016.06.10 Ark. Code R. 020
Effective for claims with dates of service occurring on and after May 1, 2010, the reimbursement rate maximums for the following listed Medicaid covered specialized rehabilitative equipment will be 85% of the February 1, 2009 retail price.
Reimbursement for this specialized rehabilitative equipment is by fee schedule, at the lesser of the billed charge or the Title XIX (Medicaid) maximum allowable. Except as otherwise noted in the plan, state developed fee schedule rates are the same for both governmental and private providers of this specialized rehabilitative equipment and the fee schedule is published on the Medicaid website at www.medicaid.state.ar.us.
Bath chair 56" | Commode chair, extra wide and/or heavy duty |
Tray for Gait Trainer | |
Corner chair w tray & casters, small | Standing frame syst., any size, w/wo wheels |
Corner chair w tray & casters, large | |
Low back activity chair | Transition toddler chair, small |
Supine stander 51", small | Gait trainer, ped size, posterior support, w/all Accessories |
Supine stander 71", large | |
Prone stander 35" | |
Prone stander 42" | Adjustable abduction wedge w/hip stabilizer |
Prone stander 50" | |
Tray for stander, prone | Up-rite stander, small |
Tray for stander, supine | Up-rite stander, medium |
Foot sandals for standers | Up-rite stander, large |
Caster base for up-rite stander, small | Tumble form feeder seat, small |
Caster base for up-rite stander, medium | Tumble form feeder seat, medium |
Caster base for up-rite stander, large | Tumble form feeder seat, large |
Tumble form tri stander w/tray, small | Seat & back pad for toddler chairs |
Tumble form tri stander w/tray, large | T&S high back w/support activity chair, 14" |
Mobile floor sitter, medium/large | |
Tray for toddler chair | T&S high back w/support activity chair, 16" |
Wrap around back support, small | |
Wrap around bath support, large | Toilet seat reducer ring (padded) |
Toilet support w/high back, small | 4 wheel reverse walker |
Toilet support w/high back, large | 4 wheel front swivel reverse walked |
Adult gait trainer |
016.06.10 Ark. Code R. 020