016.06.05 Ark. Code R. 075
Current through Register Vol. 49, No. 10, October, 2024
Rule 016.06.05-075 - Developmental Rehabilitation Services Provider Manual Update Transmittal #17Section II Developmental Rehabilitation Services201.000 Arkansas Medicaid Participation Requirements for Developmental Rehabilitation ServicesProviders of developmental rehabilitation services must meet the following requirements to be eligible to participate in the Arkansas Medicaid Program:
A. Providers must be certified as First Connections Program participants by the Arkansas Division of Developmental Disabilities Services (DDS) to provide early intervention services.B. A 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 (form DMS-653) and a Request for Taxpayer Identification Number and Certification (Form W-9).C. Enrollment as a Medicaid provider is conditioned upon approval of a completed provider application and the execution of a Medicaid provider contract. 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.D. Verification of current certification from DDS must accompany the provider application and the Medicaid contract.E. Subsequent certifications must be forwarded to the Medicaid Provider Enrollment Unit within 30 days of issuance. If the renewal document(s) have not been received within this timeframe, the provider will have an additional and final 30 days to comply.F. Failure to timely submit verification of certification renewals will result in termination of enrollment in the Arkansas Medicaid Program. 212.000 Scope Part C of the Individuals with Disabilities Education Act (IDEA) requires each state to provide mandated early intervention services. The Arkansas Department of Health and Human Services Division of Developmental Disabilities Services (DDS) is the lead agency for the Part C early intervention program in Arkansas. First Connections is the name of the early intervention program. Arkansas Medicaid's Developmental Rehabilitation Services Program provides coverage for the following First Connections early intervention services that are medically necessary for Medicaid eligible recipients under three years of age:
A. Developmental testing.B. Therapeutic activities. Developmental rehabilitation services require a primary care physician (PCP) referral.
016.06.05 Ark. Code R. 075