Yes: The qualified therapist or speech-
language pathologist must review and
approve all written documentation
completed by the individual under his
or her supervision prior to the filing of
the claims submitted for the service
provided.
Each page of progress note entries must be signed by the supervising therapist with his or her full signature, credentials and date of review.
Section II-203.000 Arkansas Medicaid Provider Manual
Question: I am a private provider of therapy. How often do I need to obtain a referral for a client?

Providers of therapy services are responsible for obtaining renewed PCP referrals every 6 months even if the prescription for therapy is for one year. A prescription for therapy services is valid for the length of time specified by the prescribing physician, up to one year.
Section II-204.000 and 214.000 B 1 & 2 Arkansas Medicaid Provider Manual