Child Health Management Services

Child Health Management Clinics (CHMS) provide both developmental and medically focused treatment for children who are Arkansas Medicaid beneficiaries and who meet the qualifying criteria. These services are available in a day school setting and include physician and nursing services, physical therapy, occupational therapy, speech therapy, nutrition, early childhood developmental teaching and psychological services. CHMS services are intended for children with the most significant medical and/or developmental diagnoses who require multidisciplinary treatment.
 
Prior authorization is required for all treatment services provided in a Child Health Management Services clinic. To request prior authorization, please send the following documentation to AFMC along with the completed AFMC-101. Request for Authorization of Child Health Management Services form:

• A treatment plan signed by the CHMS medical director and the child’s PCP that includes all services to be provided in the clinic.
• The most recent evaluations along with documentation to support the child’s current medical and/or developmental status.
• CHMS enrollment orders signed and dated by the CHMS medical director and the PCP.
• DMS-640 Prescription for Occupational, Physical, Speech Therapy

Requests should be submitted to:
Attention: CHMS
Arkansas Foundation for Medical Care
P.O. Box 180001
Fort Smith, AR 72918-0001
Fax: 479-649-0776

For complete qualifying criteria, you may view the Arkansas Medicaid Manual for Child Health Management Services here.

Questions?

You may e-mail questions regarding prior authorizations to chms_contact@afmc.org