016.06.36-203.250. Physician's Role in the Private Duty Nursing Services Program.
AR ADC 016.06.36-203.250Arkansas Administrative Code
Ark. Admin. Code 016.06.36-203.250
016.06.36-203.250. Physician's Role in the Private Duty Nursing Services Program.
“Private Duty Nursing Services” are defined as those services that are provided by a registered nurse and/or licensed practical nurse under the direction of the recipient's physician. Services are provided in the recipient's home, a Division of Developmental Disabilities (DDS) community provider facility or a public school. (Home does not include an institution.) Private duty nursing services are not covered in a hospital, boarding home, intermediate care facility, skilled nursing facility or a residential care facility.
A. The Arkansas Medicaid Program covers private duty nursing services for Medicaid eligible ventilator-dependent recipients when determined medically necessary and prescribed by the primary care physician or the attending physician if the recipient is exempt from PCP managed care program requirements.
B. The Arkansas Medicaid Program reimburses private duty nursing providers for high technology non-ventilator dependent recipients under age 21 in the Child Health Services (EPSDT) Program. Private duty nursing services for non-ventilator dependent recipients include patients requiring the following services:
Private duty nursing services require prior authorization by the Medicaid Program. The prior authorization request must originate with the private duty nursing services provider and must be signed by the recipient's physician.
Credits
Eff. Oct. 13, 2003.
<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 016.06.36-203.250, AR ADC 016.06.36-203.250
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