Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 06 - Medical Services › Rule 016.06.08-020 - Child Health Management Services Update #107 & Rehabilitative Services for Persons with Mental Illness Update #103

Current through Register Vol. 49, No. 6, June, 2024
213.000
Staff Requirements
Each RSPMI provider shall ensure that mental health
				professionals are available to provide appropriate and adequate supervision of
				all clinical activities. RSPMI staff members must provide services only within
				the scope of their individual licensure. It is the responsibility of the
				facility to credential each clinical staff member, specifying the areas in
				which he or she can practice based on training, experience and demonstrated
				competence.
Minimal staff requirements for RSPMI provider participation in
				the Arkansas Medicaid Program are:
A.
			 A Chief Executive Officer (CEO) with professional qualifications and experience
			 as established by the provider's governing body.
B. Appropriate mental health professionals
			 who shall meet all professional requirements as defined in the state licensing
			 and certification laws relating to their respective professions. Mental health
			 professionals include the following:
1.
			 Psychiatrist,
2.
			 Physician,
3.
			 Psychologist,
4. Psychological
			 Examiner,
5. Adult Psychiatric
			 Mental Health Clinical Nurse Specialist,
6. Child Psychiatric Mental Health Clinical
			 Nurse Specialist,
7. Adult
			 Psychiatric Mental Health Advanced Nurse Practitioner,
8. Family Psychiatric Mental Health Advanced
			 Nurse Practitioner,
9. Master of
			 Social Work (Licensed in the State of Arkansas),
10. Registered nurse (RN; licensed in the
			 State of Arkansas) who has one (1) year supervised experience in a mental
			 health setting (Services provided by the RN must be within the scope of
			 practice specified by the RN's licensure.),
11. Licensed professional counselor (Licensed
			 in the State of Arkansas) and
12.
			 Persons in a related profession who are licensed in the State of Arkansas and
			 practicing within the bounds of their licensing authority, with a master's
			 degree and appropriate experience in a mental health setting, including
			 documented, supervised training and experience in diagnosis and therapy of a
			 broad range of mental disorders.
C. The services of a medical records
			 librarian are required. The medical records librarian (or person performing the
			 duties of the medical records librarian) shall be responsible for ongoing
			 quality controls, for continuity of patient care and patient traffic flow. The
			 librarian shall assure that records are maintained, completed and preserved;
			 that required indexes and registries are maintained and that statistical
			 reports are prepared. This staff member will be personally responsible for
			 ensuring that information on enrolled patients is immediately retrievable,
			 establishing a central records index, and maintaining service records in such a
			 manner as to enable a constant monitoring of continuity of care.
D. A mental health paraprofessional is
			 defined as a person with a Bachelor's Degree or a license from the Arkansas
			 State Board of Nursing who does not meet the definition of mental health
			 professional, but who is licensed and certified by the State of Arkansas in a
			 related profession and is practicing within the bounds as permitted by his or
			 her licensing authority, or a person employed by a certified RSPMI provider
			 with a high school diploma or general equivalency diploma (GED) and documented
			 training in the area of mental health. A mental health paraprofessional may
			 provide certain Rehabilitative Services for Persons with Mental Illness under
			 supervision of a mental health professional. The services paraprofessionals may
			 provide are: crisis stabilization intervention, on-site intervention, off-site
			 intervention, rehabilitative day service, therapeutic day/acute day treatment
			 and collateral service. If the paraprofessional is a licensed nurse, the
			 approved services may also be provided: medication administration by a licensed
			 nurse, routine venipuncture for collection of specimen and catheterization for
			 collection of specimen.
Effective for dates of service on and after October 1, 2008,
				when an RSPMI provider files a claim with Arkansas Medicaid, the staff member
				who actually performed the service on behalf of the RSPMI provider must be
				identified on the claim as the performing provider. RSPMI staff members who are
				eligible to enroll in the Arkansas Medicaid program have the option of either
				enrolling or requesting a Practitioner Identification Number
(View or print form DMS-7708)
so that they
				can be identified on claims. For example, an LCSWmay choose to enroll in the
				Licensed Mental Health Practitioners program or choose to obtain a Practitioner
				Identification Number.
This action is taken in compliance with the federal Improper
				Payments Information Act of 2002 (IPIA),
				Public
				Law 107-300 and the resulting Payment Error Rate
				Measurement (PERM) program initiated by the Centers for Medicare and Medicaid
				Services (CMS).
Certain types of practitioners who perform services on behalf
				of an RSPMI provider cannot enroll in the Arkansas Medicaid program. These
				practitioners must request a Practitioner Identification Number so that they
				can be identified on claims:
* Psychological Examiner
* Adult Psychiatric Mental Health Clinical Nurse
				Specialist
* Child Psychiatric Mental Health Clinical Nurse
				Specialist
* Adult Psychiatric Mental Health Advanced Nurse
				Practitioner
* Family Psychiatric Mental Health Advanced Nurse
				Practitioner
* Master of Social Work (Licensed in the State of
				Arkansas)
* Regi stered nurse
* Paraprofessional
TOC not required