HJAR Nov/Dec 2022

HEALTHCARE JOURNAL OF ARKANSAS I  NOV / DEC 2022 41 CLIENT ELIGIBILITY INFORMATION A woman is eligible for Maternal Life360 intensive care coordination supports if she: 1. Is enrolled in Arkansas Medicaid or was enrolled inArkansas Medicaid when she began receiving Maternal Life360 ser- vices and is either pregnant with a high- risk pregnancy (a diagnosis of needing supervision for high-risk pregnancy). 2. Or, was enrolled in the Maternal Life360 while pregnant with a high-risk preg- nancy and delivered the baby within the previous 24 months if enrolled in ARHOME at any point during enroll- ment in the Maternal Life360 program or within 12 months if enrolled only in another Medicaid aid category during Maternal Life360 enrollment. High-risk pregnancy must be verified through a completed referral form from the client’s physician that includes the most current clinical note. 3. Is not currently receiving state-funded or federally funded home visiting ser- vices through a provider whose services cover pregnancy or the first two years of a baby’s life. All adults living in the Rural Life360 ser- vice area are eligible for SDOH screening and referrals to needed community sup- ports. To be eligible for intensive care co- ordination, the individual also must: • Be enrolled inARHOME through a qual- ified health plan (QHP) or Medicaid Fee- For-Service (FFS). • Have a mental health and/or substance use disorder diagnosis. Nell Smith Assistant Director Division of Medical Services • Have at least one SDOH need identified through an SDOH screen. • Not be enrolled in the Provider-led Ar- kansas Shared Services Entity (PASSE) program. An individual is eligible for Success Life360 intensive care coordination and supports if the person: • Is enrolled in ARHOME through a QHP or Medicaid Fee-For-Service (FFS). • Is at risk of poor health due to poverty. • Is not enrolled in the Provider-led Arkansas Shared Services Entity (PASSE) program. • Meets the criteria for at least one of the following categories: • Is between 19 and 24 years of age and has been previously placed under the supervision of the DHS Division of Youth Services as verified by DHS • Is between 19 and 24 years of age and has been previously placed under the supervision of theArkansas Department of Corrections, as verified by the Arkan- sas Department of Corrections. • Is between 19 and 27 years of age and has been previously placed under the supervision of the DHS Division of Chil- dren and Family Services (as verified by DHS). • Is between 19 and 30 years of age and is a veteran verified by Arkansas Depart- ment of Veterans Affairs. HOSPITAL ELIGIBILITY INFORMATION To be eligible to enroll as a Life360 HOME provider withArkansas Medicaid, the entity must be an enrolledArkansas Medicaid hos- pital provider. Maternal Life360 HOME must be: • Licensed as a general hospital and pro- vide obstetrics services. • Able to demonstrate that it can provide or contract with a qualified partner or- ganization for the provision of a feder- ally recognized evidence-based home visitation model to a woman during pregnancy and to the woman and child for a period of up to 24 months after birth. Success Life 360 HOME must be: • An acute care hospital. • Able to demonstrate that it can admin- ister or contract with a qualified partner organization to administer programs using proven models, to provide or help connect individuals to employment, training, education, or other social sup- ports. Rural Life 360 HOME must be: • A small rural hospital. • Able to demonstrate that it can employ care coordination coaches to assist eli- gible individuals in need of treatment for serious mental illness or substance use disorder in accessing medical treat- ment from healthcare professionals and supports to meet health-related social needs. • Operate an acute crisis unit. n Nell Smith has two master’s degrees — one in journalism and the other in public health. She combined those interests at the start of her career, working as a journalist covering healthcare for newspapers in Illinois andArkansas.She then worked as a researcher and administrator for the policy analysis and research section of theArkansas Bureau of Legislative Research,which serves as non-partisan staff for the Arkansas General Assembly. She has worked at theArkansas Department of Health and now atArkansas DHS.She’s excited to be part of ensuring all Arkansans have access to quality healthcare.