Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 06 - Medical Services › Rule 016.06.07-014 - Developmental Day Treatment Clinic Services Provider Manual Update # 92

Current through Register Vol. 49, No. 6, June, 2024
201.200
DDTCS Providing Occupational, Physical, or Speech Therapy
Optional services available through DDTCS include occupational,
				physical and speech therapy and evaluation as an essential component of the
				plan of care for an individual accepted for developmental disabilities
				services. Therapy services are not included in the core services and are
				provided in addition to the core services (see section
				214.210 and
				215.200, of this manual, for
				additional requirements for provision of therapy services).
If a DDTCS provider
contracts
with an individual
				qualified therapist or speech-language pathologist, the criteria for group
				providers of therapy services apply (See section
				201.100 of the Occupational,
				Physical, Speech Therapy Services manual). The qualified individual is
				considered the provider of therapy services and must complete an application
				and contract with the Division of Medical Services. The individual provider
				will not bill Arkansas Medicaid for services as they are contracted through the
				DDTCS Provider, however Medicaid participation will be indicated by the
				provider identification number indicated as a performing provider when the
				facility bills for services.
Therapists directly
employed
by a facility will
				not bill Arkansas Medicaid for services nor indicate their individual Medicaid
				provider identification number for services provided as an employee of the
				billing facility. Therefore, the individual therapist's Medicaid participation
				will appear inactive to the Medicaid enrollment system. EDS will annually
				notify all providers, at the address currently on file with Arkansas Medicaid
				for the individual's enrollment, that no activity with the Medicaid program for
				the calendar year will inactivate their individual provider participation. It
				will be necessary for each individual therapy provider-employee to complete and
				return form DMS-0663
(V
				iew or print form DMS-0663)
on an annual basis to have
				their enrollment remain active and not purged due to inactivity. All forms are
				located in Section V of each manual.
220.110
Accepted Tests for
			 Occupational Therapy
Tests used must be norm referenced, standardized, age
				appropriate and specific to the therapy provided. The following list of tests
				is not all-inclusive. When using a test not listed here, the provider must
				include additional documentation to support the reliability and validity of the
				test. This additional information will be used as reference information if the
				chart is ever selected by Medicaid for review. An explanation of why a test
				from the approved list could not be used to evaluate the child must also be
				included. The
Mental Measurement Yearbook (MMY)
is the
				standard reference to determine the reliability and validity of the test(s)
				administered in an evaluation. Providers should refer to the
MMY
for additional information regarding specific tests.
Definitions:
STANDARD: Evaluations that are used to determine
				deficits.
SUPPLEMENTAL: Evaluations that are used to justify deficits and
				support other results. These should not "stand alone."
CLINICAL OBSERVATIONS: All clinical observations are
				supplemental but should be included with every evaluation, especially if
				standard scores do not qualify the child for therapy. They will be considered
				during reviews for medical necessity.
A. Fine Motor Skills - Standard
1. Peabody Developmental Motor Scales (PDMS,
			 PDMS2)
2. Toddler and Infant Motor
			 Evaluation (TIME)
3.
			 Bruininks-Oseretsky Test of Motor Proficiency (BOMP)
4. Bruininks-Oseretsky Test of Motor
			 Proficiency, Second Edition (BOT-2)
5. Test of Infant Motor Performance
			 (TIMP)