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016.06.41-212.300. Exclusions.

AR ADC 016.06.41-212.300Arkansas 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 212.000. Rehabilitative Hospital Inpatient Services.
Ark. Admin. Code 016.06.41-212.300
016.06.41-212.300. Exclusions.
Currentness
A. Medicaid does not cover services that are not necessary to treat an illness or an injury, such as:
1. Beauty shop
2. Cots for visitors
3. Meals for visitors
4. Television
5. Telephone
6. Guest tray
B. Medicaid does not cover the following as rehabilitative hospital inpatient services:
1. Private duty nurse
2. Take home drugs and supplies
3. Private room (unless ordered by a physician's statement as medically necessary)
C. Medicaid does not cover services that are cosmetic, experimental, not medically necessary or that are not generally accepted by the medical profession. Medicaid does not cover services that are not documented by diagnoses that certify medical necessity. Arkansas Medicaid has identified some ICD-9-CM diagnosis codes that do not certify medical necessity. See Section 242.200 for diagnosis codes that are covered by Arkansas Medicaid.

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 016.06.41-212.300, AR ADC 016.06.41-212.300
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