016.06.11 Ark. Code R. 012
Services (DBHS)
Providers of RSPMI Services must furnish documentation of certification from the Division of Behavioral Health Services (DBHS) establishing that the provider is accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Comprehensive Accreditation Manual for Behavioral Health Care, the Commission on Accreditation of Rehabilitation Facilities (CARF) Behavioral Health Standards Manual and the Council on Accreditation (COA) Outpatient Mental Health Services Manual. Accreditation must recognize and include all the applicant's programs, services and service sites. Any outpatient behavioral health program associated with a hospital must have a free-standing behavioral health outpatient program national accreditation. Providers must meet all other certification requirements in addition to accreditation.
Certification requirements may be found at www.arkansas.gov/dhs/dmhs/.
Rehabilitative Services for Persons with Mental Illness (RSPMI) are limited to certified providers who offer core mental health services for the treatment and prevention of mental disorders. The provider must be certified as an RSPMI provider by the Division of Behavioral Health Services.
An RSPMI provider must establish a site specific emergency response plan that complies with section VIII(N) of the Arkansas Department of Human Services Division of Behavioral Health Services Certification Manual. Each site must have 24-hour emergency response capability to meet the emergency treatment needs of the RSPMI beneficiaries served by the site. The provider must implement and maintain a written policy reflecting the specific coverage plan to meet this requirement. An answering machine message to call 911 or report to the nearest emergency room in and of itself is not sufficient to meet the requirement.
Each RSPMI provider must establish and maintain a quality assurance committee that will meet quarterly and examine the clinical records for completeness, adequacy and appropriateness of care, quality of care and efficient utilization of provider resources. The committee must also comply with section VIII(P) of the Arkansas Department of Human Services Division of Behavioral Health Services Certification Manual. Documentation of quality assurance committee meetings and quality improvement programs must be filed separately from the clinical records.
Each RSPMI provider shall ensure that mental health professionals are available to provide appropriate and adequate supervision of all clinical activities. RSPMI staff members must provide services only within the scope of their individual licensure. It is the responsibility of the facility to credential each clinical staff member, specifying the areas in which he or she can practice based on training, experience and demonstrated competence.
Each RSPMI provider shall comply with minimum staffing requirements set forth in section VIII(E) of the Arkansas Department of Human Services Division of Behavioral Health Services Certification Manual.
In addition to minimum staff requirements, the RSPMI provider may employ additional mental health professionals who shall meet all professional requirements as defined in the state licensing and certification laws relating to their respective professions. Examples include:
Effective for dates of service on and after October 1, 2008, when an RSPMI provider files a claim with Arkansas Medicaid, the staff member who actually performed the service on behalf of the RSPMI provider must be identified on the claim as the performing provider. RSPMI staff members who are eligible to enroll in the Arkansas Medicaid program have the option of either enrolling or requesting a Practitioner Identification Number (View or print form DMS-7708) so --[ Field Code changed)
that they can be identified on claims. For example, an LCSW may choose to enroll in the Licensed Mental Health Practitioners program or choose to obtain a Practitioner Identification Number.
This action is taken in compliance with the federal Improper Payments Information Act of 2002 (IPIA), Public Law 107-300 and the resulting Payment Error Rate Measurement (PERM) program initiated by the Centers for Medicare and Medicaid Services (CMS).
Certain types of practitioners who perform services on behalf of an RSPMI provider cannot enroll in the Arkansas Medicaid program. These practitioners must request a Practitioner Identification Number so that they can be identified on claims:
* Psychological Examiner
* Adult Psychiatric Mental Health Clinical Nurse Specialist
* Child Psychiatric Mental Health Clinical Nurse Specialist
* Adult Psychiatric Mental Health Advanced Nurse Practitioner
* Family Psychiatric Mental Health Advanced Nurse Practitioner
* Master of Social Work (Licensed in the State of Arkansas)
* Regi stered nurse
* Paraprofessional
016.06.11 Ark. Code R. 012