Specifications include, but are not limited to: Personnel The agency shall have the following personnel: 1. A physician currently licensed by the Arkansas State Medical Board who has experience in the practice of psychiatry. 2. A Director of Nursing/Nurse Manager currently licensed in Arkansas as a Registered Nurse. 3. A Clinical Director who has at least a master’s degree in a human services field and is currently licensed in Arkansas as a mental health professional (as recognized by Arkansas Medicaid). 4. One or more therapists having at least a master’s degree in a human services field and is currently licensed as mental health professionals as recognized by Arkansas Medicaid. 2.4.2 Licensing Standards A. Contractors providing subacute care and sexual rehabilitation services that are residential facilities shall provide medically and psychologically necessary residential treatment in accordance with the most updated Minimum Licensing Standards for Child Welfare Agencies issued by the Division of Child Care and Early Childhood Education (DCCECE), incorporated herein by reference https://humanservices.arkansas.gov/wpcontent/uploads/DCCECE_Minimum-Licensing-Standards-for-Child-Welfare-AgenciesResidential_01012020.pdf. B. Contractors that are acute care hospitals shall provide medically and psychologically necessary residential treatment in accordance with the most updated Regulations and Interpretive Guidelines for Hospitals (Refer to Attachment H – State Operations Manual) issued by the Centers for Medicare and Medicaid Services (CMS) incorporated herein by reference and must be licensed by the Arkansas Department of Health (see link below). https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_a_hospitals.pdf 2.4.3 Treatment Facilities A. Psychiatric Residential Treatment Facility (PRTF) A PRTF is a separate, standalone entity providing a range of comprehensive services to treat the psychiatric condition of residents under the age of twenty-one (21), on an inpatient basis under the direction of a physician. A PRTF is to provide a less medically intensive program of treatment than a psychiatric hospital or a psychiatric unit of a general hospital. B. Subacute Care/Sexual Rehabilitation Services Facility A healthcare facility that is a step down from an acute care hospital and a step up from a conventional skilled nursing facility intensity of services. whose immediate treatment needs require a structured 24-hour residential or hospital setting that provides all required services (including schooling) on site. Services provided include, but are not limited to, multi-disciplinary evaluation, medication management, individual, family and group therapy, parent guidance, substance abuse education/counseling (when indicated) and other support services including on site education, designed to assist the young person to achieve success in a less restrictive setting. This level of care primarily serves as a step down from acute psychiatric inpatient care. On occasion, it may be appropriate for children to be admitted directly from the community. C. Acute Care Hospitals A hospital or a portion thereof that provides medically and psychologically necessary residential treatment for severe psychiatric symptoms.
