A. Licensure. Bidder must be enrolled with Medicaid as a Pediatric Intermediate Care Facility for Intellectual or Developmental Disabilities (ICF/IDD). Medicaid Provider Type: Pediatric ICF/IDD (13-W9),and must be in and remain in good standing with Arkansas Medicaid for the duration of any resulting contract. B. Eligibility. Clients referred under this contract to receive services in an Intermediate Care Facility for Intellectual or Developmental Disability (ICF/IDD) must have a diagnosis of a developmental disability or intellectual disability. Intellectual and developmental disability means a disability of a person that: i. Is attributable to an impairment of general intellectual functioning or adaptive behavior, including cerebral palsy, spina bifida, Down syndrome, epilepsy, or autism: ii. Is attributable to any other condition of a person found to be closely related to intellectual and developmental disability because the condition results in an impairment of general intellectual functioning or adaptive behavior similar to that of a person with an intellectual and developmental disability or requires treatment and services similar to that required for a person with an intellectual and developmental disability iii. Originated prior to the client turning twenty two (22) of age iv. Has continued or can be expected to continue indefinitely; and v. Constitutes a substantial impairment to the person’s ability to function without appropriate support services, including, but not limited to, planned recreational activities and medical services. C. Compliance. All services provided shall be in compliance with Ark. Code Ann. § 20-48-901 and ICF standards as set forth in the DHS Office of Long-Term Care (OLTC) rules and regulations for small ICF/MR facilities and large ICF/MR facilities, (see Bidders Library for Manual links). D. Preliminary Evaluation. Within two (2) business days of accepting a client under this contract, Vendor must conduct a preliminary evaluation of the client to determine if medical necessity will be met for full admission or if DCFS should be notified of discharge. E. Services. Clients under this contract shall receive the same services as a client who has been fully admitted to the facility which includes all services outlined under the Condition of Participation (Section 500 of the 15 Bed or Less Long Term Care Facilities Manual) or the Services Section (Section 300 of the 16 Bed or More Long Term Care Facilities Manual). Such services shall include trachea care. Additional services provided by the Contractor shall include, without limitation: F. Transportation 1. Services shall include transportation to and from other necessary services, including without limitation: a. Dental care and b. Eye care 2. License, permits, and certificates must be maintained in accordance with state and federal laws for each vehicle used to provide transportation including, without limitation, the following: a. Vehicle licensing b. Driver’s license c. Registration d. Insurance e. Child safety seats f. Seat belts G. Reporting Contractor shall submit monthly reports on each client residing at the ICF/IDD, being paid under this contract, to the DHS Division of Children and Family Services (DCFS) containing the following without limitation: 1. All intermediate care services provided to the clients for the preceding month; 2. Progress notes on each client for the preceding month; 3. Proof of applications made to DHS required for full admission to the ICF; 4. All transportation provided to DHS-referred clients for the preceding month; and 5. All referrals to outside service providers for DHS-referred clients for the preceding month, including without limitation dental care and eye care.
