HJAR Mar/Apr 2024

HEALTHCARE JOURNAL OF ARKANSAS I  MAR / APR 2024 49 Regina Davenport Assistant Director of Client Services for Home and Community-Based Programs Arkansas Department of Human Services cerebral palsy, autism spectrum disorders, hearing impairment, limited vision impair- ments, spina bifida, and muscular dystrophy. Families of children that are eligible for CSS receive assistance from a CSS registered nurse (RN) care coordinator in coordinating their child’s care. CSS RN care coordinators have helped families with finding a medical home, finding information about their child’s condition, and finding support in times of stress and crisis. They may also obtain medi- cal equipment related to the child’s special needs, coordinate payments, and work with all the professionals on a plan that meets both the child and their family’s needs. Care coordinators can assist with transitioning from the pediatric care system to an adult care system and in applying for insurance for the child as he or she transitions into adulthood. When funding allows, CSS provides limited direct services to fill an unmet need when no other program, service, or pay source ex- ists in Arkansas to provide these services to families of eligible children. Services for CSS- eligible children are prior authorized by CSS. The CSS program is the “payer of last resort,” meaning that CSS funds cannot be used to pay for services covered by other programs or pay sources. If a child would be eligible for Medicaid (i.e., SSI, TEFRA, or ARKids A) or for insurance through theAffordable Care Act (ACA), then the family must apply for coverage before they can be eligible for CSS services. It is important to note that not all children are eligible to receive CSS services. Children who are currently receiving case manage- ment services through another program (i.e., children enrolled in a Provider-LedArkansas Shared Savings Entity, or PASSE) would not be eligible. Other examples include recipients of the 1915(c) autismwaiver, children receiv- ing hospice care without concurrent disease- modifying treatment, and children living in a residential care setting such as a skilled nursing facility or intermediate care facility. To learn more about CSS or to apply for available services, please visit our website at ar.gov/CSS. n Regina Davenport is the assistant director of client services for home and community-based programs at theArkansas Department of Human Services.She is responsible for the oversight and management of specialized services for children and adults with de- velopmental disabilities. Included in the service array are the Community and Employment Support (CES) Waiver program, Autism Waiver program, Autism EPSDT program, Title V Children with Special Health Care Needs, community integration supports (CIS), and state plan services. Update on Continuous Glucose Monitors After receiving public comment, the Arkansas Department of Human Services has made some changes to how continuous glucose monitors, or CGMs, and diabetic supplies will be pro- cessed by pharmacies and durable medical equipment, or DME, providers. CGMs and diabetic supplies are planned to be provided by both DME providers and pharmacies as of April 1, 2024. Traditional insulin pumps and tubing will remain as a DME benefit only. Med- icaid processes and rules will be administered through the Magellan portal, and a new rate will be calculated. Rates for items, regardless of supplier, will be wholesale acquisition cost. Additionally, providers will have the ability to claim the professional dispensing fee. Training for the Magellan portal will be available and the DME fee schedule will be updated for dates of service beginning April 1, 2024.