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016.06.3-201.200. Arkansas Medicaid Participation Requirements for ASCs in Bordering-State Trad...

AR ADC 016.06.3-201.200Arkansas Administrative Code

West's Arkansas Administrative Code
Title 016. Department of Human Services
Division 06. Division of Medical Services
Rule 3. Ambulatory Surgical Center Provider Manual (Refs & Annos)
Section 200.000. Ambulatory Surgical Center General Information
Ark. Admin. Code 016.06.3-201.200
016.06.3-201.200. Arkansas Medicaid Participation Requirements for ASCs in Bordering-State Trade-Area Cities
Currentness
A. An ASC in a bordering-state trade area city (limited to Monroe and Shreveport, Louisiana; Clarksdale and Greenville, Mississippi; Poplar Bluff and Springfield, Missouri; Poteau and Sallisaw, Oklahoma; Memphis, Tennessee and Texarkana, Texas) must be licensed as an Ambulatory Surgical Center by the appropriate licensing agency within its home state.
A copy of the ASC’s current state license must accompany the provider application and Medicaid contract.
B. A trade area city ASC must have CMS approval (following certification and recommendation by its State Survey Agency) to participate as a Title XVIII (Medicare) provider.
1. Proof of the ASC’s current CMS approval to participate in Medicare must accompany a provider application and a Medicaid contract.
2. To continue its Medicaid enrollment, an ASC must maintain its CMS approval to participate in Medicare.
a. State Survey Agencies periodically perform recertifications and forward their certifications and recommendations to their CMS Regional Office.
b. To remain enrolled in Arkansas Medicaid, an ASC must ensure that Arkansas Medicaid’s Provider Enrollment Unit has on file at all times (submitted within 30 days of issuance) a copy of the ASC’s most recent CMS approval to participate in Medicare.
c. Retraction or denial of CMS approval to participate in Medicare automatically terminates a provider’s Arkansas Medicaid enrollment.

Credits

Eff. Oct. 13, 2003; Nov. 1, 2007.
<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 016.06.3-201.200, AR ADC 016.06.3-201.200
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