016.06.48-242.192 Specialized Rehabilitative Equipment for Beneficiaries of All Ages
AR ADC 016.06.48-242.192Arkansas Administrative CodeEffective: February 1, 2022
Effective: February 1, 2022
Ark. Admin. Code 016.06.48-242.192
016.06.48-242.192 Specialized Rehabilitative Equipment for Beneficiaries of All Ages
Procedure codes found in this section must be billed either electronically or on paper with modifier EP for beneficiaries under 21 years of age or modifier NU for beneficiaries age 21 and over. When a second modifier is listed, that modifier must be used in conjunction with either EP or NU.
Modifiers in this section are indicated by the headings M1 and M2. Prior authorization requirements are shown under the heading PA. If prior authorization is needed, that information is indicated with a “Y” in the column; if not, an “N” is shown.
** Indicates that providers may bill only for beneficiaries under age 21.
◆ Prior authorization is not required when other insurance pays at least 50% of the Medicaid maximum allowable reimbursement amount.
-(...) This symbol, along with text in parentheses, indicates the Arkansas Medicaid description of the product. When using a procedure code with this symbol, the product must meet the indicated Arkansas Medicaid description.
View or print the procedure codes and modifiers for Durable Medical Equipment (DME), oxygen equipment and supplies, orthotic appliances, prosthetic devices and medical supplies, procedures and services.
Credits
Amended July 1, 2017; Nov. 1, 2017; Feb. 1, 2022.
<Editor’s Note: Nonfunctioning links so in original.>
Current with amendments received through May 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 016.06.48-242.192, AR ADC 016.06.48-242.192
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