HJAR Mar/Apr 2025

AUTISM CARE 28 MAR / APR 2025 I  HEALTHCARE JOURNAL OF ARKANSAS D. If a Child is Diagnosed with Autism Spectrum Disorder (ASD): Under Age 5 Applied Behavior Analysis (ABA) Therapy Options: • Requires diagnostic documentation from 2 of 3 professionals: • Medical Doctor (MD) • PhD Psychologist • Speech-Language Pathologist • Privately Insured Patients: • Contact insurance provider for ABA eligibility. • Consider applying for TEFRA and ARHIPP • Arkansas Autism Partnership (AAP) - Autism Waiver for ARKids A/B, TEFRA, SSI • Eligibility: Must apply before the 5th birthday; must also have Medicaid or TEFRA • Contact: Partners for Inclusive Communities Phone: 1-800-342-02923 • PASSE Members: Contact the PASSE Care Coordinator (see below). E. If a Child is Diagnosed with Autism Spectrum Disorder (ASD): Over Age 5 Applied Behavior Analysis (ABA) Therapy Options: • Requires diagnostic documentation from 2 of 3 professionals: • Medical Doctor (MD) • PhD Psychologist • Speech-Language Pathologist • Privately Insured Patients: • Contact insurance provider for ABA eligibility. • EPSDT Program (Early and Periodic Screening, Diagnostic, and Treatment) - Ages 18 months to 20 years (Note: DMS-693 Forms will be accepted until April 1, 2025, at which point the DMS-641 ER and DMS-641 TP forms must be used for all ABA therapy evaluation referrals and treatment prescriptions. Form available at: www.humanservices.arkansas.gov/wp-content/uploads/DMS-641-ER.pdf ) Eligibility: Must have Medicaid or TEFRA Fax: 501-682-8687 Phone: 501-682-8665 • PASSE Members: Contact the PASSE Care Coordinator (see below). F. PASSE (Provider-Led Arkansas Shared Savings Entity): Coordinated Autism Care PASSE is a Medicaid-managed care program that helps coordinate ABA therapy, ther- apy services, and autism-related medical care. Every PASSE member has an assigned Care Coordinator to help navigate services. PASSE Providers & Contact Information • Summit Community Care Member Services: 1-844-405-4295 (TTY 711) Website: www.summitcommunitycare.com/arkansas-passe • CareSource PASSE Member Services: 1-833-230-2005 (TDD/TTY: 711) Website: www.caresource.com/ar/members/contact-us/caresource-passe • Empower Healthcare Solutions Member Services: 1-866-261-1286 (TTY 711) Website: www.getempowerhealth.com/contact-us • PASSE Ombudsman Office (For General PASSE Questions & Assistance) Phone: 1-844-843-7351 (TTY 888-987-1200, option 2) Email: PASSEOmbudsmanOffice@dhs.arkansas.gov Website: www.humanservices.arkansas.gov/divisions-shared-services/medical- services/healthcare-programs/passe