1. (a)

   1. (1) Consultation services are direct clinical or therapeutic specialty services by a professional licensed or certified in the applicable specialty, which assist a beneficiary, legal guardians, responsible persons, and service providers in carrying out the beneficiary’s PCSP and any associated non-clinical treatment plans included within the PCSP.

   2. (2) Consultation services include without limitation the following:

      1. (A) Administering or updating psychological and adaptive behavior assessments;
      2. (B) Screening, assessing, and developing nonclinical treatment plans;
      3. (C) Training direct care staff and beneficiary family members in carrying out special community living services and strategies identified in the nonclinical treatment plan and PCSP, and applicable to the consultant’s specialty;
      4. (D) Providing information and assistance in the consultant’s specialty to the individual developing the nonclinical treatment plan;
      5. (E) Participating on the interdisciplinary team;
      6. (F) Providing training and technical assistance to service providers, direct care staff, or beneficiary family members on carrying out the beneficiary’s nonclinical treatment plan and PCSP that is applicable to the consultant’s specialty;
      7. (G) Assisting direct care staff or beneficiary family members with necessary nonclinical treatment plan and PCSP adjustments applicable to the consultant’s specialty;
      8. (H) Advising on the appropriateness, assisting with the selection, setup, and training on the use of adaptive equipment, communication devices, and software applicable to the consultant’s specialty;
      9. (I) Training beneficiaries and their family members on self-advocacy;
      10. (J) Training beneficiary family members or direct care staff on:

2. (i) Implementing behavioral prevention and intervention plans and positive behavior support plans;

   1. (ii) Speech-language pathology, occupational therapy, and physical therapy treatment modalities; and

      1. (iii) The administration of medical procedures not previously prescribed but now necessary to allow the beneficiary to remain in a private residence;
      2. (K) Rehabilitation counseling;
      3. (L) Developing, overseeing, implementing, and modifying behavioral prevention and intervention plans and positive behavior support plans; and
      4. (M) Training and assisting a beneficiary and beneficiary family members in proper beneficiary nutrition and special dietary needs.

3. (b)

   1. (1) The professional performing the consultation service must hold a current license or certification from the applicable licensing or certification board and organization in the applicable consultation specialty area.

   2. (2) The following is a nonexhaustive list of examples of the licensed or certified professional a provider must use in the applicable consultation specialty when providing consultation services:

      1. (A) Psychologist: a licensed psychologist in good standing with the Arkansas Psychology Board;
      2. (B) Psychological examiner: a licensed psychological examiner in good standing with the Arkansas Psychology Board;
      3. (C) Master social worker: a licensed LMSW or LCSW in good standing with the Arkansas Social Work Licensing Board;
      4. (D) Professional counselor: a licensed counselor in good standing with the Arkansas Board of Examiners in Counseling;
      5. (E) Speech-language pathologist: a licensed speech-language pathologist in good standing with the Board of Examiners in Speech Language Pathology and Audiology;
      6. (F) Occupational therapist: a licensed occupational therapist in good standing with the Arkansas State Medical Board;
      7. (G) Physical therapist: a licensed physical therapist in good standing with the Arkansas State Board of Physical Therapy;
      8. (H) Registered nurse: a licensed registered nurse in good standing with the Arkansas State Board of Nursing;
      9. (I) Certified parent educator: meets the qualifications of a qualified developmental disabilities professional as defined in 42 C.F.R. § 483.430(a);
      10. (J) Communication and environmental control adaptive equipment/aids provider: currently enrolled durable medical equipment provider with Arkansas Medicaid;
      11. (K) Qualified developmental disabilities professional: meets the qualifications defined in 42 C.F.R. § 483.430(a);
      12. (L) Dietician: a degree in nutrition;
      13. (M) Positive behavior support specialist: certified through the Center of Excellence University of Arkansas Partners for Inclusive Communities or any other entity that offers a similar certification curriculum;
      14. (N) Rehabilitation counselor: a master’s degree in rehabilitation counseling;
      15. (O) Recreational therapist: a degree in recreational therapy; and

      16. (P) Board-certified behavior analyst: certified and in good standing with the Behavior Analyst Certification Board, Inc., as defined in Arkansas Code § 23-99-418.

          1. (c) A provider of consultation services must maintain the following documentation in a beneficiary’s service record:
   3. (1) The date the consultation was provided;
   4. (2) The consultation service provided;
   5. (3) The name and credentials of the professional providing the consultation services; and
   6. (4) A detailed narrative regarding the content of each consultation service.

Codification Notes: “LMSW” means licensed master social worker. "LCSW" means licensed clinical social worker.