eQHealth Solutions, the QIO-like organization for the Arkansas Department of Human Services (DHS), provides utilization and quality control peer review for Early Intervention Day Treatment (EIDT) and Adult Developmental Day Treatment (ADDT) services to qualifying Arkansas Medicaid beneficiaries.
eQ Health will review and process Early Intervention Day Treatment (EIDT) and Adult Developmental Day Treatment (ADDT) requests as follows:
eQ Health shall process PA reviews for EIDT and ADDT if more units are medically necessary and transmit notifications to the provider and DHS fiscal agent within nine (9) calendar days of receipt of sufficient documentation to determine medical necessity of the requested services as described in the Arkansas EIDT/ADDT Medicaid Provider Manual.
a. eQ Health will process all PA requests and approve requests meeting medical necessity criteria.
b. eQ Health will determine extension of benefits (EOB) as required by the Arkansas EIDT/ ADDT Medicaid Provider Manual and based on the entire record available; including credible documentation submitted by the EIDT or ADDT request.