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016.06.41-201.000. Arkansas Medicaid Participation Requirements for Rehabilitative Hospitals.

AR ADC 016.06.41-201.000Arkansas Administrative Code

West's Arkansas Administrative Code
Title 016. Department of Human Services
Division 06. Division of Medical Services
Rule 41. Rehabilitative Hospital Provider Manual (Refs & Annos)
Section 200.000. Rehabilitative Hospital General Information.
Ark. Admin. Code 016.06.41-201.000
016.06.41-201.000. Arkansas Medicaid Participation Requirements for Rehabilitative Hospitals.
Currentness
All rehabilitative hospitals are eligible for participation in the Arkansas Medicaid Program if they meet the following criteria:
A. An in-state hospital must be licensed by the Arkansas Department of Health as a Rehabilitative Hospital. An out-of-state hospital must be licensed by the appropriate licensing agency within its home state as a Rehabilitative Hospital. A copy of the current license must accompany the provider application (DMS-652) and Medicaid contract (DMS-653). Subsequent licensure must be provided when issued.
B. A hospital must be certified as a Rehabilitative Hospital Title XVIII (Medicare) provider in its home state. A copy of the current Medicare Certification must accompany the Medicaid application and contract. Subsequent certification must be provided when issued.
C. The hospital must complete a provider application and a Medicaid contract with the Arkansas Medicaid Program. View or print the Provider application (Form DMS-652). Medicaid contract (Form DMS-653) and Request for Taxpayer Identification Number and Certification (Form W-9).
D. The Arkansas Medicaid Program must approve the provider application and Medicaid contract.

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 016.06.41-201.000, AR ADC 016.06.41-201.000
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