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016.06.41-213.150. Retroactive Eligibility 8-1-21

AR ADC 016.06.41-213.150Arkansas Administrative CodeEffective: August 1, 2021

West's Arkansas Administrative Code
Title 016. Department of Human Services
Division 06. Division of Medical Services
Rule 41. Rehabilitative Hospital Provider Manual (Refs & Annos)
Section 213.000. Rehabilitative Hospital Inpatient Limitation.
Effective: August 1, 2021
Ark. Admin. Code 016.06.41-213.150
016.06.41-213.150. Retroactive Eligibility 8-1-21
A. If eligibility is determined while the patient is still an inpatient, the hospital may contact DHS or its designated vendor to request post-certification of inpatient days beyond the first four (4) days (or all days if the admission was by transfer) and a concurrent certification of additional days, if needed. View or print contact information for how to submit the request.
B. If eligibility is determined after discharge the hospital may contact DHS or its designated vendor for post-certification of inpatient days beyond the first four (4) days (or all days if the admission was by transfer). If certification sought is for a stay longer than thirty (30) days, the provider must submit the entire medical record for review. View or print contact information for how to submit the request.

Credits

Eff. Oct. 13, 2003. Amended Aug. 1, 2021.
<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 016.06.41-213.150, AR ADC 016.06.41-213.150
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