The approval to be a Life360 happens in a four-phase process. The process is designed to ensure that eligible providers demonstrate capacity and ability to implement the program requirements outlined in this manual to achieve the goals and outcomes of the Life360 program.
Submitting all required information in the application process does not guarantee approval as a Life360. The Arkansas Department of Human Services (DHS) Division of Medical Services (DMS) will review and determine whether approval is warranted for all applicants.
To become an approved Life360, a hospital must first submit a letter of intent (LOI) to DMS that includes:
A. The type(s) of Life360 the hospital is applying to become;
B. Hospital location, Medicaid provider ID, and proposed service area (counties to be served); and
C. Name and contact information for staff member serving as program lead.
D. For a Maternal Life360, the LOI must include
1. Estimated number of individuals the hospital expects to serve with home-visiting supports and services in the proposed service area and a description of how the hospital arrived at that estimate. (Indicators could include local birth rates, number of child-bearing age women in poverty, Medicaid enrollment or healthcare access, and other HRSN needs and health outcomes);
2. Number of women receiving maternity or obstetric services annually through the hospital and/or its clinics (note: “hospital” in this section means the hospital submitting the LOI);
3. The name of the evidence-based home visiting model(s) the hospital intends to use;
4. Whether the hospital will use its own staff to conduct home-visiting OR contract with an external organization to provide home-visiting; and
5. If contracting with an external organization(s), name, and contact information of organization(s).
E. For a Rural Life360, the LOI must include:
1. Estimated number of adults in the service area with mental illness and/or substance use disorder, the hospital expects to serve and a description of how the hospital arrived at that estimate.
2. Estimated number of adults in the proposed service area likely to be eligible due to mental illness and/or substance use disorder;
3. Brief description of the mental health and substance use disorder services provided by the hospital or its clinics;
4. Names of behavioral health service providers in the proposed service area and brief description of services and/or supports they could provide to Life360 clients; and
5. Number of acute crisis unit beds the hospital currently operates or will develop.
F. For a Success Life360, the LOI must include:
1. Names of community service organizations currently serving the employment, educational, or training needs of the proposed service area and the estimated number served by the programs, if available;
2. Estimated number of adults in the proposed service area likely to be eligible for Success Life360;
3. Identification of community service organizations, if using [FN1]
DMS will review the LOI to determine if the hospital meets the eligibility criteria and provided all requested information. DMS reserves the right to refuse an LOI if necessary to allow time to process Life360 applications previously submitted. DMS will inform the hospital either:
A. The LOI is approved and the hospital may move to the application phase
B. More information is needed before approval can be made; or
C. The hospital does not meet the criteria outlined in this manual to move forward to application, for reasons including but not limited to proposing to serve too few clients or proposing a service area that is already adequately being served by other Life360s.
Credits
Adopted Nov. 1, 2023.
[FN1]
So in original.
Current with amendments received through February 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 016.06.85-203.100, AR ADC 016.06.85-203.100
