Special Programs
Links to special programs
Increasing Capabilities Access Network (ICAN)
Welcome to the ICAN (Increasing Capabilities Access Network) home page. The ICAN Project is committed to the idea that persons with disabilities can reach their full potential, participate and be productive members of their communities if they have the "tools" or assistive technology available.
ICAN is a program of Arkansas Rehabilitation Services. ICAN is a result of P.L. 103-218, the Technology-Related Assistance for Individuals with Disabilities Act Amendments of 1994.
It is a program of Arkansas Rehabilitation Services, funded by a grant (H224A90020-95) from the National Institute on Disability and Rehabilitation Research (NIDRR), U.S. Department of Education. The contents of this home page do not necessarily reflect the views of ARS, NIDRR, or U.S. Department of Education, and does not imply endorsement by the U.S. Government.
Check out the many services offered by ICAN. ICAN is the tech act project for Arkansas. Other states' tech acts can be linked at www.ncddr.org/urllist/statetech
Please send questions or comments to: linda.morgan@arkansas.gov
HOT TOPICS
This is a brief list of what's happening in the Arkansas disability arena.
If you have ideas for other information you believe people need, email mailto:linda.morgan@arkansas.gov. If you want to submit an article for inclusion on this page, please do. (ICAN will, or course, maintain editorial control over what is provided and reserves the right to edit or refuse to publish any submitted article that is offensive, in poor taste, or not of interest to the public.)
Medicare to Cover Augmentative Communication Devices (March 2001)
Medicaid Working Disabled Program (Feb 2001)
DDS Waiver Service Definitions
Arkansas Implements Working Disabled
Arkansas Medicaid has implemented (effective February 1, 2001) a Medicaid buy-in program (called Working Disabled) for working individuals with a disability designed to permit them to keep medical coverage while returning to work. The potential loss of medical coverage has long been a barrier to people with a disability returning to work. This new program addresses the problem with relaxed income and resource requirements to maximize those who can participate. Additionally, individuals will be able to save money in a special account for some purchases without that money counting toward the asset limit.
Eligibility is:
- At least 16 years old but no more than 64
- Disabled according to the SSI disability criteria
- Employed in any ongoing activity for which income is received (temporary absences are permitted)
- Have net countable monthly income under 250 percent of the federal poverty level*
- The federal poverty level is a sliding scale based on family size, currently 250 percent of the poverty level (program eligibility limit) would be $1739 for a family of one, $2343 for two, $2947 for three, and $3552 for four. Not all income is countable -- see your County DHS office for details.
Individual resource levels (countable assets) for this program must be below: Household of 1--$4000, Household of 2 -- $6000, Household of 3 -- $6200, Household of 4 --$6400.
Program services will include the full range of Medicaid services in accordance with Medicaid guidelines. Medicaid age limits for services, Medicaid benefit rates and Medicaid benefit limitations apply. Primary Care Physician requirements apply. No premiums are charged, however cost sharing/co-payments apply. You may apply for this program at your Department of Human Services County Office.
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About ICAN
ICAN, Increasing Capabilities Access Network, is a program of Arkansas Rehabilitation Services. ICAN was set up to help build a bridge between people with disabilities who need technology information and those who provide it. While ICAN does not directly offer assistive technology, or tools for living, learning and working, it has built a statewide network of resources related to assistive devices.
Among ICAN's goals is the provision of a FREE information and referral system. This system allows all Arkansans to get information regarding assistive technology and services.
As part of its program goals, ICAN provided funds to seven Assistive Technology Clearinghouse Regional Sites to provide technology-related information and services. The regional sites serve people of all ages and disabilities. They provide FREE information and hands-on demonstrations concerning assistive devices for consumers, families, employers, businesses and the general public. In addition, the regional sites provide assessments, evaluations and other services such as therapy and device construction. Some services are provided for fees.
Lion's World Services for the Blind Technology Center
2811 Fair Park Blvd
Little Rock, AR 72204
(Voice/TDD) (501) 664-7100, (Voice) 1-800-248-0734, (FAX) (501) 664-2743
University of Arkansas Campus Access
Arkansas Union, Room 113
Fayetteville, AR 72701
(Voice) (501) 575-3104, (TDD) (501) 575-7736, (Fax (501) 575-7445
University of Arkansas Speech and Hearing Clinic
410 Arkansas Avenue
Fayetteville, AR 72701
(Voice) (501) 575-4509,(Fax) (501) 575-4507
University of Central Arkansas, Dept of Speech Therapy
201 Donaghey Ave
Conway, AR 72035-0001
(Voice/TDD) (501) 450-5494, (Fax) (501) 450-5474
Evaluation Information (501) 450-5776
Assistive Listening Devices Center
University of Arkansas at Little Rock, Dept of Audiology and Speech Association of Hearing Impaired Children
18004 Bunny Lane
Alexander, AR 72002
(Voice/TDD) (501) 316-2442, 888-335-0396, (Fax) (501) 569-3157
Hot Springs Rehabilitation Center, Technology Center
P. O. Box 1358
Hot Springs, AR 71902
(Voice/TDD) (501) 624-4411, (Fax) (501) 624-019
Educational Services for the Hearing Impaired
Arkansas School for the Deaf, Dept of Education,
Special Education
2400 West Markham
Little Rock, AR 72205
(Voice/TDY) (501) 324-9825, (Fax) (501) 324-9599
ICAN also established an Equipment Exchange, which provides a way for people with disabilities to sell, trade, or loan adaptive equipment that is new or no longer needed. Items that might be listed on the Exchange include, but are not limited to, the following: wheelchairs, reachers, computers, wheelchair lifts, accessible vans, walkers, hospital beds, Braille writers and TDDs. To list equipment on the exchange or to find out what equipment is listed, contact ICAN.
ICAN is also dedicated to training individuals with disabilities, families, employers, educators and professionals. Training is provided locally, regionally and statewide. Topics vary widely from modification of toys with switches to advocacy tips.
ICAN provides an array of other services, including a Revolving Loan Fund and an equipment/technology clearinghouse. These programs can be accessed from this web site.
For more information about the services of ICAN and its Regional Centers, or information relating to technology, please contact:
Increasing Capabilities Access Network
26 Corporate Hill Drive
Little Rock, AR. 72205
(501) 666-8868 (Voice/TDD) Little Rock area
1-800-828-2799 (Voice/TDD) in-state Arkansas
ICAN Staff
Jim Moreland--Interim Head of Special Programs
Linda Morgan--Interim Program Coordinator
Lori Bradley
ICAN is a program of Arkansas Rehabilitation Services
ARKANSAS CLEARINGHOUSE OF TECHNOLOGY
The establishment of the Clearinghouse has been the dream of many consumers, family members, therapists and various state agencies. The concept is one of sharing. This program has been designed to increase individuals' access to assistive technology by being a source for: demonstration, trial before purchasing particular devices, training in their use, short term loan of equipment for evaluations, recycling equipment, and sponsoring a consumer network by which to sell, trade, donate, and list wanted equipment.
The primary goal of the ICAN Clearinghouse of Technology is to increase individual access to technology through the operations of the following programs:
- Equipment Exchange - An avenue for recycling equipment that is no longer useful for individuals and a source by which to sell, trade, donate, and list wanted equipment.
- Donated Equipment - A source for short or long term loan of refurbished equipment as well as "give away" recycled equipment.
- Loan Equipment - A source for training, demonstration of and/or try-out, before purchasing particular devices and short term loan for evaluations.
How do you access the Clearinghouse?
Call or come by - ICAN (Increasing Capabilities Access Network)
26 Corporate Hill Drive
Little Rock, AR. 72205
Phone: (501) 666-8868 (Voice/TDD) Little Rock area
1-800-828-2799 (Voice/TDD) in-state Arkansas.
ICAN is a program of Arkansas Rehabilitation Services.
ICAN FACT SHEETS
Increasing Capabilities Access Network (ICAN) has published the following Fact Sheets to provide you with valuable information regarding the topic of each fact sheet. To review the detailed information contained in any of the fact sheets, click on the title of the selection that interests you. All are now available in the PDF Format. To view, print or save in PDF, click on the (PDF Format) link following the selection of your choice. PDF Format requires Adobe Acrobat Reader, which is available free at www.adobe.com/products/acrobat/reader.
- Assistive Technology in the College Classroom (PDF Format)
- What Makes a Good Evaluation/Assessment for Assistive Technology (PDF Format)
- How to Write AT Training into Special Education & Rehab Plans (PDF Format)
- Assistive Technology ... Where do I go? What do I do? (PDF Format)
- Selecting, Buying, and Maintaining Adaptive Equipment (PDF Format)
- Technology and the College Student with Learning Disabilities (PDF Format)
- Assistive Technology in the Workplace (PDF Version)
- Adapted Toys (PDF Version)
- Kitchen Aids (PDF Version)
- Eating Aids (PDF Version)
- AT for Public Facilities for People who are Deaf or Hearing Impaired (PDF Version)
- A Leisurely Technology Walk Through Your Local Store (PDF Format)
- UCPA's Fact Sheets
Arkansas AT Funding Guide It will be best to go get it from this page: http://www.arsinfo.org/ican/at_fund.html
INFORMATION AND REFERRALS
ICAN provides information and referral services about assistive technology devices and related services for persons with disabilities of all ages.
Experienced I & R Operators Can Offer Information
- Assistive technology related services
- Possible funding sources
- Organizations and agencies that serve persons with disabilities
- Assistive Technology Information
- Equipment, Aids & Devices (Referrals are made to other organizations if necessary)
Computerized Databases and Information Sources Used by ICAN
- Abledata
- 18,000 assistive devices
- Product descriptions
- Manufacturers/Distributors
- Cost Information
Equipment Exchange
- Used assistive devices exchange and referral service
Arkansas Resource Library
- Library of 2,000 books, pamphlets, audio tapes, video cassettes and papers on assistive technology and disability related issues.
ICAN's list of other sites
It would be best to go get these from this page: http://www.arsinfo.org/ican/www.html
The Technology Equipment Revolving Loan Fund
A Financial Loan Program for Arkansas Residents
Acts 384 of 1993 and 579 of 1995 established a statewide Technology Equipment Revolving Loan Fund in Arkansas for persons with disabilities. The Technology Equipment Revolving Loan Fund, a financial loan program, will lend up to $10,000 to people, businesses or non-profit organizations.
Loans to Whom?
Persons with disabilities
Businesses and organizations
For What?
Adaptive Equipment – also known as assistive technology – is a broad array of products and devices. These loans are for purchasing adaptive equipment and related services to enable persons with disabilities to live independently in their homes, go to school, work and have access to the community.
Businesses and non-profit organizations can apply for a loan to improve access to their buildings and services that will be used by persons with disabilities. This adaptive equipment or related service for access will allow them to comply with the Americans With Disabilities Act.
Adaptive Equipment
A few examples are: walkers, wheelchairs, scooters, vehicle modifications or adaptations,hearing aids, TTY’s, flashing alarms, CCTVs, specialized computers, home modifications, assistive animals, adapted toys or recreational equipment, levered door handles, ramps, power doors and accessible elevators that make a business, work site or a public facility barrier free.
An Affordable Alternative
The Technology Revolving Loan Fund is an affordable way to commercial financing. Interest rates are lower than the average rate. Loans are based on the borrower’s monthly income and expenses. Loans are made for an extended period up to five years and a down payment is not required. Borrowers must show they can pay back their loans and that the adaptive equipment will benefit at least one or more persons with a disability. As loans are paid back, money becomes available for other borrowers.
The Technology Revolving Loan Fund is administered by Arkansas Rehabilitation Services. Please print the questionaire and return for more information about the Technology Revolving Loan Fund. Or, you may write, call or email the address below.
Arkansas Rehabilitation Services
Attn: Financial Management
26 Corporate Hill Drive
Little Rock, AR 72205
(501) 296-1618
How to Access Assistive Technology and Augmentative Communications
Devices and Services Through the Medicaid State Plan
General
Both durable medical equipment (DME) and augmentative communications devices are a covered service under the Arkansas Medicaid State Plan for children as well as for adults. There are specific requirements, however, that must be met before Medicaid will purchase the device and these requirements are subject to change at any time. The current detailed procedures/services can be found in the Prosthetics Provider’s Manual, which is available from DHS’ Division of Medical Services or can also be downloaded from the Medicaid homepage. This publication is intended only to provide a general familiarity with the program and guidance on how to document medical necessity.
A complete list of covered devices is provided in Section III of the Prosthetics Provider’s Manual.
This brochure covers the following items
- Prior Authorization
- Prior Authorization for an augmentative communication evaluation
- Requirements for purchase of augmentative communications for children
- Requirements for purchase of augmentative communications for adults
- Requirements for purchase of durable medical equipment for adults
- A good physician's letter or medical necessity
Prior authorization is required for:
- Durable Medical Equipment, Specialized Wheelchairs, Wheelchair Seating Systems, and Specialized Rehabilitative Equipment if the Medicaid maximum allowable reimbursement of the item is $1,000 or more. (Any Age)
- Augmentative communication devices, augmentative communication device repairs, and augmentative communication evaluations. (Any Age).
The following Specialized Rehabilitative Equipment for Individuals under age 21:
- Transition Toddler Chair - lg.
- Seat and Back Pad for Toddler Chairs
- Tray for Toddler Chairs
- Orthopedic Car Seat
- Carrie Seat-Pre School
- Carrie Seat-Elementary
- Carrie Seat-Jr.
- Potty Chair-Small
- Carrie Potty Seat Tumble Form Jr.
--The following Specialized Rehabilitative Equipment for Individuals age 21 and over:
Orthopedic Car Seat
Potty Chair-Small
--Orthotic appliances for individuals age 21 and older valued at or above the Medicaid maximum allowable reimbursment rate of $500.
--Prosthetic device items for individuals age 21 and older valued at or in excess of the $1000 and above per item Medicaid maximum allowable reimbursement rate.
--Orthotic appliance replacement for individuals age 21 and older prior to 12 months from the date of purchase and the $3,000 state fiscal year (July 1 through June 30) benefit limit has not been met.
--Prosthetic device replacement for individuals age 21 and older prior to 5 years from the date of purchase and the $20,000 state fiscal year (July 1-June 30) benefit limit has not been met.
Prior authorization for individuals (all ages) may be requested by the provider submitting the original and first copy of the Medical Equipment Request for Prior Authorization and Prescription (Form DMS-679) to:
Arkansas Medicaid Program
Utilization Review Section
P. O. Box 1437, Slot 1102
Little Rock, AR 72203-1437
FAX: 501-682-8013
PHONE: 501-682-8333
Requirements for Prior Authorization of the ACD Evaluation
A Primary Care Physician (PCP) referral is required for prior authorization of the augmentative communication device evaluation.
The physical and intellectual capabilities (functional level) of the recipient must be documented in the primary care physician's referral. The PCP must justify the medical reason the individual requires the ACD.
If the recipient is currently receiving speech therapy, the speech-Ianguage therapist/pathologist must document the prerequisite communication skills for the augmentative communication system and the cognitive level of the recipient.
The Request for Prior Authorization and Prescription Form (DMS-679) may be used to request prior authorization for individuals (all ages) from the Utilization Review Section.
Once prior authorization has been approved for the augmentative communication device evaluation, then the evaluation may be scheduled.
Requirements for the ACD Multidisciplinary Team
A multidisciplinary team must provide the ACD evaluation. A speech-Ianguage pathologist who has earned a Master's Degree in speech-Ianguage pathology must lead the team. The individual is also required to have a Certification of Clinical Competence from the American Speech-Language and Hearing Association.
The team must also include an occupational therapist who has been fully licensed with the Arkansas State Medical, Board. Both the speech-language pathologist and occupational therapist must have verifiable training and experience in the use and evaluation of ACD equipment. Their knowledge must include, but not be limited to the use of the equipment, working capabilities, mounting and training requirements, warranties and maintenance of the equipment.
A physical therapist may be added to the team if it is determined that there is a need for assistance in the evaluation as it relates to the positioning and seating in utilizing specific ACD equipment.
The team may also include regular and special educators, caregivers and parents. Vocational rehabilitation counselors may be included for recipients of all ages.
Requirements for the ACC Evaluation
The team must use an interdisciplinary approach in the evaluation, incorporating the goals, objectives, skills and knowledge of various disciplines. The team must use at least three augmentative communication device systems, with written documentation of each usage included in the ACD assessment.
The evaluation report must also indicate the medical reason for the augmentative communication device. The report must give specific recommendations of the system and justification of why one system is more appropriate than another. The evaluation report must be submitted to the prosthetics provider who will request prior authorization for the augmentative communication device.
The speech-Ianguage pathologist must sign the ACD evaluation report.
Procedure Code for Billing ACD Evaluation
Procedure code Z2625 must be utilized when billing for the augmentative communication device evaluation.
Benefit Limit
One augmentative communication device evaluation may be performed every three years, based on medical necessity. The benefit limit may be extended for individuals under age 21. The extension of benefits for individuals under age 21 may be requested through Utilization Review.
Reimbursement
Reimbursement to providers for the ACD evaluation is based on the lesser of the amount billed not to exceed the Title XIX (Medicaid) maximum. The maximum time reimbursed by Arkansas Medicaid for each evaluation will be two hours. A unit of service equals one hour.
MEDICAID REQUIREMENTS FOR THE PURCHASE OF AUGMENTATIVE COMMUNICATION
Under age 21
The following steps MUST be followed and each completed for the purchase of any augmentative communication system through Arkansas Medicaid. There is a $7,500 lifetime benefit limit on augmentative communications systems. However, extensions can be granted for children (under age 21) if the device can be demonstrated to be medically necessary.
1. Primary Care Physician MUST conduct an Early Periodic Screening Diagnosis Treatment.
2. On EPSDT Form Physician MUST write an order for an augmentative communication evaluation.
3. Evaluation MUST be conducted by a certified Speech Pathologist. If a team of therapists conduct the evaluation: Physical, Occupational and Speech, each MUST be certified.
4. If Medicaid is to be billed for the evaluation cost, the evaluator MUST have a Medicaid Provider Number.
5. The evaluator MUST have a variety of augmentative communication devices (at least three) to conduct an appropriate evaluation.
Once the evaluation is completed:
6. Primary Care Physician MUST write an order for the recommended augmentative communication system. The full system MUST be included within the prescription: Mounting System; Overlays; Switch; Straps; Carrying Case; Language; Optical Headpointer; Headband; Headset; Infrared System; Operating Kits --- EVERYTHING REQUIRED TO COMPLETE A FULL SYSTEM
7. Primary Care Physician MUST write a "letter of medical necessity" which MUST spell out specific medical need.
8. Parent MUST write a letter requesting the complete augmentative communication system and why this particular system is necessary.
9. If child is receiving Occupational Therapy, Physical Therapy and/ or Speech Therapy, each therapist MUST write a letter of recommendation.
10. The person who pulls all the information together MUST contact the vendor of the augmentative communication system recommended.
11. The completed packet of information is mailed to the vendor. The vendor will request the Prior authorization (P.A.) number.
12. WITHOUT THE PRIOR AUTHORIZATION NUMBER parents/customers will be responsible for paying the vendor for the cost of the system.
If you require additional assistance, contact ICAN at 800-828-2799 or in Little Rock at 666-8868.
MEDICAID REQUIREMENTS FOR THE PURCHASE OF AUGMENTATIVE COMMUNICATION DEVICES FOR ADULTS
$7,500.00 Life Time Cap
The following steps MUST be followed and each completed for the purchase of any augmentative communication device/ system through Arkansas Medicaid.
1. Primary Care Physician MUST complete a Functional Level Evaluation.
2. Primary Care Physician MUST write an order for an augmentative communication evaluation.
3. Evaluation MUST be conducted by a certified Speech Pathologist. If a team of therapists conduct the evaluation, each MUST be certified.
4. If Medicaid is to be billed for the evaluation cost, the evaluator MUST have a Medicaid Provider Number.
5. The evaluator MUST have a variety of augmentative communication devices (at least three) to conduct an appropriate evaluation.
Once the evaluation is completed:
6. Primary Care Physician MUST write an order for the recommended augmentative communication system. The full system MUST be included within the prescription: Mounting System; Overlays; Switch; Straps; Carrying Case; Language; Optical Headpointer; Headband; Headset; Infrared System; Operating Kits — EVERYTHING REQUIRED TO COMPLETE A FULL SYSTEM
7. Primary Care Physician MUST write a "letter of medical necessity" which MUST spell out specific medical need.
8. If the consumer is receiving Occupational Physical and/ or Speech Therapy, each therapist MUST write a letter of recommendation.
9. The person who pulls all the information together MUST contact the vendor of the augmentative communication system recommended.
10. The completed packet of information is mailed to the vendor. The will request the Prior Authorization (P.A.) number.
11. WITHOUT THE PRIOR AUTHORIZATION NUMBER consumers and/ or families will be responsible for paying the vendor for the cost of the system.
If you require additional assistance, contact ICAN at 800-828-2799 or in Little Rock at 666-8868.
MEDICAID REQUIREMENTS FOR THE PURCHASE OF
DURABLE MEDICAL EQUIPMENT FOR PERSONS 21 YEARS AND OLDER
The following steps MUST be followed and each completed for the purchase of durable medical equipment through Medicaid.
1. Primary Care Physician MUST complete a Functional Level Evaluation.
2. Primary Care Physician MUST write an order for specific Durable Medical Equipment (DME).
3. Primary Care Physician MUST write a "letter of medical necessity."
4. Durable Medical Vendor or Physical Therapist MUST measure for chair.
5. Packet of information MUST be sent to the vendor.
6. If required, a Prior Authorization (P. A.) number will be assigned.
7. Once the vendor receives an approval notification letter with a P. A. number, the equipment can be ordered.
If you require additional assistance, contact ICAN at 800-828-2799 or in Little Rock at 666-8868.
MEDICAID AND ASSISTIVE TECHNOLOGY-- WHAT SHOULD BE IN A GOOD DR’S LETTER?**
" Assistive Technology" includes assistive technology devices and services. Devices are defined as "any item, piece of equipment, or product system, whether acquired commercially off-the-shelf, modified, or customized, that is used to increase, maintain, or improve the functional capabilities of an individual with a disability ."
To assure that A T is approved, it is best to submit a letter of justification explaining why it is medically necessary and how it is the least costly alternative. This letter should summarize the person’s condition, the requested AT, the exploration of other alternatives and why they were rejected, and the effect of the requested equipment on the applicant’s home life, employment, education and most importantly their medical needs. Additional supporting documents may be provided from other Dr.’s, occupational and physical therapists, nurses, home health aides, psychiatrists, psychologist and counselors. Letters of support should be written on letterhead, summarize professional qualifications, recite length of time that writer has been working with the person, describe the diagnosis and prognosis, and explain clearly and simply, in compelling terms why the equipment is medically necessary. Letters of support from other sources, including schools, employers, case managers, family members, relatives, personal care aides and neighbors can also speak to why the person needs the A T for matters of safety, independence, maximizing potential and conducting activities of daily living. "
**This article was taken and modified from the AT Advocate published by the Neighborhood Legal Services, NY.**
Make copies of the letter and other documentation for your own file.
Take the letter from the Dr. and other documentation to the provider of choice for the equipment purchase. The Durable Medical Equipment Provider will want to send this information to Medicaid for reimbursement.
If Medicaid denies your claim, ask for information on how to appeal a claim.
If you require additional assistance, contact ICAN at 800-828-2799 or in Little Rock at 666-8868.
OLMSTEAD WORKING GROUP COMPLETES REPORT
The Olmstead Working Group has completed its work and the final report was submitted to the Governor on February 15. The document can be viewed in Adobe Acrobat or Microsoft Word by clicking on the version you prefer. The report is intended to provide a blue print for developing an effectively working plan to permit Arkansans with a disability to live in the least restrictive setting appropriate to their needs and choices.
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Successful Employment Through Assistive Technology (SEAT)
SEAT is an assistive technology assessment service designed to assist ARS counselors to ensure their clients receive the maximum benefit from assistive technology in their quest to achieve educational, employment and independent living goals.
SEAT will provide an assistive technolody assessment for counselors who refer their clients to our program. Staff will identify the appropriate technology and provide the counselor with the sources and costs for obtaining recommended technology. SEAT staff will do a thorough review of similar benefits and assist the counselor in accessing those funding sources. Staff will work with each counselor throughout the process.
SEAT utilizes existing resources, such as Physical Therapist and Speech Pathologist at HSRC, and Occupational Therapist, Rehab Technician, and Assistive Technology Specialists of which all are nationally certified as Assistive Technology Practioners. Where possible, SEAT will travel to the counselor's area and provide the assessment at a time and place convenient to both the counselor and client.
You may contact the SEAT office at
#26 Corporate Hill Drive
Little Rock, AR 72205
(501) 683-3000
(501) 683-3014 (Voice/TDD) email:bmgullett@ars.state.ar.us
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LEC
Learning & Evaluation Center
(Formerly Deaf Outreach Center)
The Learning & Evaluation Center (LEC) is a service within the Arkansas Rehabilitation Services (ARS) Special Programs that provides individualized psychological evaluations for Vocational Rehabilitation (VR) Consumers, training in disabilities and employment-related issues, and employment-related counseling for people who are Deaf.
Evaluation Services:
Individualized, collaborative evaluation services with specialties in deafness, leaning disabilities and other disabilities that affect education and learning, are provided to VR counselors and consumers. The purpose of these evaluations is to increase the graduation rate of VR consumers. The evaluations are in depth and designed to address issues on an individual, specialized basis with a focus on educationally diagnostic and prescriptive results. Areas assessed may include cognitive skills, visual perceptual-motor functioning, academic achievement plus diagnostic assessment of academic functioning, functional language skill, vocational interests, personality, learning styles, and related areas. Evaluations require 1 – 3 days for completion of testing. Test reports are written to educate consumers about themselves, assist VR counselors in working with consumers to achieve successful program/ employment outcomes, and to aid the securing of appropriate accommodations in educational programs.
Training Services:
Workshops, videotape presentations, and other types of training and consultation are available on disability-related topics. Topics are general with emphases on hearing disabilities, learning disabilities, and other disabilities impacting VR services, educational program planning, and employment outcomes. As part of the Learning Disabilities Program, training will be provided to VR consumers referred to the program to assist them with preparation for post-secondary education (College Prep).
Counseling Services:
Direct individual counseling, may be provided for consumers who are Deaf or for whom a hearing loss is a significant disability. Psychiatric consultation and medication management are also provided when needed. These services are related to adjustment problems impacting employment outcomes. Assistance with and advocacy for community mental health services for consumers who are Deaf or hard of hearing are part of the counselor’s role to improve mental health functioning as it relates to community living and employment.
For more information on the Learning and Evaluation Center, contact:
Dr. Susan Holt, Director
26 Corporate Hill
Little Rock, AR 72205
501-686-9686 v/tty
501-686-9685 fax
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Arkansas Kidney Disease Commission (AKDC)
Arkansas Kidney Disease Commission was established by the General Assembly of the State of Arkansas through Act 450 of 1971 to establish a program for the care and treatment of persons suffering from chronic renal disease; to establish a State Kidney Disease Commission to administer said program; and for other purposes.
Eligibility
To be eligible for AKDC services the following criteria must be satisfied: Residency within Arkansas can be documented; Physician certification of ESRD with an indication the individual requires renal dialysis treatments or has received a kidney transplant; Documentation that the individual is a recipient of Medicare/Medicaid or has applied for such; and AKDC certification of the individual meeting program financial needs criteria.
Services and Programs
Outpatient Medication: The Arkansas Kidney Disease Commission assists with paying for a limited amount of kidney disease related prescriptions for each client.
Medical Services: The Arkansas Kidney Disease Commission pays 80% of kidney disease related medical treatment ($5,000 limit) during the Medicare three month waiting period or when there is no other coverage.
Dental Services: The Arkansas Kidney Disease Commission assists with dental charges when a dental problem jeopardizes the health and treatment program outlined by the renal specialist and may be covered only for the purpose of transplantation.
Application/Referral
Applications regarding individuals diagnosed with ESRD are typically submitted to the AKDC from dialysis centers, hospital transplant units, and treating physicians. Individuals who have a diagnosis of ESRD desiring information related to services available and program eligibility requirements may contact the AKDC or social work staff within his/her treatment facility.
Arkansas Kidney Disease Commission
4601 West Markham
Little Rock, Arkansas 72205
(501) 686-2806
jdmoreland@ars.state.ar.us
csanderson@ars.state.ar.us
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Arkansas Kidney Disease Commission Board Members
Joe Pevahouse, Chairman
Pine Bluff
Term Expires: 1/14/2007
Mary Jo Shaver-Lewis, Co-Chariperson
Little Rock
Term Expires: 1/14/2005
John C. Wyvill
Secretary/Disbursing Officer
Kathy Pierce, Pine Bluff
Term Expires: 1/14/2007
Denise Graves, Nashville
Term Expires: 1/14/2005
Bob Abbott, Pine Bluff
Term Expires: 1/14/2007
Dr. Michael Bierle, Little Rock
Term Expires: 1/14/2007
Joel North, Springdale
Term Expires: 1/14/2005
Dr. Joe Pevahouse, Little Rock
Term Expires: 1/14/2003
Mrs. Kathy Pierce, Pine Bluff
Term Expires: 1/14/07
Timothy Watson, Sr., Newport
Term Expires: 1/14/2005
AKDC Approved Drug List
3/9/05
The following OTC drugs will be covered: Claritin, Pepcid, Prilosec, and Zantac
AAAA
Chemical Generic Brand Name
ACCUPRIL (QUINAPRIL HYDROCHLORIDE)
ACYCLOVIR
ADALAT (NIFEDIFPINE)
AEROSOL (BECLOMETHASONE DIPROPIONATEE)
ALBUTEROL
ALBUTEROL SULFATE
ALL INSULINS
ALPRAZOLAM Xanax
ALU-CAPS (ALUMINUM HYDROXIDE)
AMARYL
AMBIEN (ZOLPIDEM)
AMIODARONE
AMITRIPTYLINE
AMLODIPINE BESYLATE
AMOXICILLIN
AMOXICILLIN W/CLAVULANIC ACID
AMPICILLIN
ANAPROX (NAPROXEN)
ANEMAGEN FA (MULTI-VITAMIN W/FOLIC ACID)
ANEXSIA (HYDROCODONE W/ACETAMINOPHEN)
APRESOLINE (HYDRALAZINE)
ATENOLOL
ATIVAN (LORAZEPAM)
ATRETOL TAB (CARBAMAZEPINE)
ATROVENT (IPRATROPIUM BROMIDE)
AVANDIA
AUGMENTIN (AMOXICILLIN W/CLAVULANIC ACID)
AZATHIOPRINE
AZITHROMYCIN (ZITHROMAX; Z PACK)
BBBB
BACITRACIN W/POLYMYXIN B AND NEOMYCIN
BACTRIM (TRIMETHOPRIM AND SULFAMETHOXAZOLE (SMZ/TMP DS))
BACTROBAN 2% OINTMENT
BECLOMETHASONE DIPROPIONATE
BENICAR (OLMESARTAN)
BECLOVENT INHALANTION (BECLOMETHASONE DIPROPIONATE)
BETAPEN-VK (PENCILLIN V POTASSIUM)
BUMETANIDE BUMEX
CCCC
CADUET
CALAN (VERAPAMIL HYDROCHLORIDE)
CALCIFEDIOL
CALCITRIOL
CALCIUM ACETATE
CAPOTEN (CAPTOPRIL)
CAPTOPRIL
CARAFATE (SUCRALFATE)
CARBAMAZEPINE
CARDIZEM (DILTIAZEM HYCROCHLORIDE)
CARDURA (DOXAZOSIN MESYLATE)
CATAPRES (CLONIDINE HYDROCHLORIDE)
CECLOR (CEFACLOR)
CEFACLOR
CELLCEPT
CEPHALEXIN
CEPHULAC SYRUP (LACTULOSE)
CHEM STRIPS
CHLORPRPAMIDE
CIPRO (CIPROFLOXIN)
CLARITIN
CIPROFLOXIN
CLEOCIN (CLINDAMYCIN HYDROCHLORIDE)
CLONAZEPAM
CLONIDINE HYDROCHLORIDE
CLOTRIMAZOLE
CLOTRIMAZOLE W/BETAMETHASONE DIPROPIONATE
COMBIVENT (COMBO ATROVENT AND ALBUTEROL)
COLCHICINE
COMPAZINE (PROCHLORPERAZINE)
CORDARONE (AMIODARONE)
CORTISPORIN (POLYMYXIN W/NEOMYCIN/HYDROCORTISONE)
COUMADIN (WARFARIN SODIUM)
COZAAR
CRESTOR (ROSUVASTATIN)
CYCLOPHOSPHAMIDE
CYCLOSPORINE
CYTOXAN (CYCLOPHOSPHAMIDE)
DDDD
DELTASONE (PREDNISONE)
DEPONIT NTG TRANSDERMAL (NITROGLYCERIN)
DIATX
DIABETA GLYNASE PRESTAB (GLYBURIDE)
DIAZEPAM
DIGOXIN
DILACOR (DILTIAZEM HYDROCHLORIDE)
DILANTIN (PHENYTOIN)
DILATRATE-SR (ISOSORBIDE DINITRATE
DILTIAZEM HYDROCHLORIDE (Tiazac)
DIPHENOXYLATE W/ATROPINE
DIPYRIDAMOLE
DISOPYRAMIDE PHOSPHATE
DORYX (DOXYCYCLINE HYCLATE)
DOXAZOSIN MESYLATE
DOXYCYCLINE HYCLATE
EEEE
ELAVIL (AMITRIPTYLINE)
EMGEL (ERYTHROMYCIN)
E-MYCIN (ERYTHROMYCIN)
ENALAPRIL MALEATE
ENALAPRIL MALEATE W/HYDROCHLOROTHIAZIDE
ENDODAN (PERCODAN)
ESIDRIX (HYDROCHLOROTHIAZIDE)
ETHACRYNIC ACID
ETRAFON (AMITRIPTYLINE W/PERPHENAZINE)
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FAMOTIDINE PEPCID
FLAGYL (METRONIDAZOLE)
FLUOXETINE
FUROSEMIDE
GGGG
GEMFIBROZIL
GLUCOSE TEEST STRIPS
GLYBURIDE
HHHH
HECTOROL
HYCODAN (HYDROCODONE W/HOMATROPINE)
HYCOTUSS (HYDROCODONE W/GUAIFENESIN)
HYDOCODONE
HYDRALAZINE
HYDROCET (HYDROCODONE W/ACETAMINOPHEN)
HYDROXYZINE PAMOATE
HYTRIN (TERAZOSIN HYDROCHLORIDE)
IIII
IMDUR (ISOSORBIDE MONONITRATE)
IMURAN (AZATHIOPRINE)
INDERAL (PROPRAROLOL HYDROCHLORIDE)
INDOCIN (INDOMETHACIN)
INDOMETHACIN
INSULIN
INSULIN SYRINGES
IPRATROPIUM BROMIDE
ISMO (ISOSORBIDE MONONITRATE)
ISOPTIN (VERAPAMIL HYDROCHLORIDE)
ISORDIL (ISOSORBIDE DINITRATE)
ISOSORBIDE DINITRATE
ISOSORBIDE MONONITRATE
KKKK
KAYEXALATE (SODIUM POLYSTYRENE SULFONATE)
KEFLEX (CEPHALEXIN)
KETOCONAZOLE
KLONOPIN (CLONAZEPAM)
LLLL
LABETALOL
LACTULOSE
LANOXIN (DIGOXIN)
LASIX (FUROSEMIDE)
LESCOL
LEVOFLOXACIN (LEVAQUIN)
LEVOTHROID (LEVOTHROXINE SODIUM)
LEVOTHYROXINE SODIUM
LIPITOR
LISINOPRIL
LONITEN (MINOXIDIL)
LOPID (GEMFIBROZIL)
LOPRESSOR (METROPROLOL TARTRATE)
LORAZEPAM
LOTREL
LOTRISONE (CLOTRIMAZOLE W/BETAMETHASONE DIPROPIONATE)
MMMM
METHYLPREDNISOLONE
MACRODANTIN (NITROFURANTOIN)
METOCLOPRAMIDE HYDROCHLORIDE
METOLAZONE
METOPROLOL SUCINATE
METOPROLOL TARTRATE
MEXILETINE
MINITRAN TRANSDERMAL (NITROCLYCERIN)
MINOXIDIL
MONOLANCET
MYCELEX (CLOTRIMAZOLE)
MYCOLOG (NYSTATIN W/TRIAMCINOLONE ACETONIDE)
MYCOPHENOLATE (CELLCEPT)
MYFORDTIC
NNNN
NAPROSYN (NAPROXEN)
NAPROXEN
NEORAL (CYCLSPORINE)
NEPHRO CAPS (RENAL PATIENT VITAMIN REPLACEMENT)
NEUTRA-PHOS (PHOSPHOROUS REPLACEMENT PRODUCT)
NICARDIPINE
NIFEDIPINE
NITRO-BID OINTMENT (NITROGLYCERIN)
NITRO-DUR (TRANSDERMAL NITROGLYCERIN)
NITROFURANTON
NORVASC
NYSTATIN
NYSTATIN W/TRIAMCINOLONE ACETONIDE
OOOO
OMEEPRAZOLE (PRILOSEC) Prevacid
PPPP
PAROXETINE
PAXIL (PAROXETINE)
PEE VEE K (PENCILLIN V POTASSIUM)
PENTOXIFYLLINE
PEPCID (FAMOTIDINE)
PHENOBARBITAL
PHENYTOIN
PHOSLO (CALCIUM ACETATE)
PRAVASTATIN SODIUM
(PRAVACHOL)
PREDNISONE
PRILOSEC (OMEPRAZOLE)
PREMARIN
PRINIVIL (LISINOPRIL)
PRINZIDE (LISINOPRIL W/HYDROCHLOROTHIAZIDE)
PROCAINAMIDE
PROCAN (PROCAINAMIDE)
PROCARDIA (NIFEDIPINE)
PROCHLORPERAZINE
PROGRAFT
PROLOPRIM (TRIMETHOPRIM)
PROPAFENONE HYDROCHLORIDE (RYTHMOL)
PROPRANOLOL (INDERAL) (INDERIDE)
PROPRANOLOL (PROPAFENONE HYDROCHLORIDE) (INDERAL)
PRORANOLOL AND HYDROCHLOROTHIAZIDE
PROTONIX
PROTOSTAT (METRONIDAZOLE)
PROVENTIL INHALER (ALBUTEROL)
PROZAC (FLUOXETINE)
QQQQ
QUINAMM (QUININE)
QUINAPRIL HYDROCHLORIDE
QUINIDINE GLUCONATE
QUINIDINE SULFATE
QUININE
RRRR
RANITIDINE
RESTORIL (TEMAZEPAM)
RHYTHMOL
ROCALTROL (CALCITRIOL)
ROXICODONE (OXYCODONE)
SSSS
SANDIMMUNE (CYCLOSPORINE)
SEPTRA (TRIMETHOPRIM AND SULFAMETHOXAZOLE (SMZ/TMP DS))
SER-AP-ES (HYDRALAZINE W/HYDROCHLOROTHIAZIDE/RESERPINE)
SIMVASTATIN (ZOCOR)
SLO-MAG (MAGNESIUM)
SMZ/TMP DS (TRIMETHOPRIM AND SULFAMETHOXAZOLE)
SODIUM POLYSTYRENE SULFONATE
SORBITOL
SUCRALFATE
SULFAMETHOXAZOLE AND TRIMETHOPRIM (SMZ/TMP DS)
SYNTHROID (LEVOTHYROXINE SODIUM)
TTTT
TACROLIMUS (PROGRAFT)
TAGAMET (CIMETIDINE)
TEGRETOL TAB (CARBAMAZEPINE)
TEMAZEPAM
TENEX (GUANFACINE HYDROCHLORIDE)
TERAZOSIN HYDROCHLORIDE
THEOPHYLLINE
TICLOPIDINE HYDROCHLORIDE
TOPROL XL (METOPROLOL SUCCINATE)
TRANSDERMAL NITRO(NITROGLYCERIN)
TRIMETHOPRIM AND SULFAMETHOXAZOLE (SMZ/TMP DS)
VVVV
VALIUM (DIAZEPAM)
VANCOMYCIN
VENTOLIN, PROVENTIL INHALER (ALBUTEROL)
VERAPAMIL HYDROCHLORIDE COVERA HS
VOLMAX TABLET (ALBUTEROL SULFATE)
WWWW
WARFARIN SODIUM (COUMADIN)
XXXX
XANAX
ZZZZ
ZANTAC (RANITIDINE) PLEASE USE OTC
ZESTRIL (LISINOPRIL)
ZOCOR
ZOCOR (PRAVASTATIN SODIUM)
ZOLPIDEM
ZOVIRAX (ACYCLOVIR)
b. Rules (PDF)
c. Arkansas Kidney Disease Forms
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RIDAC is a diagnostic screening and assessment program available to persons who have made application for services to Arkansas Rehabilitation Services, often as part of process for establishing eligibility. Evaluation though RIDAC is initiated by the counselor, who may wish to obtain more information regarding an applicant’s eligibility; intellectual, educational, mental health, or physical limitations; vocational interest patterns; the feasibility of the desired educational/training program; or the possible need for more in-depth evaluation. Although referrals from counselors typically come prior to the establishment of eligibility, counselor referrals can be made at any time the counselor has any question about an existing client’s abilities, limitations, or vocational goals.
Applicants are initially evaluated in a group setting (usually 8 to 12 depending on the physical limitations of site where evaluation is being conducted) for the basic screening evaluation. Further individualized evaluations, including vocational interest inventories are conducted by staff as needed, based upon the results of the initial screening or as requested by the counselor. All applicants undergo an individual interview after the testing is completed, which may include a mental health assessment, if indicated. A medical screening evaluation or review of available medical records is conducted by one of the RIDAC physicians. The majority of the evaluations consist of the above procedures only. Some applicants present a more complex picture and a recommendation may be made to the counselor for more in depth evaluation. RIDAC staff may do this further evaluation at a later time, or the applicant may be referred to LEC for further evaluation. Special arrangements may be required for applicants who have more serious medical, intellectual, or sensory problems, and these are provided by counselors and RIDAC staff.
Reports of the results of the evaluations are provided to counselors, typically in less than 10 days after the evaluation date. These reports will generally describe strengths and weaknesses (areas of strong ability and functional limitations), vocational limitations, as well as applicable mental health, educational, and medical diagnoses. In cases where more comprehensive evaluations have been done, the reports are likely to cover more areas of ability and limitation.
RIDAC staff is comprised of 9 psychological examiners, 2 physicians, 1 psychologist, 1 program manager/ psychologist, and 1 administrative assistant. These staff members are housed in 6 locations in central and northwest Arkansas and travel to 28 field locations throughout the state to conduct evaluations on a regularly scheduled basis, and occasionally by special request. A number of staff also do record reviews for locations where it is not feasible to travel in order to help counselors determine eligibility and most appropriate programming.
Nicholaus Paal, Ph.D. is the program manager and Sally Brigance is the administrative assistant. RIDAC can be contacted by mail at 26 Corporate Hill Drive in Little Rock; by phone at 501-686-2812; or by e-mail nicholaus.paal@arkansas.gov or sally.brigance@arkansas.gov.
