1. Program Definition and Services
Skilled Nursing Services in Arkansas provide professional nursing care and related services to patients in their homes. Services include:
- Skilled nursing care
- Physical therapy
- Occupational therapy
- Speech-language pathology services
- Medical social work services
2. Regulations
The program is governed by Arkansas Administrative Code 016.06.10 and follows federal regulations under 42 CFR 484.
3. Licensing or Certification
Providers must be licensed as Home Health Agencies in Arkansas to offer skilled nursing services.
4. Responsible State Agency
The Arkansas Department of Health (ADH) oversees the licensing and regulation of Home Health Agencies.
5. Application Process
Providers must complete an application process through the Arkansas Department of Health. Prior to applying for a license, an agency must obtain a Permit of Approval (POA).
6. Required Documentation
Required documentation includes:
- Completed application forms
- Proof of Permit of Approval (POA)
- Evidence of meeting staffing requirements
- Policies and procedures documentation
- Proof of professional liability insurance
7. Timeline for Approval
The exact timeline is not specified. However, agencies must serve the area consistent with their Certificate of Need (CON) or POA.
8. Pre-Application Process
Agencies must obtain a Permit of Approval (POA) before applying for a license.
9. Pre-Application Training
While not explicitly mentioned, providers must ensure that all staff members are properly trained and qualified according to state regulations.
10. Additional Notes
- Agencies can serve up to a 100-mile radius of the parent agency or branch office.
- Initial patient assessments must be completed within 48 hours of referral/discharge.
- Plans of care must be developed at admission and revised at least every 60 days.
- Case conferences must be held at least every two months for each patient.
- Agencies must accept patients only if they can adequately meet their needs in the patient's place of residence.
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