ADDT/EIDT: Nursing Services

eQHealth Solutions is responsible for evaluating the appropriateness and medical necessity of ADDT and EIDT Nursing Services under the direction of Arkansas Medicaid Program and the Division of Developmental Disabilities Services.

 

The ADDT Program requires Prior authorization before the Arkansas Medicaid Program to reimburse for:

  • All ADDT nursing services

 

            The EIDT Program requires Prior Authorization before Arkansas Medicaid Program to reimburse for:

  • Over one (1) hour per day of covered EIDT nursing services

 

Prior Authorization may be requested for the following Procedure codes:

 

Procedure Code

Required Modifier


Description

T1002

U6, UB

ADDT Nursing Services by RN

1 unit equals 5 minutes; must be prior authorized

T1003

U6, UB

ADDT Nursing Services by LPN

1 unit equals 5 minutes; must be prior authorized

T1002 U6

EIDT Nursing Services by RN

1 unit equals 5 minutes; must be prior authorized

T1003 U6

EIDT Nursing Services by LPN

1 unit equals 5 minutes; must be prior authorized