Arkansas Administrative Code
Agency 016 - DEPARTMENT OF HUMAN SERVICES
Division 06 - Medical Services
Rule 016.06.10-020 - State Plan Amendment #2010-001 - Reimbursement Rate Increases for Selected Specialized Rehabilitative Equipment

Universal Citation: AR Admin Rules 016.06.10-020

Current through Register Vol. 49, No. 9, September, 2024

7. Home Health Services

c. Medical Supplies, Equipment and Appliances Suitable for Use in the Home
(11) Specialized Rehabilitative Equipment

Effective for claims with dates of service occurring on and after May 1, 2010, the reimbursement rate maximums for the following listed Medicaid covered specialized rehabilitative equipment will be 85% of the February 1, 2009 retail price.

Reimbursement for this specialized rehabilitative equipment is by fee schedule, at the lesser of the billed charge or the Title XIX (Medicaid) maximum allowable. Except as otherwise noted in the plan, state developed fee schedule rates are the same for both governmental and private providers of this specialized rehabilitative equipment and the fee schedule is published on the Medicaid website at www.medicaid.state.ar.us.

Bath chair 56"

Commode chair, extra wide and/or heavy duty

Tray for Gait Trainer

Corner chair w tray & casters, small

Standing frame syst., any size, w/wo wheels

Corner chair w tray & casters, large

Low back activity chair

Transition toddler chair, small

Supine stander 51", small

Gait trainer, ped size, posterior support,

w/all Accessories

Supine stander 71", large

Prone stander 35"

Prone stander 42"

Adjustable abduction wedge w/hip stabilizer

Prone stander 50"

Tray for stander, prone

Up-rite stander, small

Tray for stander, supine

Up-rite stander, medium

Foot sandals for standers

Up-rite stander, large

Caster base for up-rite stander, small

Tumble form feeder seat, small

Caster base for up-rite stander, medium

Tumble form feeder seat, medium

Caster base for up-rite stander, large

Tumble form feeder seat, large

Tumble form tri stander w/tray, small

Seat & back pad for toddler chairs

Tumble form tri stander w/tray, large

T&S high back w/support activity chair, 14"

Mobile floor sitter, medium/large

Tray for toddler chair

T&S high back w/support activity chair, 16"

Wrap around back support, small

Wrap around bath support, large

Toilet seat reducer ring (padded)

Toilet support w/high back, small

4 wheel reverse walker

Toilet support w/high back, large

4 wheel front swivel reverse walked

Adult gait trainer

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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