1. (a)

   1. (1) If Arkansas Rehabilitation Services purchases physical restoration services out of state (in this instance Texarkana, Texas, is considered in the state), the rate paid will not exceed fees paid by the local rehabilitation agency.
   2. (2) Arkansas Rehabilitation Services will use physicians and facilities that are used by the local state agency.
   3. (3) If fee information is not available, the counselor will contact the nearest out-of-state VR office to determine fees paid for needed services.

2. (b) Procedures — Physical/mental services out of state.

   1. (1) Documentation of the action to be taken will be made in the case note.
   2. (2) Medical reports and recommendation will be obtained from the attending physician and attached to the ECF.

   3. (3)

      1. (A) Medical consultant’s review is required and attached to the ECF, if needed.
      2. (B) See Appendix E.
   4. (4) Refer to the Arkansas Rehabilitation Services vendor list or secure W-9 from new vendor.

   5. (5)

      1. (A) Refer to the Arkansas Rehabilitation Services fee schedule.
      2. (B) See Appendix I.
   6. (6) The case management system will generate the status move after required data is keyed for Status 18 if needed.
   7. (7) Key required information into the case management system for Arkansas Rehabilitation Services purchase authorization.

   8. (8)

      1. (A) When billing statement is received, verify the individual received the service.
      2. (B) Document in the ECF.

   9. (9)

      1. (A) Key required information into the case management system for payment.
      2. (B) Support staff will be responsible for making payments.
      3. (C) Payment will not be processed without an attached bill from the vendor.

Codification Notes: “ECF” means electronic case file. "VR" means vocational rehabilitation.