When performing evaluation for treatment of Fluency at least one norm-referenced, standardized test with good reliability and validity, and at least one supplemental tool to address affective components must be completed. Eligibility for fluency therapy will be based upon an SS of -1.5 SD below the mean or greater on the standardized test.
Section II-214.400 D5 Arkansas Medicaid Provider Manual
Evaluation and Report Components contains the "standardized scoring key" which lists standard score ranges and standard deviations:
Mild: Scores between 84-78; -1.0 standard deviation
Moderate: Scores between 77-71; -1.5 standard deviations
Severe: Scores between 70-64; -2.0 standard deviations
Profound: Scores of 63 or lower; -2.0+ standard deviations
If using a test with severity ranges that differ from this, then an explanation should be documented in your evaluation report and a scoring key provided for that particular test.
Section II-214.400 C1 Arkansas Medicaid Provider Manual
Referrals are required every six months, regardless if the treatment prescription is for one year. PCPs are not required to make retroactive referrals. When a school district is providing therapy services in accordance with the child's IEP, a referral is required at the beginning of each school year and can be for the 9-month school year.
Section I-171.40 Arkansas Medicaid Provider Manual
Section II-204.000 A 1 Arkansas Medicaid Provider Manual
Section II-214.000 B Arkansas Medicaid Provider Manual
Section II-214.000 C Arkansas Medicaid Provider Manual
