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016.06.36-227.000. Physical and Speech-Language Therapy Services

AR ADC 016.06.36-227.000Arkansas Administrative CodeEffective: January 1, 2021

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.
Effective: January 1, 2021
Ark. Admin. Code 016.06.36-227.000
016.06.36-227.000. Physical and Speech-Language Therapy Services
Currentness
A. Arkansas Medicaid applies physical and speech-language therapy benefits for beneficiaries of all ages. For range of benefits, see the following procedure codes: View or print the procedure codes for therapy services [FN1].
1. Speech-language therapy (individual and group sessions) are payable only to a qualified speech-language therapist.
2. For beneficiaries under age 21, Arkansas Medicaid will reimburse the physician for make-up therapy sessions in the event a physical therapy session is canceled or missed. Make-up therapy sessions are covered when medically necessary and prescribed by the beneficiary's primary care physician (PCP) or attending physician, if the beneficiary is exempt from PCP Managed Care Program requirements. A new prescription, signed by the PCP, is required for each make-up therapy session.
B. Extended therapy services may be provided for physical and speech-language therapy services based on medical necessity for Medicaid beneficiaries under age 21. Refer to Sections 229.200 through 229.240 of this manual for procedures for obtaining extended services.
C. Benefit Extensions may be provided for physical therapy, based on medical necessity, for Medicaid beneficiaries 21 years of age and over when provided within a covered program in accordance with Sections 229.100 through 229.140 of this manual.

Credits

Eff. Jan. 1, 2009. Amended Jan. 1, 2021.
[FN1]
Nonfunctioning link so in original.
<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 016.06.36-227.000, AR ADC 016.06.36-227.000
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