016.06.08 Ark. Code R. 042
METHODS AND STANDARDS FOR ESTABLISHING PAYMENT RATES -OTHER TYPES OF CARE
ATTACHMENT 4.19-B
Effective for dates of service on or after October 1,1999, the Arkansas Medicaid maximum rates for physical therapy services, occupational therapy services and speech therapy services are based on court-ordered rates issued by the United States District Court, Eastern District of Arkansas, Western Division and agreed upon by the Division of Medical Services and representatives of the Arkansas Physical Therapy Association, the Arkansas Occupational Therapy Association and the Arkansas Speech-Language-Hearing Association.
The agency's therapy fee schedule rates were set as of January 1,2008 and are effective for services on or after that date. All therapy fee schedule rates are published on the agency's website (www.medicaid.state.ar.us). A uniform rate for these services is paid to all governmental and nongovernmental providers unless otherwise indicated in the state plan. The State assures that physical therapists, occupational therapists and speech therapists will meet the requirements contained in 42 CFR 440.110.
Therapy Assistants - Effective for dates of service on or after October 1,1999, the Arkansas Medicaid maximum for the physical therapy assistant, occupational therapy assistant and the speech therapy assistant is based on 80% of the amount reimbursed to the licensed therapist.
Fee schedule service reimbursement is based on the lesser of the amount billed or the Arkansas Title XIX (Medicaid) maximum charge allowed.
Listed below are covered physical therapy services:
Description
Evaluation for physical therapy per 30 minute unit
Individual physical therapy per 15 minute unit
Group physical therapy per 15 minute unit
Individual physical therapy by physical therapy assistant per 15 minute unit
Group physical therapy by physical therapy assistant per 15 minute unit
At the beginning of each calendar year, Medicaid officials and the Arkansas Physical Therapy Association or it's successor will arrive at mutually agreeable increase or decrease in reimbursement rates based on the market forces as they impact on access. Any agreed upon increase or decrease will be implemented at the beginning of the following state fiscal year, July 1 with any appropriate State Plan changes.
Listed below are covered occupational therapy services:
Description
Evaluation for occupational therapy per 30 minute unit
Individual occupational therapy per 15 minute unit
Group occupational therapy per 15 minute unit
Individual occupational therapy by occupational therapy assistant per 15 minute unit
Group occupational therapy by occupational therapy assistant per 15 minute unit
At the beginning of each calendar year, Medicaid officials and the Arkansas Occupational Therapy Association or it's successor will arrive at mutually agreeable increase or decrease in reimbursement rates based on the market forces as they impact on access. Any agreed upon increase or decrease will be implemented at the beginning of the following state fiscal year, July 1 with any appropriate State Plan changes.
Listed below are covered speech therapy services:
Description
Evaluation of speech language voice, communication, auditory processing and/or aural rehabilitation status per 30 minute unit Individual speech session per 15 minute unit Group speech session per 15 minute unit
Individual speech therapy by speech language pathology assistant per 15 minute unit Group speech therapy by speech language pathology assistant per 15 minute unit
016.06.08 Ark. Code R. 042