Personal care services

Therapy and personal care review team photo

Personal care services are designed to assist children with physical dependency needs related to the following activities of daily living: eating, bathing, dressing, personal hygiene, bladder and bowel requirements, or taking medications. Tasks performed by a personal care aide are similar to those that a nurse’s aide would normally perform if the patient were in a hospital or a nursing facility. Personal care services should supplement, not to supplant, other resources available to the child.

Personal care services for Medicaid beneficiaries under age 21 are subject to prior authorization. To request prior authorization of personal care services, the provider must submit a completed DMS-618 Personal Care Assessment and Service Plan form.

Download the DMS-618 form

Pages 1 through 6 of the DMS-618 should be sent to:

Attention PCR
Arkansas Foundation for Medical Care
Fax #: 479-573-7736

The DMS-618 should document, at a minimum, the following information:

  • Complete patient demographic information.
  • Detailed physical assessment of the child, including medical diagnoses that have resulted in the child’s increased physical dependency needs.
  • Detailed personal care service plan. This should specify the individual tasks the personal care aide is to perform, including the duration and frequency of each task.
  • Specific documentation of the alternate resources for personal care assistance. If the request is for personal care services to be provided in a school setting, a clear, a concise description of the child’s classroom setting to include the teacher/student ratio must be provided.
  • The client or the client’s representative, the assessing registered nurse, and the client’s primary care physician (PCP) must sign and date the DMS-618.

Providers should submit requests for the prior authorization of personal care services within 30 calendar days of the start of care date. Approvals may be retroactive to the beginning date of service if the request is received within 30 days of the start of care date.

For complete qualifying criteria, consult the Arkansas Medicaid Manual for Personal Care Services on the Arkansas Medicaid website in the provider section.

Download/view the official notice to transition review services to AFMC, effective July 1, 2015.

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Health Information and Privacy Protection

How AFMC protects you

AFMC respects your concerns about personal data protection and value our relationship with you. AFMC complies with federal and state laws, also an internal compliance program to protect the privacy of medical records, personal health information (PHI), and personal identifiable information (PII). AFMC implements a set of processes and system controls designed to ensure security of your privacy regulated by the Federal Information Security Management Act (FISMA). We put continuous efforts into monitoring potential risk by conducting audits, risk management, security planning and other FISMA related best practices. The Standards of Conduct articulates AFMC’s commitment to follow applicable federal and state laws and regulations, including the following: Title XVIII of the Social Security Act; Medicare regulations found in 42 C.F.R., sections 422 and 423; Patient Protection and Affordable Care Act (PPACA); Health Insurance Portability and Accountability Act (HIPAA) and as modified by HITECH Act; False Claims Act (FCA) and the Federal Criminal False Claims statutes; NIST Special Publication 800-26, Department of Defense (DoD) Policy 8500; Director of Central Intelligence Directive (DCID) 6/3; ISO/IEC Standard 17799; General Accounting Office (GAO) Federal Information System Controls Audit Manual (FISCAM); and Health and Human Services (HHS) Centers for Medicare and Medicaid Services (CMS) Core Security Requirements.

How to protect yourself

AFMC will protect your privacy as described in this Privacy Statement, however, you should keep in mind that if you voluntarily disclose personal information, especially confidential health information, it is possible that despite our efforts, information may be accessible by others. You can help guard against this by:
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  • Use strong passwords with your laptop and mobile accounts
  • Safely dispose of personal information (mail, old hard drives and computers)
  • Ensure that personal computers have the latest security updates to decrease risk
  • Keeping hard copy of sensitive information stowed away in secure cabinet or briefcase
  • Don’t overshare information through social networking
  • Be conscious of web security (internet browser settings)
  • Be conscious of your surrounding when carrying sensitive information