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016.06.36-261.130. Prior Authorization of Cochlear Implant and External Sound Processor.

AR ADC 016.06.36-261.130Arkansas 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 260.000. Prior Authorization.
Ark. Admin. Code 016.06.36-261.130
016.06.36-261.130. Prior Authorization of Cochlear Implant and External Sound Processor.
Currentness
A. Arkansas Medicaid provides coverage for cochlear implantation and for the external sound processor for beneficiaries under age 21 in the Child Health Services (EPSDT) Program. Prior authorization by AFMC is required.
B. A written request signed by the physician performing the procedure is required. The request must be accompanied by medical documentation to support medical necessity. See section 261.100 for prior authorization instructions.

Credits

Eff. Aug. 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 016.06.36-261.130, AR ADC 016.06.36-261.130
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