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016.06.36-227.220. Accepted Tests for Physical Therapy.

AR ADC 016.06.36-227.220Arkansas Administrative Code

West's Arkansas Administrative Code
Title 016. Department of Human Services
Division 06. Division of Medical Services
Rule 36. Physician/Independent Lab/Crna/Radiation Therapy Center Provider Manual (Refs & Annos)
Section 224.000. Inpatient Hospital Services.
Ark. Admin. Code 016.06.36-227.220
016.06.36-227.220. Accepted Tests for Physical Therapy.
Currentness
Tests used must be norm referenced, standardized, age appropriate and specific to the therapy provided. The following list of tests is not all-inclusive. When using a test not listed below, the provider must include documentation in the evaluation to support the reliability and validity of the test. This additional information will be used as reference information if the chart is selected by Medicaid for review. An explanation of why a test from the approved list could not be used to evaluate the child must also be included. The Mental Measurement Yearbook (MMY) is the standard reference to determine the reliability and validity of the test(s) administered in an evaluation. Providers should refer to the MMY for additional information regarding specific tests. The following definitions of terms are applied to the lists of accepted tests:
• STANDARD: Evaluations that are used to determine deficits.
• SUPPLEMENTAL: Evaluations that are used to identify deficits and support other results. Supplemental tests may not supplant standard tests.
• CLINICAL OBSERVATIONS: Clinical observations have a supplemental role in the evaluation and should always be included. Detail, precision and comprehensiveness of clinical observations are especially important when standard scores do not qualify the patient for therapy and the clinical notes constitute the primary justifications of medical necessity.
A. Norm Reference
1. Adaptive Areas Assessment
2. Test of Gross Motor Development (TGMD-2)
3. Peabody Developmental Motor Scales, Second Ed. (PDMS-2)
4. Bruininks-Oseretsky Test of Motor Proficiency (BOMP)
5. Bruininks-Oseretsky Test of Motor Proficiency, Second Edition (BOT-2)
6. Pediatric Evaluation of Disability Inventory (PEDI)
7. Test of Gross Motor Development -- 2 (TGMD-2)
8. Peabody Developmental Motor Scales (PDMS)
9. Alberta Infant Motor Scales (AIM)
10. Toddler and Infant Motor Evaluation (TIME)
11. Functional Independence Measure for Children (WeeFIM)
12. Gross Motor Function Measure (GMFM)
13. Adaptive Behavior Scale -- School, Second Ed. (AAMR-2)
14. Movement Assessment Battery for Children (Movement ABC)
15. Test of Infant Motor Performance (TIMP)
16. Functional Independence Measure (FIM) 7 years of age to adult
B. Physical Therapy -- Supplemental
1. Bayley Scales of Infant Development, Second Ed. (BSID-2)
2. Neonatal Behavioral Assessment Scale (NBAS)
3. Mullen Scales of Early Learning Profile (MSEL)
4. Hawaii Early Learning Profile (HELP)
5. Battelle Developmental Inventory (BDI)
C. Physical Therapy Criterion
1. Developmental assessment for students with severe disabilities, Second Ed. (DASH-2)
2. Milani-Comparetti Developmental Examination
D. Physical Therapy -- Traumatic Brain Injury (TBI) -- Standardized
1. Comprehensive Trail-Making Test
2. Adaptive Behavior Inventory
E. Physical Therapy -- Piloted
1. Assessment of Persons Profoundly or Severely Impaired

Credits

Eff. Sept. 1, 2008.
<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 016.06.36-227.220, AR ADC 016.06.36-227.220
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