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016.06.85-230.100. Allowable Life360 costs

AR ADC 016.06.85-230.100Arkansas 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 016.06.85-230.100
016.06.85-230.100. Allowable Life360 costs
Subject to the funding limits in the ARHOME 1115 Waiver, DHS will review, approve, and make payments for Life360 funding in accordance with the requirements in the 1115 demonstration Special Terms and Conditions and other CMS requirements. DHS will make payments directly to the approved and enrolled hospitals. Life360 funding must not supplant funding provided by other federal, state, or local funding sources.
Providers must attest during readiness review to DHS that they have appropriate fund controls to correctly submit payment for Life360 funding that is separate from medical services paid for by Medicaid, Medicare, other insurance, and any other third-party payer. Expenditure authority will make funding available to selected Medicaid-enrolled hospitals for:
A. Intensive care coordination service for target populations, including direct costs of recruiting, training, and employing care coordinators to provide intensive care coordination to the targeted Life360 population
B. Indirect costs necessary to support ongoing project costs such as information technology or personnel directly responsible for the project including fiscal, programmatic, etc.
C. Startup costs necessary for the development of capacity, infrastructure, and systems to begin the program, complete a community network assessment, and formulate partners/subcontractors, and
D. Nonmedical client supports as outlined in this manual.
Medical care costs are not reimbursable and should be billed as usual through the client's Medicaid program.
More details on included costs for each type of Life360 are described in 210.700, Program Funding.
Capital improvement costs beyond specific allowed costs are not allowable. Please refer to HRSN-reimbursable costs in this manual in 240.000, Glossary and in 210.700, Program Funding sections for more details on allowable expenditures.

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 016.06.85-230.100, AR ADC 016.06.85-230.100
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