PURPOSE: To assure that Outpatient Behavioral Health Services (“OBHS”) care and services provided by certified Independently Licensed Practitioners comply with applicable laws, which require, among other things, that all care reimbursed by the Arkansas Medical Assistance Program (“Medicaid”) must be provided efficiently, economically, only when medically necessary, and is of a quality that meets professionally recognized standards of health care. The requirements and obligations imposed by §§ I-XIII of this rule are substantive, not procedural. Current Independently Licensed Practitioner certification under this policy is a condition of Medicaid provider enrollment. Division of Behavioral Health Services (“DHS”) Independently Licensed Practitioner certification must be obtained for each site before application for Medicaid provider enrollment. An applicant may submit one application for multiple sites, but DHS will review each site separately and take separate certification action for each site. DEFINITIONS: license action” means any action by a licensing authority that is related to client “Adverse care, any act or omission warranting exclusion under DHS Policy 1088, or that imposes any restriction on the licensee’s practice privileges. The action is deemed to exist when the licensing entity imposes the adverse action except as provided in Ark. Code Ann. § 25-15-211 (c). means an Independently Licensed Practitioner that is seeking DHS “Applicant” certification as an Independently Licensed Practitioner. means a written designation, issued by DHS, declaring that the provider “Certification” has demonstrated compliance as declared within and defined by this rule. means any person for whom an Independently Licensed Practitioner furnishes, or “Client” has agreed or undertaken to furnish, Counseling Level Outpatient Behavioral Health services. Information System” means a comprehensive, integrated system of clinical, “Client administrative, and financial records that provides information necessary and useful to deliver client services. Information may be maintained electronically, in hard copy, or both. means conformance with: “Compliance” Applicable state and federal laws, rules, and regulations including, without limitation:
PURPOSE: To assure that Outpatient Behavioral Health Services (“OBHS”) care and services provided by certified Independently Licensed Practitioners comply with applicable laws, which require, among other things, that all care reimbursed by the Arkansas Medical Assistance Program (“Medicaid”) must be provided efficiently, economically, only when medically necessary, and is of a quality that meets professionally recognized standards of health care. The requirements and obligations imposed by §§ I-XIII of this rule are substantive, not procedural. Current Independently Licensed Practitioner certification under this policy is a condition of Medicaid provider enrollment. Division of Behavioral Health Services (“DHS”) Independently Licensed Practitioner certification must be obtained for each site before application for Medicaid provider enrollment. An applicant may submit one application for multiple sites, but DHS will review each site separately and take separate certification action for each site. DEFINITIONS: “Adverse license action” means any action by a licensing authority that is related to client care, any act or omission warranting exclusion under DHS Policy 1088, or that imposes any restriction on the licensee’s practice privileges. The action is deemed to exist when the licensing entity imposes the adverse action except as provided in Ark. Code Ann. § 25-15-211 (c). “Applicant” means an Independently Licensed Practitioner that is seeking DHS certification as an Independently Licensed Practitioner. “Certification” means a written designation, issued by DHS, declaring that the provider has demonstrated compliance as declared within and defined by this rule. “Client” means any person for whom an Independently Licensed Practitioner furnishes, or has agreed or undertaken to furnish, Counseling Level Outpatient Behavioral Health services. “Client Information System” means a comprehensive, integrated system of clinical, administrative, and financial records that provides information necessary and useful to deliver client services. Information may be maintained electronically, in hard copy, or both. “Compliance” means conformance with: Applicable state and federal laws, rules, and regulations including, without limitation:
DBHS_Independently_Licensed_Practitioner_Certification_FINAL.docx