016.29.24 Ark. Code R. 002 - Childrens Advocacy Center (CAC) Reimbursement

203.800 The Nurse Practitioner's Role in Children's Advocacy Centers

Children's Advocacy Centers (CACs) provide a comprehensive interdisciplinary evaluation, assessment, and treatment of sexually and physically abused children under twenty-one (21) years of age. A team of professionals representing a variety of medical, social, and legal disciplines and advocates assesses the child and coordinates needed services. Sexual abuse, neglect, and physical abuse examinations are available to children under twenty-one (21) years of age through Medicaid providers who deliver and bill for the separate components of the service (physical examination). Medicaid coverage of services provided by CACs is limited to sexual abuse or neglect and physical abuse medical examinations, or both. The nurse practitioner's role in CACs includes the following:

A. Serve as the medical director of the CAC;

B. Perform medical examination for neglect and physical abuse of individuals under twenty-one (21) years of age; and

C. Perform medical examination for sexual assault of individuals under twenty-one (21) years of age.

203.801 Sexual Assault Nurse Examiner Pediatric (SANE-P) Certification and Enrollment as a Provider for Arkansas Medicaid

Registered Nurse Certified as a Sexual Assault Nurse Examiner-Pediatric (SANE-P)

A. Registered Nurses (RNs) must have specialized training in the evaluation and treatment of neglect and abuse of children;

B. Registered Nurses must have specialized training on the use of a colposcope;

C. Registered Nurses must be certified as Sexual Assault Nurse Examiners- Pediatric (SANE-P) by the International Association of Forensic Nurses; and

D. Enrolled as a provider with Arkansas Medicaid.

203.400 Physician's Role in Children's Advocacy Centers

Children's Advocacy Centers (CACs) provide a comprehensive interdisciplinary evaluation, assessment, and treatment of sexually and physically abused children under twenty-one (21) years of age. A team of professionals representing a variety of medical, social, and legal disciplines and advocates assesses the child and coordinates needed services. Sexual abuse, neglect, and physical abuse examinations are available to children under twenty-one (21) years of age through Medicaid providers who deliver and bill for the separate components of the service (physical examination). Medicaid coverage of services provided by CACs is limited to sexual abuse or neglect and physical abuse medical examinations, or both. The physician's role in CACs includes the following:

A. Serve as the medical director of the CAC;

B. Perform medical examination for sexual assault or neglect and physical abuse, or both;

C. Provide supervision of other rendering providers at the CAC who perform medical examination for neglect and physical abuse;

D. Provide supervision of Sexual Assault Nurse Examiners-Pediatric (SANE-P). Only physicians or Registered Nurses with SANE-P certification are qualified to conduct sexual assault medical examination at a CAC.

203.401 Sexual Assault Nurse Examiner Pediatric (SANE-P) Certification and Enrollment as a Provider for Arkansas Medicaid

Registered Nurse Certified as a Sexual Assault Nurse Examiner-Pediatric (SANE-P)

A. Registered Nurses (RNs or APRNs) must have specialized training in the evaluation and treatment of neglect and abuse of children;

B. Registered Nurses must have specialized training on the use of a colposcope;

C. Registered Nurses must be certified as Sexual Assault Nurse Examiners- Pediatric (SANE-P) by the International Association of Forensic Nurses; and

D. Enrolled as a provider with Arkansas Medicaid.

Click here to view image

Notes

016.29.24 Ark. Code R. 002

Adopted by Arkansas Register Volume 49, Number 07, Effective 7/1/2024