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016.06.36-205.100. Physician's Supervision in the Provision of Behavioral Health Counseling...

AR ADC 016.06.36-205.100Arkansas Administrative CodeEffective: January 1, 2023

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 203.000. Physician's Role in the Medicaid Program.
Effective: January 1, 2023
Ark. Admin. Code 016.06.36-205.100
016.06.36-205.100. Physician's Supervision in the Provision of Behavioral Health Counseling Services
Currentness
The counseling procedures covered under the Physician Program are allowed as a covered service for providers enrolled in the Primary Care Case Management (PCCM) program and when provided by the physician or by a qualified practitioner authorized by State licensure to provide them. For additional information about qualified practitioners who can provide counseling services, refer to Section II of the Counseling Services Medicaid Provider Manual.
When a practitioner other than a physician provides the services, the practitioner must be under supervision of a physician in the clinic that is billing for the services. For counseling services only, the term supervision means the following:
A. The person who is performing the covered service must be either of the following:
1. A paid employee of the physician who is billing the Medicaid Program. A W-4 must be on file in the physician's office; or
2. A subcontractor of the physician who is billing the Medicaid Program. A contract between the physician and the subcontractor must be on file in the physician's office;
And
3. The paid employee or subcontractor must be enrolled with Arkansas Medicaid as a performing provider in a program that allows them to provide counseling services.
B. The physician must monitor and be responsible for the quality of work performed by the employee or subcontractor under his/her supervision. The physician must be immediately available to give assistance and direction throughout the time the service is being performed.
C. Psychological testing is not covered, except as defined in the Arkansas Medicaid Diagnostic and Evaluation manual.
Refer to Section 292.740 of this manual for more information.

Credits

Eff. Oct. 13, 2003. Amended Jan. 1, 2023.
<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 016.06.36-205.100, AR ADC 016.06.36-205.100
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