Effective for dates of service on or after January 1, 2003, the Arkansas Medicaid Program has implemented revisions in policies for occupational, physical, and speech therapy services relating to make-up therapy sessions, coverage of services carried out by unlicensed therapy students, and retrospective reviews. Follow the Provider/Official Notices link for occupational, physical, and speech therapy services at www.medicaid.ar.us for the complete text of this notice, dated December 4, 2002.
School districts and educational services cooperatives enrolled as therapy providers should take special note of the retrospective review guidelines issued as part of the Official Notice. For dates of service prior to January 1, 2003, reviews will be done only to determine prescription validity and services documentation. “Medical necessity” reviews will be performed only for service provided on or after January 1, 2003. The Arkansas Medicaid Program contracts with the Arkansas Foundation for Medical Care, Inc. (AFMC) to perform these retrospective reviews.
Finally, effective for dates of service on or after January 1, 2003, revised Form DMS-640 (Rev. 1-2003) must be used when occupational, physical, or speech therapies are prescribed by the primary care physician (PCP) for the under age 21 Medicaid population. Form DMS-640, as revised, is attached to this Memo.