Arkansas Administrative Code
Agency 016 - DEPARTMENT OF HUMAN SERVICES
Division 06 - Medical Services
Rule 016.06.05-111 - Alternatives for Adults with Physical Disabilities Waiver Provider Manual Update #31
Universal Citation: AR Admin Rules 016.06.05-111
Current through Register Vol. 49, No. 9, September, 2024
SECTION II - ALTERNATIVES FOR ADULTS WITH PHYSICAL DISABILITIES WAIVER
200.000
ALTERNATIVES FOR ADULTS WITH
PHYSICAL DISABILITIES WAIVER GENERAL INFORMATION
201.000 Arkansas Medicaid Enrollment
Requirements for Alternatives for
Adults with Physical Disabilities (Alternatives Waiver)
Provider participation in the Arkansas Medicaid Alternatives for Adults with Physical Disabilities Waiver Program (Alternatives Waiver) requires the following:
A. Providers
of Alternatives Waiver attendant care and environmental
accessibility/adaptation services must be certified by the Division of Aging
& Adult Services (DAAS) as having met all CMS approved provider criteria
for the service(s) to be provided.
1. It is
the responsibility of all providers of Alternatives Waiver services to maintain
current Division of Aging and Adult Services (DAAS) certification to avoid loss
of provider eligibility. Required materials must be submitted to the Division
of Aging and Adult Services. View or print the Division of
Aging and Adult Services contact information.
2. Effective December 26, 2005, DAAS
certification of attendant care providers is contingent upon participation in
the financial management services process as required by federal guidelines for
consumer-directed programs. Participation in the financial management services
process does not change the procedure for filing claims. Claims will continue
to be submitted to EDS and are processed by EDS. Prior to payment the fiscal
intermediary deducts appropriate withholdings and mails the Medicaid payment to
the provider.
B.
Providers must complete a provider application (form DMS-652) a Medicaid
contract, (form DMS-653) and a Request for Taxpayer Identification Number and
Certification (W-9) for submission to the Arkansas Medicaid Program.
View or print a provider application (Form DMS-652), Medicaid
contract (Form DMS-653) and Request for Taxpayer Identification Number and
Certification (Form W-9).
1. A copy of the current DAAS certification,
licensure, etc., must accompany the provider application and Medicaid contract.
a. Subsequent renewals of certification must
be forwarded to Provider Enrollment within 30 days of issuance.
View or print DMS Provider Enrollment Unit contact
information.
b.
If the renewal document(s) have not been received within thirty (30) days, the
provider will have an additional, and final, thirty (30) days to
comply.
2. Enrollment as
a Medicaid provider is conditioned upon approval of a completed provider
application and the execution of a Medicaid Provider Agreement.
3. 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 enroll, as Medicaid providers.
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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