016.06.07 Ark. Code R. 023

Current through Register Vol. 49, No. 10, October, 2024
Rule 016.06.07-023 - Section I Provider Manual Update Transmittal
Section I Provider Manual Update Transmittal

Provider Manual Tra

N

nsmittal umber

Alternatives for Adults with Physical Disabilities Waiver.......................................................

30

Ambulatory Surgical Center..................................................................................................

62

ARKids First-B......................................................................................................................

29

Certified Nurse-Midwife.........................................................................................................

68

Child Health Management Services......................................................................................

66

Child Health Services/Early and Periodic Screening, Diagnosis and Treatment...................

70

Children's Services Targeted Case Management.................................................................

18

Chiropractic...........................................................................................................................

60

DDS Alternative Community Services Waiver.......................................................................

58

Dental....................................................................................................................................

81

Developmental Day Treatment Clinic Services.....................................................................

68

Developmental Rehabilitation Services.................................................................................

18

Division of Youth Services and Division of Children and Family Services

Targeted Case Management....................................................................................

10

Domiciliary Care....................................................................................................................

46

ElderChoices Home and Community-Based 2176 Waiver....................................................

58

Federally Qualified Health Center.........................................................................................

54

Hearing Services...................................................................................................................

57

Home Health.........................................................................................................................

75

Hospice.................................................................................................................................

47

Hospital/End-Stage Renal Disease.......................................................................................

87

Hyperalimentation.................................................................................................................

72

Inpatient Psychiatric Services for Under Age 21...................................................................

65

Licensed Mental Health Practitioners....................................................................................

50

Living Choices Assisted Living..............................................................................................

16

Medicare/Medicaid Crossover Only......................................................................................

42

Nurse Practitioner.................................................................................................................

61

Occupational, Physical, Speech Therapy Services...............................................................

54

Personal Care.......................................................................................................................

70

Pharmacy..............................................................................................................................

81

Physician/Independent Lab/CRNA/Radiation Therapy Center..............................................

106

Podiatrist...............................................................................................................................

61

Portable X-Ray Services.......................................................................................................

51

Private Duty Nursing Services..............................................................................................

63

Prosthetics............................................................................................................................

75

Rehabilitative Hospital...........................................................................................................

60

Rehabilitative Services for Persons with Mental Illness........................................................

63

Rehabilitative Services for Persons with Physical Disabilities...............................................

37

Rehabilitative Services for Youth and Children.....................................................................

20

Rural Health Clinic Services..................................................................................................

55

School-Based Mental Health Services..................................................................................

23

Targeted Case Management................................................................................................

56

Transportation.......................................................................................................................

75

Ventilator Equipment.............................................................................................................

57

Visual Care...........................................................................................................................

71

Explanation of Updates

Sections 100.000 through 169.000 contain minor grammatical corrections and style revisions as well as policy revisions which are outlined in the explanations below.

Section 105.180 has been deleted - respite waiver services were terminated October 31, 2005. All children and youth served have been transitioned to a respite program funded by Title V.

Section 106.000 has been revised to include current policy related to record keeping and the availability of provider records.

Section 106.100 has been revised to comply with Act 1758 of 2005.

Section 106.200 has been revised to comply with Act 1758 of 2005.

Section 123.300 has been revised to comply with Act 2227 of 2005.

Section 123.400 has been revised to comply with Act 2227 of 2005.

Section 141.000 contains updated policy regarding provider enrollment.

Section 142.300 has been revised to outline current policy regarding record keeping and the availability of provider records.

Section 151.000 has been revised to outline current policy governing grounds for sanctioning providers.

Section 152.000 has been revised to comply with Act 1758 of 2005.

Section 153.000 now contains rules governing the imposition and extent of sanctions. This policy section was formerly found at 154.000.

Section 154.000 contains policy formerly found at 161.000. This section has been revised to comply with Act 1758 of 2005.

Section 155.000 contains policy formerly found at 153.000.

Section 156.000 contains policy formerly found at 161.100 and has been revised to comply with Act 1758 of 2005.

Section 160.000 has been assigned a new title "Administrative Reconsideration and Appeals"

Sections 161.000 and 161.100 have been deleted-the information located in the sections have been revised and relocated to sections 154.000 and 156.000, respectively.

Section 161.200 has been assigned a new title "Administrative Reconsideration" and includes revisions to what was formerly known as "informal reconsideration".

Section 161.300 has been assigned a new title "Administrative Appeals" and includes revisions to bring it into compliance with Act 1758 of 2005.

Section 167.000 has been revised to include a list of good cause reasons for reopening a hearing in the event that a party fails to appear.

Sections 171.400, 173.100, 173.610 and 173.620 contain minor revisions.

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 have already been incorporated.

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.

Thank you for your participation in the Arkansas Medicaid Program.

Roy Jeffus, Director

016.06.07 Ark. Code R. 023

6/6/2007