Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 06 - Medical Services › Rule 016.06.08-009 - State Plan Amendment #2007-023 & New Independent Choices Manual

Current through Register Vol. 49, No. 6, June, 2024
Revision: HCFA Region VI (MB) November 1992
State:
Arkansas
Citation
3.1(a)(1) Amount. Duration, and Scope of Services:
						  Categorically Needy
1902(a)(10)(D)
(vi) Home health services are provided to individuals
						  entitled to nursing facility services as indicated in item 3.1(b) of this
						  plan.
1902(e)(7) of the Act
(vii) Inpatient services that are being furnished to
						  infants and children described in section 1902(1)(1)(B) through (D), or section
						  1905(n)(2) of the Act on the date the infant or child attains the maximum age
						  for coverage under the approved state plan will continue until the end of the
						  stay for which the inpatient services are furnished.
1902(e)(9) of the Act
X (viii) Respiratory care services are provided to
						  ventilator dependent individuals as indicated in item 3.1(h) of this
						  plan.
1902(a)(52) and 1925 of the Act
(ix) Services are provided to families eligible under
						  section 1925 of the Act as indicated in item 3.5 of this plan.
1905(a)(23) and 1929
___(x) Home and Community Care for Functionally
						  Disabled
Elderly Individuals, as defined, described and limited
						  in Supplement 2 to Attachment 3.1-A and Appendices A-G to Supplement 2 to
						  Attachment 3.1-A.
1915(j)
X
(xi) Self-Directed Personal Assistance
						  Services, as
described and limited in Supplement 4 to
						  Attachment 3.1-A.
ATTACHMENT 3.1-A identifies the medical and remedial
						  services provided to the categorically needy, specifies all limitations on the
						  amount, duration, and scope of those services, and lists the additional
						  coverage (that is in excess of established service limits) for
						  pregnancy-related services and services for conditions that may complicate the
						  pregnancy.
PACE and Self-Directed Personal Assistance Services are also
						  included in Attachment 3.1-A.
TN#
Supersedes Approval Date_______________ Effective
				Date__________________
TN#
Revision: HCFA-PM-93- 5 (MB) May 1993
State:
Arkansas
Citation
3.1(a)(2) Amount, Duration, and Scope of Services:
						  Medically Needy
1902(e)(9) of Act
(x) Respiratory care services are provided to
						  ventilator dependent individuals as indicated in item 3.1(h) of this
						  plan.
1905(a)(23) and 1929 of the Act
(xi) Home and Community Care for Functionally Disabled
						  Elderly Individuals, as defined, described and limited in Supplement 2 to
						  Attachment 3.1-A and Appendices A-G to Supplement 2 to Attachment 3.1
						  -A.
19150)
Self-Directed Personal Assistance Services, as
						  described and limited in Supplement 1 to Attachment 3.1-B.
ATTACHMENT 3.1-B identifies the services provided to
						  each covered group of the medically needy; specifies all limitations on the
						  amount, duration, and scope of those items; and specifies the ambulatory
						  services provided under this plan and any limitations on them. It also lists
						  the additional coverage (that is in excess of established service limits) for
						  pregnancy-related services and services for conditions that may complicate the
						  pregnancy.
TN#
Supersedes Approval Date_______________ Effective
				Date__________________
TN#
ATTACHMENT 3.1-A
STATE PLAN UNDER TITLE XIX OF THE SOCIAL SECURITY ACT MEDICAL
				ASSISTANCE PROGRAM STATE:
ARKANSAS
AMOUNT, DURATION AND SCOPE OF SERVICES PROVIDED
27. Program of All-inclusive Care for the
			 Elderly (PACE) Refer to Supplement 3 to Attachment 3.1-A.
28. Self-Directed Personal Assistance
			 Services
X
Self-Directed Personal Assistance
				Services, as described in Supplement 4 to Attachment 3.1-A.
X
Election of Self-Directed Personal
				Assistance Services: By virtue of this submittal, the State elects
				Self-Directed Personal Assistance Services as a State Plan service delivery
				option.
____No election of Self-Directed Personal Assistance Services:
				By virtue of this submittal, the State elects not to add Self-Directed Personal
				Assistance Services as a State Plan service delivery option.
28. Self-Directed Personal Assistance
			 Services Refer to Supplement 4 to Attachment 3.1-A.
OMB Approved 0938-1024
STATE PLAN UNDER TITLE XIX OF THE SOCIAL SECURITY ACT
State:
ARKANSAS
1915(j) Self-Directed
				Personal Assistance Services
Notwithstanding anything else in this State Plan provision, the
				coverage will be subject to such other requirements that are promulgated by CMS
				through interpretive issuance or final regulation.
i. Eligibility
The State determines eligibility for Self-Directed Personal
				Assistance Services:
A.
X
In the same manner as eligibility is determined for
			 traditional State Plan personal care services, described in Item 24 of the
			 Medicaid State Plan.
B.
X
In the same manner as eligibility is determined for
			 services provided through a 1915(c) Home and Community-Based Services
			 Waiver.