Arkansas Administrative Code
Agency 016 - DEPARTMENT OF HUMAN SERVICES
Division 06 - Medical Services
Rule 016.06.08-020 - Child Health Management Services Update #107 & Rehabilitative Services for Persons with Mental Illness Update #103
Current through Register Vol. 49, No. 9, September, 2024
213.000 Staff Requirements
Each RSPMI provider shall ensure that mental health professionals are available to provide appropriate and adequate supervision of all clinical activities. RSPMI staff members must provide services only within the scope of their individual licensure. It is the responsibility of the facility to credential each clinical staff member, specifying the areas in which he or she can practice based on training, experience and demonstrated competence.
Minimal staff requirements for RSPMI provider participation in the Arkansas Medicaid Program are:
Effective for dates of service on and after October 1, 2008, when an RSPMI provider files a claim with Arkansas Medicaid, the staff member who actually performed the service on behalf of the RSPMI provider must be identified on the claim as the performing provider. RSPMI staff members who are eligible to enroll in the Arkansas Medicaid program have the option of either enrolling or requesting a Practitioner Identification Number (View or print form DMS-7708)so that they can be identified on claims. For example, an LCSWmay choose to enroll in the Licensed Mental Health Practitioners program or choose to obtain a Practitioner Identification Number.
This action is taken in compliance with the federal Improper Payments Information Act of 2002 (IPIA), Public Law 107-300 and the resulting Payment Error Rate Measurement (PERM) program initiated by the Centers for Medicare and Medicaid Services (CMS).
Certain types of practitioners who perform services on behalf of an RSPMI provider cannot enroll in the Arkansas Medicaid program. These practitioners must request a Practitioner Identification Number so that they can be identified on claims:
* Psychological Examiner
* Adult Psychiatric Mental Health Clinical Nurse Specialist
* Child Psychiatric Mental Health Clinical Nurse Specialist
* Adult Psychiatric Mental Health Advanced Nurse Practitioner
* Family Psychiatric Mental Health Advanced Nurse Practitioner
* Master of Social Work (Licensed in the State of Arkansas)
* Regi stered nurse
* Paraprofessional
TOC not required
212.200 CHMS Service Delivery Professionals
CHMS service delivery professionals must include the following:
|
Audiologist |
Neuropsychologist |
Psychological Examiner |
|
Child and Adolescent Psychiatrist |
Nutritionist |
Registered Nurse |
|
Developmental Pediatrician |
Occupational Therapist |
Social Worker |
|
Early Childhood Developmental Specialist |
Pediatric Psychologist |
Speech/Language Pathologist |
|
Licensed Counselor |
Physical Therapist |
Services of a pediatric registered nurse practitioner and a licensed practical nurse are not required but may be used for activities within the scope of practice under state license. All personnel shall be licensed or certified to perform the services they render when such services require licensure or certification under the laws of the State of Arkansas.
The CHMS clinic shall develop written policies and job descriptions which clearly document the authority, responsibility and function of each staff member.
Effective for dates of service on and after October 1, 2008, when a CHMS clinic files a claim with Arkansas Medicaid, the clinic staff member who actually performed the service on behalf of the clinic must be identified on the claim as the performing provider. CHMS staff members who are eligible to enroll in the Arkansas Medicaid program have the option of either enrolling or requesting a Practitioner Identification Number (View or print form DMS-7708)so that they can be identified on claims. For example, an LCSW may choose to enroll in the Licensed Mental Health Practitioners program or choose to obtain a Practitioner Identification Number.
This action is taken in compliance with the federal Improper Payments Information Act of 2002 (IPIA), Public Law 107-300 and the resulting Payment Error Rate Measurement (PERM) program initiated by the Centers for Medicare and Medicaid Services (CMS).
Certain types of practitioners who perform services on behalf of a CHMS clinic are not allowed to enroll in the Arkansas Medicaid program. These practitioners must request a Practitioner Identification Number so that they can be identified on claims:
* Nutritionists
* Early Childhood Developmental Specialists
* Regi stered Nurses
* Licensed Practical Nurses
