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016.06.50-213.000. Admission Criteria.

AR ADC 016.06.50-213.000Arkansas Administrative Code

West's Arkansas Administrative Code
Title 016. Department of Human Services
Division 06. Division of Medical Services
Rule 50. Rehabilitative Services for Persons with Physical Disabilities (Rspd) Provider Manual (Refs & Annos)
Section 210.000. Program Coverage.
Ark. Admin. Code 016.06.50-213.000
016.06.50-213.000. Admission Criteria.
Currentness
Medicaid beneficiaries are eligible for RSPD services for up to four (4) days if they meet each of the following admission criteria:
A. Medical necessity (section 213.100)
B. Medical profile (section 213.200)
C. Medical diagnosis (section 213.300)
RSPD admissions are subject to reviews by the Quality Improvement Organization (QIO). If the QIO or the Director of the Medicaid Program later determines that an RSPD admission was not medically necessary, Medicaid will not cover the RSPD services and the patient cannot be liable for payment of the services.
(To certify a Medicaid beneficiary for RSPD services beyond four [4] days, refer to section 217.100).

Credits

Eff. Mar. 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 016.06.50-213.000, AR ADC 016.06.50-213.000
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