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016.06.85-230.400. Success Life360 Payment and Reporting

AR ADC 016.06.85-230.400Arkansas Administrative CodeEffective: November 1, 2023

West's Arkansas Administrative Code
Title 016. Department of Human Services
Division 06. Division of Medical Services
Rule 85. Life360 Homes Provider Manual
Section 230.000. Payment Details
Effective: November 1, 2023
Ark. Admin. Code 016.06.85-230.400
016.06.85-230.400. Success Life360 Payment and Reporting
Currentness
Monthly payment will be made to the hospital's provider ID per the terms of the Life360 HOME agreement.
Reporting requirements by cost type:
A. Intensive Care Coordination: The Life360 will complete monthly cost reports using the DHS approved form. The report should be for the actual cost of care coordination services and indirect costs for the month. The amount may vary based on ongoing expenditures/costs but will not exceed the total approved annual budget in the Life360 HOME agreement.
B. Technology: The Life360 will prepare and submit a monthly report for the prorated annual technology costs.
C. Success payments: At the end of each year, Life360 will submit a request for payment for the number of clients who have been approved for Success payments by DHS. See Program Funding section for more details.
D. Startup: The Life360 shall receive payment for the approved startup cost(s) once DHS approves successful completion of the application or readiness review and the Life360 has submitted a signed agreement. Startup costs will be reported monthly.

Credits

Adopted Nov. 1, 2023.
Current with amendments received through February 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 016.06.85-230.400, AR ADC 016.06.85-230.400
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