(a)

1. (1) Arkansas Rehabilitation Services may provide services for structured weight loss programs for twelve (12) months such as Weight Watchers, TOPS, etc., or other medically directed programs.
2. (2) The counselor will maintain monthly contact with the client to ensure proper follow-up.

3. (3) The counselor should make every effort to seek out programs in the community that provide behavior modification counseling and address significant lifestyle changes, including:

   1. (A) Diet;
   2. (B) Exercise; and
   3. (C) Behavior modification.
4. (4) Prior to service provision, the client must compare at least three (3) programs and discuss with counselor.
5. (5) If program does not offer behavior modification counseling, there must be documentation of participation with another provider.
6. (6) Behavior modification counseling must occur throughout the entirety of the client’s case.
7. (7) Program must provide reports outlining expected progress within a designated amount of time.

(c) Procedures — directed therapy for weight loss.

1. (1) Medical reports and recommendations will be obtained from the attending physician and attached to the ECF.

2. (2)

   1. (A) Medical consultant’s review is required and attached to the ECF.
   2. (B) See Appendix E.
3. (3) Counselor will negotiate reasonable fees with the vendor.
4. (4) The counselor will make monthly contact with client.
5. (5) Refer to the Arkansas Rehabilitation Services vendor list or secure W-9 from new vendor.
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.
10. (10) Refer to out-of-state policy limitations, if necessary.
11. (11) University of Arkansas for Medical Sciences requires special payment.
12. (12) If noncompliance is documented, directed therapy may be discontinued.