Arkansas – Community and Employment Support (0188.R05.00)

Waiver Title

Community and Employment Support (0188.R05.00)

Description of Emergency

COVID-19 pandemic. This amendment will apply waiver-wide for each waiver included in this Appendix, to all individuals impacted by the virus or the response to the virus (e.g. closure of day programs, etc.)

Waiver Description

Provides caregiver respite, supported employment, supportive living, specialized medical supplies, adaptive equipment, community transition services, consultation, crisis intervention, environmental modifications, supplemental support for individuals with autism, ID, DD ages 0 – no max age

Start Date

05-04-20

End Date

31-05-20

Description of Transition Plan

All activities will take place in response to the impact of COVID-19 as efficiently and effectively as possible based upon the complexity of the change.

Area(s) Affected

Area Affected

These actions will apply across the waiver to all individuals impacted by the COVID-19 virus

Increase Cost Limits

N/A

Modify Targeting Criteria

N/A

Modify Scope or Coverage

N/A

Exceed Service Limitations

N/A

Add Services

N/A

Expand Settings

N/A

Provide Service Out of State

N/A

Allow Payment for Services by Families

N/A

Modification of Provider Qualifications

N/A

Modify Provider Types

N/A

Modify Licensure/Requirements for Waiver Settings

N/A

Modification LOC Eval and Re-Eval Processes

N/A

Increase Payment Rates

Enhanced payments will be made to AR Choices Waiver providers of adult day health, adult day services, adult family home, attendant care and respite care and Living Choices Waiver providers of nursing services, personal care and attendant care. The base supplemental payments will go directly to direct care workers. The payments will be made as follows: a) Work 20-39 hours per week—$125.00 b) Work 40+ hours per week—$250.00 c) Work a regularly planned split shift schedule that overlap weeks that equal or exceed 150 hours per month without overtime–$250.00 Tiered payments based on acuity of beneficiaries who have tested positive for COVID-19 and are receiving treatment will be made as follows: a) Work 0-19 hours per week—$125.00 b) Work 20-39 hours per week—$250.00 c) Work 40+ hours per week—$500.00 d) Work a regularly planned split shift schedule that overlap weeks that equal or exceed 150 hours per month without overtime—$500.00 Each direct worker will only be able to claim a payment in one of the categories described above.

Modifications of ISP

N/A

Modify Incident Reporting/Med Management Safeguards

N/A

Allow Payment for Services During Acute Care Hospital/Short Term Institutional Stay

N/A

Inclusion of Retainer Payments

N/A

Institute/Expand Opportunities for Self-Direction

N/A

Increase Factor C

N/A

Other Changes Necessary

N/A

Addendum

HCBS Regulations

Not comply with the HCBS settings requirement at 42 CFR 441.301(c)(4)(vi)(D) that individuals are able to have visitors of their choosing at any time, for settings added after March 17, 2014, to minimize the spread of infection during the COVID-19 pandemic.

Services

Add Electronic Method of Service Delivery

N/A

Add Home Delivered Meals

N/A

Add Medical Supplies, Equipment and Appliances

N/A

Add Assistive Technology

N/A

Conflict of Interest

Other Changes Necessary

N/A

Other Changes Necessary

N/A

Provider Qualifications

Allow Spouses and Parents of Minor Children to Provide Personal Care Servcies

N/A

Allow a Family Member to be Paid to Render Services to an Individual

N/A

Allow Other Practitioners in Lieu of Approved Providers Within the Waiver

N/A

Modify Service Providers for Home-Delivered Meals to Allow for Additional Providers, Including Non-Traditional Providers

N/A

Processes

Allow an Extension for Reassessments and Reevaluations for up to One Year Past the Due Date

N/A

Allow the Option to Conduct Evaluations, Assessments, and Person-Centered Service Planning Meetings Virtually/Remotely in lieu of Face-to-Face Meetings

N/A

Adjust Prior Approval/Authorization Elements Approved in Waiver

N/A

Adjust Assessment Requirements

N/A

Add an Electronic Method of Signing Off on Required Documents Duch As The Person-Centered Service Plan

N/A

Link To Application

https://www.medicaid.gov/state-resource-center/downloads/ar-combined-appendix-k-appvl.pdf

Link to Approval Letter

https://www.medicaid.gov/state-resource-center/downloads/ar-appendix-k-appvl-ltr.pdf