§ 20-48-1102. Definitions

AR Code § 20-48-1102 (2018) (N/A)
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(1) "Accredited entity" means a corporate entity that:

(A) Has successfully completed an ongoing accreditation process that is offered by a national accrediting organization and is:

(i) Related to the delivery of child health management services;

(ii) Related to the delivery of developmental day treatment clinic services for children; or

(iii) Related to the delivery of early intervention day treatment services provided by a successor program; and

(B) One (1) or more of the following:

(i) Satisfies all certification criteria established by the Department of Human Services for child health management services;

(ii) Satisfies all licensure criteria for developmental day treatment clinic services for children established by the Division of Developmental Disabilities Services of the Department of Human Services; or

(iii) Satisfies all certification and licensure criteria established by a regulatory entity governing any successor program;

(2) "Child health management services" means an array of clinic services for children:

(A) Intended to provide full medical multidiscipline diagnosis, evaluation, and treatment of developmental delays in Medicaid recipients; and

(B) That is diagnostic, screening, evaluative, preventive, therapeutic, palliative, or rehabilitative services, including early intervention day treatment services;

(3)

(A) "Child health management services operated by an academic medical center" means an academic medical center program specializing in developmental pediatrics that is administratively staffed and operated by an academic medical center and under the direction of a board-certified or board-eligible developmental pediatrician.

(B) An academic medical center consists of a medical school and its primary teaching hospitals and clinical programs.

(C) For a child health management services program operated by an academic medical center, services may be provided at different sites operated by the academic medical center as long as the child health management services program falls under one (1) administrative structure within the academic medical center;

(4) "Developmental day treatment clinic services for children" means early intervention day treatment provided to children by a nonprofit community program that:

(A) Is licensed to provide center-based community services by the Division of Developmental Disabilities Services; and

(B) Serves as a quasi-governmental instrumentality of the state by providing support and services to persons who have a developmental disability or delay and would otherwise require support and services through state-operated programs and facilities;

(5)

(A) "Early intervention day treatment" means services provided by a pediatric day treatment program run by early childhood specialists, overseen by a physician, and serving children with developmental disabilities, developmental delays, or a medical condition that puts them at risk for developmental delay.

(B) Early intervention day treatment includes without limitation diagnostic, screening, evaluative, preventive, therapeutic, palliative, and rehabilitative and habilitative services, including speech, occupational, and physical therapies and any medical or remedial services recommended by a physician for the maximum reduction of physical or mental disability and restoration of the child to the best possible functional level.

(C) Child health management services and developmental day treatment clinic services or a successor program constitute the state's early intervention day treatment program;

(6) "Existing operations" means services provided by a child health management services program or a developmental day treatment clinic services program that has submitted a completed application to the Division of Medical Services of the Department of Human Services to serve as a Medicaid provider no later than July 1, 2013;

(7) "Medicaid" means the medical assistance program authorized under Title XIX of the Social Security Act, 42 U.S.C. § 1396 et seq., and established under § 20-77-101 et seq., that provides for payments for medical goods or services on behalf of indigent families with dependent children and of aged, blind, or disabled individuals whose income and resources are insufficient to meet the cost of necessary medical services;

(8) "National accrediting organization" includes without limitation:

(A) The Commission on the Accreditation of Rehabilitation Facilities; or

(B) Any other similar national accrediting organization recognized by the Division of Developmental Disabilities Services; and

(9) "Successor program" means a program:

(A) That provides early intervention day treatment to children;

(B) That is created as a replacement for, combination of, or derived in whole or in part from the child health management services program and the developmental day treatment clinic services program for children; and

(C) In which the for-profit and nonprofit providers from child health management services programs and developmental day treatment clinic services programs are eligible to participate.