Arkansas Administrative Code
Agency 016 - DEPARTMENT OF HUMAN SERVICES
Division 06 - Medical Services
Rule 016.06.05-022 - ElderChoices Update Transmittal #50

Universal Citation: AR Admin Rules 016.06.05-022

Current through Register Vol. 49, No. 9, September, 2024

213.400 Personal Emergency Response System

Procedure Code

Required Modifier

Description

S5161

UA

PERS Unit

S5160

-

PERS Installation

The Personal Emergency Response System (PERS) is an in-home, 24-hour electric support system with two-way verbal and electronic communication with an emergency control center. PERS enables an elderly, infirm or homebound individual to secure immediate help in the event of a physical, emotional or environmental emergency.

PERS is specifically designed for high-risk individuals whose needs have been carefully determined based on their level of medical vulnerability, functional impairment and social isolation. PERS is not intended to be a universal benefit. The DHS RN must verify that the individual is capable, both physically and mentally, of operating the PERS unit.

PERS must be prescribed by the client's attending physician and must be included in the client's written plan of care.

PERS providers must contact each client at least once per month to test the system's operation. The provider shall maintain a log of test calls that includes the date and time of the test, specific test results, corrective actions and outcomes.

A log of all client calls received must be maintained by the emergency response center. The log must reflect the date, time and nature of the call and the response initiated by the center. All calls must be documented in the client's record. See section 214.000 for other documentation requirements.

One (1) unit of service equals one (1) day. PERS is limited to a maximum of thirty-one (31) units per month.

The installation of PERS will be allowed once per lifetime or period of eligibility. Claims submitted for the installation of PERS should use procedure code S5160. Procedure code S5160 may be billed for ElderChoices clients who are accessing PERS services for their first time or for the current period of re-eligibility for ElderChoices Waiver Services. In the event of extenuating circumstances that result in the need for reinstallation, the provider may contact the Division of Aging and Adult Services for extension of the benefit.

View or print Division of Aging and Adult Services contact information.

262.100 HCPCS Procedure Codes

The following procedure codes must be billed for ElderChoices Services:

Procedure Code

Required Modifier

Description

Unit of Service

POS for

Paper

Claims

POS for

Electronic

Claims

S5140

-

Adult Foster Care

1 day

0

99

S5130

-

Homemaker Services

15 min

4

12

S5170

U2

Home-Delivered Meals

1 meal

4

12

S5161

UA

Personal Emergency Response System

1 day

4

12

S5100

-

Adult Day Care 6 to 8 hours per date of service

15 min

5

52

S5100

TD

Adult Day Health Care 6 to 8 hours per date of service

15 min

5

52

T1005

-

Respite Care - Long-term Facility-Based

15 min

1 or 7

21 or 33

S5120

-

Chore Services

15 min

4

12

S5135

-

Respite Care - Short-term Facility-Based

15 min

5,1,7

52,21,33

S5150

-

Respite Care - In-Home

15 min

4

12

S5100

TD, U1

Adult Day Health Care 4 or 5 hours per date of service

15 min

5

52

S5100

U1

Adult Day Care 4 or 5 hours per date of service

15 min

5

52

S5170

ET

Emergency Home Delivered Meals

1 meal

4

12

S5160

"

Personal Emergency Response System -Installation

1 installation

4

12

S5170

-

Frozen Home-Delivered Meal

1 meal

4

12

Disclaimer: These regulations may not be the most recent version. Arkansas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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