Arkansas Administrative Code
Agency 016 - DEPARTMENT OF HUMAN SERVICES
Division 06 - Medical Services
Rule 016.06.12-006 - Medicaid Provider Manual - Section 142.900
Current through Register Vol. 49, No. 9, September, 2024
NOTICE OF RULE MAKING
The Director of the Division of Medical Services hereby issues the following proposed medical assistance rule(s) under one or more of the following chapters or sections of the Arkansas Code: 20-10-211(a), 20-10-203(b), 20-76-433, 25-10-129, and Title 20, Chapter 77.
Section I of each Medicaid Provider Manual is amended to add a new Section 142.900:
For these five episodes. Attention Deficit and Hyperactivity Disorder (ADHD), Ambulatory Upper Respiratory Infection (UKO, Congestive Heart Failure (CHF), Hip/Knee Replacement, and Pregnancy, the following provider types are eligible to be Principle Accountable Providers (PAPst;
ADHD; physicians, licensed clinical psychologists, and RSPMI provider organizations (depending on pathway of care)
Ambulatory URI; providers seeing patients for in-person URI consultations (e.g., physicians, nurse practitioners) CHF; hospitals
Hip/Knee Replacement; hospitals and orthopedic surgeons Pregnancy; providers offering prenatal care services or performing delivery Beginning July 1,2012. eligible PAPs may submit a limited set of data (currently unavailable through claims) for ADHD, Hip/Knee, and Pregnancy, and receive reports on costs and quality metrics for their episodes through the Provider Portal.
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The Arkansas Department of Human Services is in compliance with Titles VI and VII of the Civil Rights Act and is operated, managed and delivers services without regard to religion, disability, political affihation, veteran status, age, race, color or national origin.
