
			 mile radius of the beneficiary's home, and to listings in Dallas, Texas, Kansas
			 City, Missouri, Saint Louis, Missouri and Memphis, Tennessee.
D. If the participant/legally responsible
			 party sells or trades a permanently modified vehicle before the vehicle reaches
			 its reasonable useful lifetime, the modification will not be replaced on any
			 replacement vehicle. Instead, the participant may be eligible for partial
			 payment based on the estimated remaining residual value of the vehicle at the
			 time of sale.
1. Estimated residual value
			 shall be determined by comparing the purchase price of the modified vehicle
			 when acquired by the participant/legally responsible party when the vehicle
			 value at the time of sale determined as stated above.
Example:
Apermanently
			 modified vehicle purchased for $30,000 is sold with a value of $20,000 (66%
			 residual value). If parts and labor for the modification of the replacement
			 vehicle are $10,000, the amount paid is $3,333 (33%).
219.200
Benefit
			 Limits for Adaptive Equipment
The annual expenditure for adaptive equipment is $7500.00 per
				person. If the person is also receiving environmental modification services,
				the COMBINED annual expenditure cannot exceed
				$7500.00.