As used in this subpart:

1. (1) "Accredited entity" means a corporate entity that meets the definition of Arkansas Code § 20-48-1102(1);

2. (2) "Child health management services (CHMS)” means an array of clinic services for children:

   1. (A) Intended to provide full medical multidiscipline diagnosis, evaluation, and treatment of developmental delays in Medicaid recipients; and
   2. (B) That are diagnostic, screening, valuation, preventive, therapeutic, palliative, or rehabilitative services, including early intervention day treatment services;

3. (3)

   1. (A) "Child health management services operated by an academic medical center" means an academic medical center program specializing in developmental pediatrics that is administratively staffed and operated by an academic medical center and under the direction of a board-certified or board­eligible developmental pediatrician.
   2. (B) An academic medical center consists of a medical school and its primary teaching hospitals and clinical programs.
   3. (C) For a child health management services program operated by an academic medical center, services may be provided at different sites operated by the academic medical center as long as the child health management services program falls under one (1) administrative structure within the academic medical center;

4. (4) "Developmental day treatment clinic services (DDTCS) for children" means early intervention day treatment provided to children by a nonprofit community program that:

   1. (A) Is licensed to provide center-based community services by the Division of Developmental Disabilities Services; and
   2. (B) Serves as a quasi-governmental instrumentality of the state by providing support and services to persons who have a developmental disability or delay and would otherwise require support and services through state-operated programs and facilities;
5. (5) "Early developmental center" means a site from which early intervention day treatment services are provided;

6. (6)

   1. (A) "Early intervention day treatment" means services provided by a pediatric day treatment program run by early childhood specialists, overseen by a physician, and serving children with developmental disabilities, developmental delays, or a medical condition that puts them at risk for developmental delay.
   2. (B) “Early intervention day treatment” includes without limitation diagnostic, screening, evaluation, preventive, therapeutic, palliative, rehabilitative and habilitative services, including speech, occupational, and physical therapies, and any medical or remedial services recommended by a physician for the maximum reduction of physical or mental disability and restoration of the child to the best possible functional level.
   3. (C) CHMS and DDTCS or a successor program constitute the state's early intervention day treatment program;

7. (7) "Existing operations" means:

   1. (A) Early intervention day treatment services provided by a child health management services program that was either operating a site on or before July 1, 2013, or submitted a completed application to the Division of Medical Services to serve as a Medicaid provider no later than July 1, 2013;
   2. (B) Early intervention day treatment services provided by a licensed developmental day treatment clinic services program; and
   3. (C) An early intervention day treatment program that does not have an approved site in a county but provides early intervention day treatment services covered under the Arkansas DDTCS or CHMS program to thirty (30) or more enrolled children who reside in that county;

8. (8)

   1. (A) "Successor program" means a program:

      1. (i) That provides early intervention day treatment to children;
      2. (ii) That is created as a replacement for, combination of, or derived in whole or in part from the CHMS program and the DDTCS program for children; and
      3. (iii) In which the for-profit and nonprofit providers from CHMS programs and DDTCS programs are eligible to participate.
   2. (B) Any successor program is not required to include CHMS services offered by an academic medical center; and

9. (9) "Underserved" means a county with regard to early intervention day treatment services under the following conditions:

   1. (A) There is no Division of Developmental Disabilities Services-licensed or Department of Human Services-certified provider with existing operations operating a site offering nonresidential services to children covered by the Arkansas DDTCS or CHMS program in the county;
   2. (B) There is at least one (1) site operated by a Division of Developmental Disabilities Services-licensed or Department of Human Services-certified provider in the county, but a service covered under the DDTCS or CHMS program for children is unavailable to an eligible recipient at an existing site in that county;
   3. (C) There is at least one (1) site offering early intervention day treatment clinic services operated by a Division of Developmental Disabilities Services-licensed or Department of Human Services-certified provider in the county, but a parent, guardian, recipient, or prospective eligible child who has exhausted the grievance mediation procedure set forth in 20 CAR § 531-205 remains dissatisfied and desires another choice of providers of early intervention day treatment services for children in that county.