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016.06.21-216.000. Documentation Requirements.

AR ADC 016.06.21-216.000Arkansas Administrative Code

West's Arkansas Administrative Code
Title 016. Department of Human Services
Division 06. Division of Medical Services
Rule 21. Hyperalimentation Provider Manual (Refs & Annos)
Section 210.000. Program Coverage.
Ark. Admin. Code 016.06.21-216.000
016.06.21-216.000. Documentation Requirements.
The hyperalimentation provider must keep and maintain written records, inclusive of all documentation submitted requesting prior authorization. See section 202.000 for general records that must be included in the provider's files and section 212.000 for records regarding prior authorization.
All Medicaid providers are required to keep and maintain records that fully disclose the type and extent of services provided to an Arkansas Medicaid beneficiary. Providers are reminded that pertinent records concerning the provision of Medicaid covered health care services are to be made available during regular business hours to all Division of Medical Services staff acting within the scope and course of their employment.
Records are also to be made available to the Division's contractual review organization, when applicable.
The hyperalimentation provider must establish and maintain written documentation in each beneficiary's file to support the medical necessity of each provided service. The beneficiary's medical record, maintained by the provider, must include documentation from the beneficiary's hospitalization which supports the medical necessity of the prescribed parenteral or enteral nutrition therapy.
All entries in a beneficiary's file must be signed and dated by the individual providing the service to include the person's full name and credentials.
Other documentation in a beneficiary's file must include:
A. The beneficiary's name and Medicaid identification number
B. The specific service provided
C. The date services are provided
D. Updated progress notes describing the nature and extent of specific services provided
E. All documentation submitted requesting prior authorization from DMS. (See section 212.000 for documentation requirements.)

Credits

Eff. Oct. 1, 2006.
<Editor’s Note: Nonfunctioning links so in original.>
Current with amendments received through February 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 016.06.21-216.000, AR ADC 016.06.21-216.000
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