Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 06 - Medical Services › Rule 016.06.11-012 - Rehabilitative Services for Persons with Mental Illness (RSPMI) Update No. 4-11

Current through Register Vol. 49, No. 6, June, 2024
Section II.
			 Rehabilitative Services for Persons with Mental Illness
202.100 Certification Requirements by the
			 Division of Behavioral Health
Services
(DBHS)
Providers of RSPMI Services must furnish documentation of
				certification from the Division of Behavioral Health Services (DBHS)
				establishing that the provider is accredited by the Joint Commission on
				Accreditation of Healthcare Organizations (JCAHO) Comprehensive Accreditation
				Manual for Behavioral Health Care, the Commission on Accreditation of
				Rehabilitation Facilities (CARF) Behavioral Health Standards Manual and the
				Council on Accreditation (COA) Outpatient Mental Health Services Manual.
				Accreditation must recognize and include all the applicant's programs, services
				and service sites. Any outpatient behavioral health program associated with a
				hospital must have a free-standing behavioral health outpatient program
				national accreditation. Providers must meet all other certification
				requirements in addition to accreditation.
Certification requirements may be found at
www.arkansas.gov/dhs/dmhs/
.
211.000 Coverage of Services
Rehabilitative Services for Persons with Mental Illness (RSPMI)
				are limited to certified providers who offer core mental health services for
				the treatment and prevention of mental disorders. The provider must be
				certified as an RSPMI provider by the Division of Behavioral Health
				Services.
An RSPMI provider must establish a site specific emergency
				response plan that complies with section
				VIII(N) of the
				Arkansas Department of Human Services Division of Behavioral Health Services
				Certification Manual. Each site must have 24-hour emergency response capability
				to meet the emergency treatment needs of the RSPMI beneficiaries served by the
				site. The provider must implement and maintain a written policy reflecting the
				specific coverage plan to meet this requirement. An answering machine message
				to call 911 or report to the nearest emergency room in and of itself is not
				sufficient to meet the requirement.
212.000 Quality Assurance
Each RSPMI provider must establish and maintain a quality
				assurance committee that will meet quarterly and examine the clinical records
				for completeness, adequacy and appropriateness of care, quality of care and
				efficient utilization of provider resources. The committee must also comply
				with section
				VIII(P) of the
				Arkansas Department of Human Services Division of Behavioral Health Services
				Certification Manual. Documentation of quality assurance committee meetings and
				quality improvement programs must be filed separately from the clinical
				records.
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.
Each RSPMI provider shall comply with minimum staffing
				requirements set forth in section
				VIII(E) of the
				Arkansas Department of Human Services Division of Behavioral Health Services
				Certification Manual.
In addition to minimum staff requirements, the RSPMI provider
				may employ additional mental health professionals who shall meet all
				professional requirements as defined in the state licensing and certification
				laws relating to their respective professions. Examples include:
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)
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
A. 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.
B. 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 direct supervision of a mental health professional as
			 set forth in section
			 VIII(E) (4) of
			 the Arkansas Department of Human Services Division of Behavioral Health
			 Services Certification Manual. 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 following 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
--
[ Field Code
				changed
)
that they can be identified on claims. For example, an LCSW may
				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