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016.06.36-283.000. County Human Services Office Responsibility.

AR ADC 016.06.36-283.000Arkansas 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 280.000. Hospital/Physician Referral Program.
Ark. Admin. Code 016.06.36-283.000
016.06.36-283.000. County Human Services Office Responsibility.
Upon receipt of the Referral Form DMS-630, the local Human Services county office will contact the client. Action must be completed within forty-five (45) days on all applications taken during follow-up. Once a determination has been made, the local county Human Services office will notify the hospital/physician by completing Section 2 of Form DMS-630. The three (3) types of dispositions are:
A. Did Not Respond or No Longer Interested - Client failed to respond to follow-up contact or client stated he or she was no longer interested.
B. Denied - Application taken, client was determined ineligible or eligibility could not be determined.
C. Approved - Application taken, client was determined eligible effective month/day/year.
The client's Medicaid identification card should be issued within thirty (30) days of eligibility determination.
The client is responsible for presenting his/her Medicaid identification card to the hospital/physician for billing purposes each time he or she receives a service.
View or print form DMS-630.

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 016.06.36-283.000, AR ADC 016.06.36-283.000
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