201.300
Providers in States Not
Bordering Arkansas
A. Providers in
states not bordering Arkansas are called limited services providers because
they may enroll in Arkansas Medicaid only after they have treated an Arkansas
Medicaid beneficiary and have a claim to file, and because their enrollment
automatically expires.
1. A non-bordering
state provider may send a claim to Provider Enrollment and Provider Enrollment
will forward by return mail a provider manual and a provider application and
contract. View or print Medicaid Provider Enrollment Unit
contact information.
2. Alternatively, a non-bordering state
provider may download the provider manual and provider application materials
from the Arkansas Medicaid website, www.medicaid.state.ar.us, and then submit
its application and claim to the Medicaid Provider Enrollment Unit.
B. Limited services providers
remain enrolled for one year.
1. If a limited
services provider treats another Arkansas Medicaid beneficiary during its year
of enrollment and bills Medicaid, its enrollment may continue for one year past
the newer claim's last date of service, if the provider keeps the enrollment
file current.
2. During its
enrollment period the provider may file any subsequent claims directly to
EDS.
3. Limited services providers
are strongly encouraged to submit claims through the Arkansas Medicaid website
because the front-end processing of web-based claims ensures prompt
adjudication and facilitates reimbursement.
204.000
Required Documentation
A. The provider must contemporaneously create
and maintain records that completely and accurately explain all evaluations,
care, diagnoses and any other activities of the provider in connection with its
delivery of medical assistance to any Medicaid beneficiary.
B. Beneficiary records must support the
levels of service billed to Medicaid.
C. Providers furnishing any Medicaid-covered
good or service for which a prescription, admission order, physician's order,
care plan or other order for service initiation, authorization or continuation
is required by law, by Medicaid rule, or both, must obtain a copy of the
aforementioned prescription, care plan or order within five (5) business days
of the date it is written. Providers also must maintain a copy of each
prescription, care plan or order in the beneficiary's medical record and follow
all prescriptions, care plans, and orders as required by law, by Medicaid rule,
or both.
D. All records must be
kept for a period of five (5) years from the ending date of service or until
all audit questions, appeal hearings, investigations or court cases are
resolved, whichever is longer. Failure to furnish medical records upon request
may result in sanctions being imposed. (See Section
I of this manual.)
E. The provider must make available to the
Division of Medical Services, its contractors and designees and the Medicaid
Fraud Control Unit all records related to any Medicaid beneficiary. When
records are stored off-premise or are in active use, the provider may certify,
in writing, that the records in question are in active use or in off-premise
storage and set a date and hour within three (3) working days, at which time
the records will be made available. However, the provider will not be allowed
to delay for matters of convenience, including availability of
personnel.
F. All documentation
must be made available to representatives of the Division of Medical Services
at the time of an audit conducted by the Medicaid Field Audit Unit. All
documentation must be available at the provider's place of business.
I f an audit determines that
recoupment is necessary, there will be only thirty (30) days after the date of
the recoupment notice in which additional documentation will be accepted.
Additional documentation will not be accepted at a later date.
G. Providers of therapy services are required
to maintain the following records for each beneficiary of therapy services.
1. A written referral for occupational
therapy, physical therapy or speech-language pathology services is required
from the patient's primary care physician (PCP) unless the beneficiary is
exempt from PCP Managed Care Program requirements.
a. If the beneficiary is exempt from the PCP
process, then the beneficiary's attending physician will make referrals for
therapy services.
b. Providers of
therapy services are responsible for obtaining renewed PCP referrals every 6
months. Please refer to Section I of this manual for policies and procedures
regarding PCP referrals.
2. A written prescription for occupational,
physical therapy and speech-language pathology services signed and dated by the
PCP or attending physician.
a. The
beneficiary's PCP or the physician specialist must sign the
prescription.
b. A prescription for
therapy services is valid for 1 year unless the prescribing physician specifies
a shorter period.
3. A
treatment plan or plan of care (POC) for the prescribed therapy, developed and
signed by providers credentialed and licensed in the prescribed therapy or by a
physician. The plan must include goals that are functional, measurable and
specific for each individual client.
4. Where applicable, an Individualized Family
Service Plan (IFSP), Individual Program Plan (IPP) or Individual Educational
Plan (IEP), established pursuant to Part C of the Individuals with Disabilities
Education Act.
5. Where applicable,
an Individual Educational Plan (IEP) established pursuant to Part B of the
Individuals with Disabilities Education Act.
6. Description of specific therapy or
speech-language pathology service(s) provided with date, actual time service(s)
were rendered, and the name of the individual providing the
service(s).
7. All therapy
evaluation reports, dated progress notes describing the beneficiary's progress
signed by the individual providing the service(s) and any related
correspondence.
8. Discharge notes
and summary.
H. Any
individual providing therapy services or speech-language pathology services
must have on file:
1. Verification of his or
her qualifications. Refer to Section
202.000 of this manual.
2. When applicable, any written contract
between the individual and the school district, education service cooperative
or the Division of Developmental Disabilities Services.
I. Any group provider enrolled as a Medicaid
provider is responsible for maintaining appropriate employment records for all
qualified therapists, speech-language pathologists and for all therapy or
speech-language pathology assistants employed by the group.
J. School districts or education service
cooperatives must have on file all appropriate employment records for qualified
therapists, speech-language pathologists and for all therapy or pathology
assistants employed by the group. A copy of verification of the employee
credentials and qualifications is to be maintained in the group provider's
employee files.
K. A cooperative
for multiple school districts that provides, by contractual agreement, the
qualified speech-language pathologist to supervise speech-language pathology
assistants or speech therapists must have on file the contractual
agreement.
214.300
Occupational and Physical Therapy Guidelines for Retrospective
ReviewA. Occupational and physical
therapy services are medically prescribed services for the diagnosis and
treatment of movement dysfunction, which results in functional disabilities.
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 will result in a meaningful improvement or
a reasonable expectation that therapy will prevent a worsening of the
condition. (See the medical necessity definition in the Glossary of this
manual.)
A diagnosis alone is not sufficient documentation to support
the medical necessity of therapy. Assessment for physical and/or occupational
therapy includes a comprehensive evaluation of the patient's physical deficits
and functional limitations, treatment planned and goals to address each
identified problem.
B. Evaluations:
In order to determine that therapy services are medically
necessary, an annual evaluation must contain the following information:
1. Date of evaluation.
2. Child's name and date of birth.
3. Diagnosis applicable to specific
therapy.
4. Background information
including pertinent medical history and gestational age.
5. Standardized test results, including all
subtest scores, if applicable. Test results, if applicable, should be adjusted
for prematurity if the child is one year old or younger. The test results
should be noted in the evaluation.
6. 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 child's functional mobility skills.
7. Assessment of the results of the
evaluation including recommendations for frequency and intensity of
treatment.
8. Signature and
credentials of the therapist performing the evaluation.
9. Non-school age children must be evaluated
annually.
10. School-age children
must have a full evaluation every three years (a yearly update is required) if
therapy is school related; outside of school, annual evaluations are required.
"School related" means the child is of school age, attends public school and
receives therapy provided by the school.
C. Standardized Testing:
1. Test used must be norm referenced,
standardized and specific to the therapy provided.
2. Test must be age appropriate for the child
being tested.
3. Test results must
be reported as standard scores, Z scores, T scores or percentiles.
Age-equivalent scores and percentage of delay cannot be used to qualify for
services.
4. A score of -1.50
standard deviations or more from the mean in at least one subtest area or
composite score is required to qualify for services.
5. If the child cannot be tested with a
norm-referenced, standardized test, criterion-based testing or a functional
description of the child's gross/fine motor deficits may be used. Documentation
of the reason a standardized test could not be used must be included in the
evaluation.
6. The Mental
Measurement Yearbook (MMY) is the standard reference to determine
reliability/validity. Refer to sections
214.310 and
214.320 for a list of
standardized tests accepted by the Arkansas Foundation for Medical Care, Inc.
(AFMC), for retrospective reviews.
D. Other Objective Tests and Measures:
1. Range of Motion: A limitation of greater
than ten degrees and/or documentation of how a deficit limits
function.
2. Muscle Tone: Modified
Ashworth Scale.
3. 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.
4. 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.
E. Frequency, Intensity and Duration of
Physical and/or Occupational Therapy Services:
The frequency, intensity and duration of therapy services
should always be medically necessary and realistic for the age of the child and
the severity of the deficit or disorder. Therapy is indicated if improvement
will occur as a direct result of these services and if there is a potential for
improvement in the form of functional gain.
1. Monitoring: May be used to insure that the
child is maintaining a desired skill level or to assess the effectiveness and
fit of equipment such as orthotics and other durable medical equipment.
Monitoring frequency should be based on a time interval that is reasonable for
the complexity of the problem being addressed.
2. Maintenance Therapy: Services that are
performed primarily to maintain range of motion or to provide positioning
services for the patient do not qualify for physical or occupational therapy
services. These services can be provided to the child as part of a home program
implemented by the child's caregivers and do not necessarily require the
skilled services of a physical or occupational therapist to be performed safely
and effectively.
3. Duration of
Services: Therapy services should be provided as long as reasonable progress is
made toward established goals. If reasonable functional progress cannot be
expected with continued therapy, services should be discontinued and monitoring
or establishment of a home program should be implemented.
F. Progress Notes:
1. Child's name.
2. Date of service.
3. Time in and time out of each therapy
session.
4. Objectives addressed
(should coincide with the plan of care).
5. A description of specific therapy services
provided daily and the activities rendered during each therapy session, along
with a form measurement.
6.
Progress notes must be legible.
7.
Therapists must sign each date of entry with a full signature and
credentials.
8. Graduate students
must have the supervising physical therapist or occupational therapist co-sign
progress notes.