Arkansas Administrative Code
Agency 016 - DEPARTMENT OF HUMAN SERVICES
Division 06 - Medical Services
Rule 016.06.05-075 - Developmental Rehabilitation Services Provider Manual Update Transmittal #17
Universal Citation: AR Admin Rules 016.06.05-075
Current through Register Vol. 49, No. 9, September, 2024
Section II Developmental Rehabilitation Services
201.000
Arkansas Medicaid
Participation Requirements for Developmental Rehabilitation Services
Providers 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.
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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