Current through Register Vol. 49, No. 9, September, 2024
SECTION II
-
REHABILITATIVE HOSPITAL GENERAL INFORMATION CONTENTS
216.000
Guidelines for Retrospective
Review of Occupational, Physical and
Speech Therapy Services
The Quality Improvement Organization (QIO), Arkansas Foundation
for Medical Care, Inc. (AFMC), under contract with the Arkansas Medicaid
Program, performs retrospective reviews of medical records to determine the
medical necessity of services paid for by Medicaid.
AFMC has developed guidelines for retrospective review of
occupational, physical and speech-language therapy services furnished to
Medicaid beneficiaries under the age of 21. Those guidelines are included in
this manual to assist providers in determining and documenting the medical
necessity of occupational, physical and speech-language therapy
services.
216.100
Guidelines for Retrospective Review of Occupational and Physical Therapy
for Beneficiaries Under the Age of 21
A. Occupational and physical therapy services
are services prescribed by a physician for the diagnosis and treatment of
movement dysfunction.
B.
Occupational and physical therapy services must be medically necessary to the
treatment of the individual's illness or injury. To be considered medically
necessary, the following conditions must be met:
1. The services must be considered under
accepted standards of practice to be a specific and effective treatment for the
patient's condition.
2. The
services must be of such a level of complexity or the patient's condition must
be such that the services required can be safely and effectively performed only
by or under the supervision of a qualified physical or occupational
therapist.
3. There must be
reasonable expectation that therapy a. Will result in a meaningful improvement
of a condition or b. Will prevent a worsening of the condition.
C. A diagnosis alone is not
sufficient documentation to support the medical necessity of therapy.
D. Assessment for physical or occupational
therapy includes
1. A comprehensive evaluation
of the patient's physical deficits and functional limitations,
2. The treatment(s) planned to address each
identified problem and
3. Treatment
goals and objectives.
216.101
Documenting Evaluations
Documentation of an annual evaluation must contain the
following:
A. Date of
evaluation
B. Patient's name and
date of birth
C. Diagnosis
applicable to specific therapy
D.
Background information including pertinent medical history (and gestational age
when applicable)
E. Standardized
test results, including all subtest scores, when applicable
Rehabilitative Hospital
F. Test results adjusted for prematurity,
when applicable, when the child is one year old or younger
G. Objective information describing the
child's gross/fine motor abilities/deficits, e.g., range of motion
measurements, manual muscle testing, muscle tone or a narrative description of
the patient's functional mobility skills.
H. Assessment of the results of the
evaluation, including recommendations for frequency and intensity of
treatment.
I. Signature and
credentials of the therapist performing the evaluation.
216.102
Standardized Testing
A. Tests used must be norm-referenced,
standardized tests specific to the therapy provided.
1. Tests must be age appropriate for the
child being tested.
2. Test results
must be reported as standard scores, Z scores, T scores or
percentiles.
3. Age-equivalent
scores and percentage of delay do not justify the medical necessity of
services.
B. A score of
negative 1.50 standard deviations or more from the mean in at least one subtest
area or composite score is required to qualify for services.
C. If the child cannot be tested with a
norm-referenced, standardized test, criterion-based testing or a functional
description of the patient's gross/fine motor deficits may be used.
Documentation of the reason(s) that a standardized test could not be used must
be included in the evaluation.
D.
The Mental Measurement Yearbook (MMY) is the standard reference to determine
reliability/validity. Refer to sections
217.112 through
217.119 for listings of the
standardized tests accepted by AFMC.
216.103
Other Objective Tests and
Measures
A.
Range of
Motion: A limitation of greater than ten degrees and/or documentation of
how the deficit limits function.
B.
Muscle Tone: Modified Ashworth Scale.
C.
Manual Muscle Test: A
deficit is a muscle strength grade of fair (3/5) or below that impedes
functional skills. With increased muscle tone, as in cerebral palsy, testing is
unreliable.
D.
Transfer
Skills: Documented as the amount of assistance required to perform
transfer, i.e., maximum, moderate or minimal assistance. A deficit is defined
as the inability to perform a transfer safely and independently.
216.104
Progress
Notes
Progress notes must be legible and include:
A. Patient's name
B. Date of service
C. Time in and time out of each therapy
session
D. Objectives addressed
(should correspond to the plan of care)
E. Descriptions of specific therapy services
provided and activities conducted during each therapy session, including
progress measurements
F.
Therapist's full signature and credentials for each date of service
G. Co-signature of supervising physical
therapist or occupational therapist on graduate student's notes
216.105
Frequency, Intensity
and Duration of Therapy Services
A.
Frequency, intensity and duration of therapy services must be medically
necessary and realistic for the age of the patient and the severity of the
deficit or disorder.
B. Therapy is
indicated if there is a potential for functional improvement as a direct result
of these services.
216.106
Duration of Services
A. Therapy services may be provided as long
as reasonable progress is made toward established goals.
B. When reasonable functional progress cannot
be expected with continued therapy, the provider must discontinue therapy
services but may work with the patient's caregiver(s) to help establish an
in-home maintenance therapy plan, with monitoring.
216.107
In-Home Maintenance
Therapy
A. Services that are performed
primarily to maintain range of motion or to provide positioning services for
the patient do not routinely require the skilled services of a physical or
occupational therapist to perform safely and effectively.
B. Such services can be provided to the child
as part of a home program administered by the child's caregivers, with
occasional monitoring by the therapist.
216.108
Monitoring In-Home Maintenance
Therapy
A provider may monitor in-home maintenance therapy to ensure
that the child is maintaining a desired skill level or to assess the
effectiveness and fit of equipment, such as orthotics and durable medical
equipment.
A. Monitoring frequency
should be based on an interval that is reasonable for the complexity of the
problem(s) being addressed.
B. If a
hospital providing therapy services cannot monitor in-home maintenance therapy
by seeing the patient in the outpatient hospital, the provider must ask the
primary care physician (PCP) to refer the case to an individual or group
provider in the Occupational, Physical and Speech Therapy Program or- when
applicable to physical therapy - a Home Health provider.
216.110
Definitions of Terms
A.
Standard: Evaluations that
are used to determine deficits.
B.
Supplemental: Evaluations that are used to justify deficits and
support other results. Supplemental tests may not supplant standard
tests.
C.
Clinical
observations: Clinical observations always have a supplemental role in
the evaluation, but the must always be included. Detail, precision and
comprehensiveness of clinical observations are especially important when
standard scores do not qualify the patient for therapy and the clinical notes
constitute the primary justification of medical necessity.
216.120
Accepted Tests for Occupational
Therapy
A. Tests must be norm
referenced, standardized, age appropriate and specific to the therapy
provided.
B. The listing of tests
in sections
216.121 through
216.129 is not
all-inclusive.
C. When a test not
listed is used, the provider must document the reliability and validity of the
test.
D. The MMY
is the standard reference for determining the reliability and validity
of tests administered in an evaluation.
E. An explanation why a test from the
approved list could not be used to evaluate the patient must also be
included.
216.121
Fine Motor Skills - Standard
A.
Peabody Developmental Motor Scales (PDMS, PDMS2)
B. Toddler and Infant Motor Evaluation
(TIME)
C. Bruininks-Oseretsky Test
of Motor Proficiency (BOMP)
216.122
Fine Motor Skills -
Supplemental
A. Early Learning
Accomplishment Profile (ELAP)
B.
Learning Accomplishment Profile (LAP)
C. Mullen Scales of Early Learning,
Infant/Preschool (MSEL)
D. Miller
Assessment for Preschoolers (MAP)
E. Functional Profile
F. Hawaii Early Learning Profile
(HELP)
G. Battelle Developmental
Inventory (BDI)
H. Developmental
Assessment of Young Children (DAYC)
I. Brigance Developmental Inventory
(BDI)
216.123
Visual Motor - Standard
A.
Developmental Test of Visual Motor Integration (VMI)
B. Test of Visual Motor Integration
(TVMI)
C. Test of Visual Motor
Skills
D. Test of Visual Motor
Skills - R (TVMS)
216.124
Visual Perception -
Standard
A. Motor Free Visual
Perceptual Test
B. Motor Free
Visual Perceptual Test - R (MVPT)
C. Developmental Test of Visual Perceptual
2/A (DTVP)
D. Test of Visual
Perceptual Skills
E. Test of Visual
Perceptual Skills (upper level) (TVPS)
216.125
Handwriting
A. Evaluation Test of Children's Handwriting
(ETCH)
B. Test of Handwriting
Skills (THS)
C. Children's
Handwriting Evaluation Scale
216.126
Sensory Processing -
Standard
A. Sensory Profile for
Infants/Toddlers
B. Sensory Profile
for Preschoolers
C. Sensory Profile
for Adolescents/Adults
D. Sensory
Integration and Praxis Test (SIPT)
E. Sensory Integration Inventory Revised
(Sll-R)
216.127
Sensory Processing - Supplemental
A. Sensory Motor Performance
Analysis
B. Analysis of Sensory
Behavior
C. Sensory Integration
Inventory
D. DeGangi-Berk Test of
Sensory Integration
216.128
Activities of Daily
Living/Vocational/Other - Standard
A.
Pediatric Evaluation of Disability Inventory (PEDI)
1. The PEDI can also be used for older
children whose functional abilities fall below that expected of a TA
year old with no disabilities.
2. When this is the case, the scaled score is
the most appropriate score to consider.
B. Adaptive Behavior Scale - School
(ABS)
C. Jacobs Pre-vocational
Assessment
D. Kohlman Evaluation of
Daily Living Skills
E. Milwaukee
Evaluation of Daily Living Skills
F. Cognitive Performance Test
G. Purdue Pegboard
H. Functional Independence Measure
(FIM)
I. Functional Independence
Measure - young version (WeeFIM)
216.129
Activities of Daily
Living/Vocational/Other - Supplemental
A. School Function Assessment (SFA)
B. Bay Area Functional Performance
Evaluation
C. Manual Muscle
Test
D. Grip and Pinch
Strength
E. Jordan Left-Right
Reversal Test
F. Erhardy
Developmental Prehension
G. Knox
Play Scale
H. Social Skills Rating
System
I. Goodenough Harris Draw a
Person Scale
216.130
Accepted Tests for Physical Therapy
A. Tests used must be norm referenced,
standardized, age appropriate and specific to the therapy provided.
B. The lists of tests in sections
216.131 through
216.135 are not
all-inclusive.
C. When using a test
not listed, the provider must document the reliability and validity of the
test.
D. The MMY is the standard
reference for determining the reliability and validity of tests administered in
an evaluation.
E. An explanation
why a test from the approved list could not be used to evaluate a patient must
also be included.
216.131
Norm Reference
A. Adaptive Areas Assessment
B. Test of Gross Motor Development
(TGMD-2)
C. Peabody Developmental
Motor Scales, Second Ed. (PDMS-2)
D. Bruininks-Oseretsky Test of Motor
Proficiency (BOMP)
E. Pediatric
Evaluation of Disability Inventory (PEDI)
F. Test of Gross Motor Development - 2
(TGMD-2)
G. Peabody Developmental
Motor Scales (PDMS)
H. Alberta
Infant Motor Scales (AIM) H. Alberta Infant Motor Scales (AIM)
I. Toddler and Infant Motor Evaluation
(TIME)
J. Functional Independence
Measure for Children (WeeFIM)
K.
Gross Motor Function Measure (GMFM)
L. Adaptive Behavior Scale - School, Second
Ed. (AAMR-2)
M. Movement Assessment
Battery for Children (Movement ABC)
216.132
Physical Therapy -
Supplemental
A. Bayley Scales of
Infant Development, Second Ed. (BSID-2)
B. Neonatal Behavioral Assessment Scale
(NBAS)
216.133
Physical Therapy Criterion
A.
Developmental assessment for students with severe disabilities, Second Ed.
(DASH-2)
B. Milani-Comparetti
Developmental Examination
216.134
Physical Therapy - Traumatic
Brain Injury (TBI) - Standardized
A.
Comprehensive Trail-Making Test
B.
Adaptive Behavior Inventory
216.135
Physical Therapy -
Piloted
Assessment of Persons Profoundly or Severely Impaired
216.200
Speech-Language
Therapy Guidelines for Retrospective Review
216.201
Medical Necessity
A. A diagnosis alone is not sufficient
documentation to support the medical necessity of therapy.
B. Assessment for speech-language therapy
includes
1. A comprehensive evaluation of the
patient's speech-language deficits and functional limitations,
2. Treatment(s) planned to address each
identified problem and
3. Treatment
goals and objectives.
C.
The services must be considered under accepted standards of practice to be a
specific and effective treatment for the patient's condition.
D. The services must be of such a level of
complexity or the patient's condition must be such that the services required
can be safely and effectively performed only by or under the supervision of a
qualified speech and language pathologist.
E. There must be reasonable expectation that
therapy
1. Will result in a meaningful
improvement of the condition or
2.
Will prevent a worsening of the condition.
216.202
Documenting Evaluations
Documentation of a speech-language evaluation must include the
following information:
A. Patient's
name and date of birth
B. Diagnosis
specific to therapy
C. Background
information including pertinent medical history and gestational age
D. Standardized test results, including all
subtest scores when applicable
E.
Adjustment of test results for prematurity, when applicable, when the child is
one year old or younger
F. An
assessment of the results of the evaluation, including recommendations for
frequency and intensity of treatment
G. An explanation why the child was not
tested in his or her native language, when such is the case
H. Signature and credentials of the therapist
performing the evaluation
216.203
Feeding/Swallowing/Oral
Motor
A. May be formally or informally
assessed
B. Must have an in-depth
functional profile on oral motor structures and function
C. An in-depth functional profile of oral
motor structure and function is a description of a patient's oral motor
structure that specifically
1. Notes how such
structure is impaired in its function and
2. Justifies the medical necessity of
feeding/swallowing/oral motor therapy services.
D. Standardized forms are available for the
completion of an in-depth functional profile of oral motor structure and
function, but a standardized form is not required.
216.204
Voice
A medical evaluation is a prerequisite for voice
therapy.
216.205
Progress Notes
Progress notes must be legible and must include the following
information.
A. Patient's
name
B. Date of service
C. Time in and time out of each therapy
session
D. Objectives addressed
(must directly correspond to the plan of care)
E. Descriptions of
F. Specific therapy services provided
and
G. Activities
conducted
H. Measurements of
progress with respect to treatment goals and objectives
I. Therapist's full signature and credentials
for each date of service
J. The
supervising speech and language pathologist's co-signature on graduate
students' progress notes
216.210
Accepted Tests
A. Tests must be norm referenced,
standardized, age appropriate and specific to the therapy provided.
B. The listing of tests in sections
216.211 and
216.212 is not
all-inclusive.
C. When using a test
not listed in section
218.211 or
218.212, the provider must
maintain documentation supporting the reliability and validity of the test
used.
D. An explanation why a test
from the approved list could not be used to evaluate a patient must be included
in the documentation.
E. The MMY is
the standard reference for determining the reliability and validity of test(s)
administered in an evaluation.
216.211
Speech-Language Tests -
Standardized
A. Preschool Language
Scale, Third Ed. (PLS-3)
B.
Preschool Language Scale, Fourth Ed. (PLS-4)
C. Test of Early Language Development, Third
Ed. (TELD-3)
D. Peabody Picture
Vocabulary Test, Third Ed. (PPVT-3)
E. Clinical Evaluation of Language
Fundamentals - Preschool (CELF-P)
F. Clinical Evaluation of Language
Fundamentals, Third Ed. (CELF-3)
G.
Clinical Evaluation of Language Fundamentals, Fourth Ed. (CELF-4)
H. Communication Abilities Diagnostic Test
(CADeT)
I. Test of Auditory
Comprehension of Language, Third Ed. (TACL-3)
J. Comprehensive Assessment of Spoken
Language (CASL)
K. Oral and Written
Language Scales (OWLS)
L. Test of
Language Development - Primary, Third Ed. (TOLD-P:3)
M. Test of Word Finding, Second Ed.
(TWF-2)
N. Test of Auditory
Perceptual Skills, Revised (TAPS-R)
O. Language Processing Test, Revised
(LPT-R)
P. Test of Pragmatic
Language (TOPL)
Q. Test of Language
Competence, Expanded Ed. (TLC-E)
R.
Test of Language Development - Intermediate, Third Ed. (TOLD-l:3)
S. Fullerton Language Test for Adolescents,
Second Ed. (FLTA)
T. Test of
Adolescent and Adult Language, Third Ed. (TOAL-3)
U. Receptive One-Word Picture Vocabulary
Test, Second Ed. (ROWPVT-2)
V.
Expressive One-Word Picture Vocabulary Test, 2000 Ed. (EOWPVT)
W. Comprehensive Receptive and Expressive
Vocabulary Test, Second Ed. (CREVT-2)
X. Kaufman Assessment Battery for Children
(KABC)
216.212
Speech-Language Tests - Supplemental
A. Receptive/Expressive Emergent Language
Test, Second Ed. (REEL-2)
B.
Nonspeech Test for Receptive/Expressive Language
C. Rossetti Infant-Toddler Language Scale
(RITLS)
D. Mullen Scales of Early
Learning (MSEL)
E. Reynell
Developmental Language Scales
F.
Illinois Test of Psycholinguistic Abilities, Third Ed. (ITPA-3)
G. Social Skills Rating System - Preschool
& Elementary Level (SSRS-1)
H.
Social Skills Rating System - Secondary Level (SSRS-2)
216.213
Birth to Three
A. Annual evaluation is required for children
aged birth through 2 years who are receiving speech-language therapy.
B. To qualify for language therapy, a child
must score negative 1.5 standard deviations (SD; standard score of 77) from the
mean in two areas (expressive, receptive) or negative 2.0 SD (standard score of
70) from the mean in one area.
C.
Two language tests must be reported.
1. At
least one test must be a global, norm-referenced, standardized test with good
reliability and validity.
2. The
second test may be criterion referenced.
D. All subtests, components, and scores must
be reported for all tests.
E. All
sound errors must be reported for articulation, including positions and types
of errors.
F. If phonological
testing is used, a traditional articulation test must also be included with a
standardized score.
G. Information
regarding the patient's functional hearing ability must be included in the
therapy evaluation report.
H. If
the patient cannot complete a norm-referenced test, the provider must complete
an in-depth functional profile of the patient's functional communication
abilities.
1. An in-depth functional profile
is a description of a patient's communication behaviors that a. Specifically
notes where such communication behaviors are impaired and b. Justifies the
medical necessity of therapy.
2.
Standardized forms are available for the completion of an in-depth functional
profile, but a standardized form is not required.
216.214
Ages 3 through
20
A. Negative 1.5 SD (standard score
of 77) from the mean in two areas (expressive, receptive, articulation) or
negative 2.0 SD (standard score of 70) from the mean in one area (expressive,
receptive, articulation) is required to qualify for language therapy.
B. Two language tests must be reported.
1. At least one test must be a global,
norm-referenced, standardized test with good reliability and
validity.
2. Criterion-referenced
tests will not be accepted for this age group.
C. All subtests, components and scores must
be reported for all tests.
D. All
sound errors must be reported for articulation, including positions and types
of errors.
E. If phonological
testing is used, a traditional articulation test must also be completed with a
standardized score.
F. Information
regarding patient's functional hearing ability must be included in the therapy
evaluation report.
G. Children who
are not of school age or who do not attend public school must be evaluated
annually.
H. School-aged children
who attend public school and whose therapy is provided by the school must have
a full evaluation every three years, with an annual update.
I. If the patient cannot complete a
norm-referenced test, the provider must complete an in-depth functional profile
of the patient's functional communication abilities.
1. An in-depth functional profile is a
description of a patient's communication behaviors that specifically notes
where such communication behaviors are impaired and justifies the medical
necessity of therapy.
2.
Standardized forms are available for the completion of an in-depth functional
profile, but a standardized form is not required.
216.220
Intelligence
Quotient (IQ)
A. Children receiving
language intervention therapy must have cognitive testing once they reach ten
(10) years of age, whether they are in public school or they are
home-schooled.
B. Language therapy
may be determined not medically necessary if a child's IQ is less than or equal
to his or her language score, because the child is deemed to be functioning at
or above the expected level.
1. If a provider
determines that therapy is warranted despite the relationship of IQ to language
score, the provider must complete an in-depth functional profile.
2. If the child's IQ is higher than his or
her language scores, then the child qualifies for language therapy
C. Accepted IQ tests are listed in
sections 216.221 through
216.228.
216.221
IQ Tests - Traditional
A. Stanford-Binet
B. The Wechsler Preschool & Primary
Scales of Intelligence, Revised (WPPSI-R)
C. Slosson
D. Wechsler Intelligence Scale for Children,
Third Ed. (WISC-III)
E. Kauffman
Adolescent & Adult Intelligence Test (KAIT)
F. Wechsler Adult Intelligence Scale, Third
Ed. (WAIS-III)
G. Differential
Ability Scales (DAS)
216.222
Severe and Profound IQ
Test/Non-Traditional - Supplemental
A.
Comprehensive Test of Nonverbal Intelligence (CTONI)
B. Test of Nonverbal Intelligence (TONI-3) -
1997
C. Functional Linguistic
Communication Inventory (FLCI)
216.223
Articulation/Phonological
Assessments
A. Arizona Articulation
Proficiency Scale, Third Ed. (Arizona-3)
B. Goldman-Fristoe Test of Articulation,
Second Ed. (GFTA-2)
C. Khan-Lewis
Phonological Analysis (KLPA)
D.
Slosson Articulation Language Test with Phonology (SALT-P)
E. Bankson-Bernthal Test of Phonology
(BBTOP)
F. Smit-Hand Articulation
and Phonology Evaluation (SHAPE)
G.
Comprehensive Test of Phonological Processing (CTOPP) H. Assessment of
Intelligibility of Dysarthric Speech (AIDS)
I. Weiss Comprehensive Articulation Test
(WCAT)
J. Assessment of
Phonological Processes - R (APPS-R)
K. Photo Articulation Test, Third Ed.
(PAT-3)
216.224
Articulation/Phonological Assessments - Supplemental
Test of Phonological Awareness (TOPA)
216.225
Voice/Fluency
Assessments
A. Stuttering Severity
Instrument for Children and Adults (SSI-3)
B. Language Sample - A language sample with
an in-depth profile of the percentage of stuttering and type of stuttering that
occurs during conversational speech.
216.226
Auditory Processing
Assessments
Goldman-Fristoe-Woodcock Test of Auditory Discrimination
(G-F-WTAD)
216.227
Oral Motor - Supplemental
Screening Test for Developmental Apraxia of Speech, Second Ed.
(STDAS-2)
216.228
Traumatic Brain Injury (TBI) Assessments
A. Ross Information Processing Assessment-
Primary
B. Test of Adolescent/Adult
Word Finding (TAWF)
C. Brief Test
of Head Injury (BTHI)
D. Assessment
of Language-Related Functional Activities (ALFA)
E. Ross Information Processing Assessment,
Second Ed. (RIPA)
F. Scales of
Cognitive Ability for Traumatic Brain Injury (SCATBI)
G. Communication Activities of Daily Living,
Second Ed. (CADL-2)