Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 06 - Medical Services › Rule 016.06.05-002 - Transportation Update #61- Medicaid Participation Requirements

Current through Register Vol. 49, No. 6, June, 2024
REMOVE Section
Date
201.000-201.300
Dates Vary
202.000
10-13-03
242.100-242.120
Dates Vary
INSERT
Section
Date
201.100-201.400
202.000
242.100-242.120
Explanation of
				Updates
The following changes will be effective on and after March 15,
				2005.
Section 201.100 is the former
			 section 201.000. It has been renamed. The section sets forth the current
			 requirements for participation in the Arkansas Medicaid Podiatry
			 Program.
Section 201.200 is the
			 former section 201.100. This section is included to explain the purpose of and
			 procedures for enrolling as a group provider in the Arkansas Medicaid Program.
Sections 201.300 and 201.400 are the former sections 201.200
				and 201.300, respectively.
Section
			 202.000 is included to explain that podiatrists are not required
			 to participate in the Title XVIII (Medicare) Program in order to participate in
			 the Medicaid Program.
Section
			 242.100 has been updated to add new procedure codes as part of the
			 podiatrist services. The new services allow podiatrists to perform surgery on
			 the ankle. Also, other procedure codes that had previously been omitted have
			 been added to this section. An asterisk has been placed on codes that have a
			 special requirement and an explanation has been placed in this
			 section.
Section 242.110 has been
			 updated to include procedure codes that were previously omitted. Special
			 information regarding a procedure code in this section has an asterisk attached
			 to it, and the information is outlined at the bottom of this section.
Section 242.120 has been updated to include
			 more procedure codes that require prior authorization and that were previously
			 omitted from the manual.
Paper versions of this update transmittal have updated pages
				attached to file in your provider manual. See Section I for instructions on
				updating the paper version of the manual. For electronic versions, these
				changes will be automatically incorporated.
Thank you for your participation in the Arkansas Medicaid
				Program.
Roy Jeffus, Director
If you need this material in an alternative format,
				such as large print, please contact our Americans with Disabilities Act
				Coordinator at (501) 682-6789 or 1-877-708 -8191. Both telephone numbers are
				voice and TDD.
If you have questions regarding this transmittal,
				please contact the EDS Provider Assistance Center at 1-800-457 -4454
				(Toil-Free) within Arkansas or locally and Out-of-State at (501)
				376-2211.
Arkansas Medicaid provider manuals (including update
				transmittals), official notices and remittance advice (RA) messages are
				available for downloading from the Arkansas Medicaid website:
www,
				medicaid, state, ar. us
.
201.100
Participation Requirements for
			 I ndividual Podiatrists
Podiatrists must meet the following criteria to be eligible to
				participate in the Arkansas Medicaid Program.
A. The provider must complete and submit to
			 the Medicaid 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).
View or print a provider
			 application (form DMS-652), a Medicaid contract (formf)MS-653) and a Request
			 for Taxpayer Identification Number and Certification (Form
			 W-9).
B. The
			 Arkansas Medicaid Program must approve the provider application and the
			 Medicaid contract as a condition of participation in the Medicaid Program.
			 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.
C. The provider
			 must be licensed to practice podiatrist's services in his or her state.
1. A copy of the current state license must
			 accompany the provider application and Medicaid contract.
2. A copy of subsequent state licensure
			 renewal must be forwarded to Provider enrollment within 30 days of issuance. If
			 the renewal document(s) have not been received within this timeframe, the
			 provider will have an additional final 30 days to comply.
3. Failure to timely submit verification of
			 license renewal will result in termination of enrollment in the Arkansas
			 Medicaid Program.
D. The
			 provider must submit Clinical Laboratory Improvement Amendments (CLIA)
			 certification, if applicable. (Section
			 205.000 contains information
			 regarding CLIA certification.)