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Beneficiary Information
Your guide to applying for and using Medicaid benefits in Arkansas.

General Information
Understand Arkansas Medicaid’s organization and services.

Provider Information
Information for those who provide health care services to Arkansas Medicaid beneficiaries.

Welcome to Arkansas Medicaid!

COVID-19 Information from DHS

As the threat from COVID-19 continues, important information on what DHS is doing about coronavirus as well as reliable, up-to-date information about how the virus is affecting the State can be found on the DHS website.

Learn about E V V

Learn about Dental Managed Care

PASSE Model of Care

The Provider-led Arkansas Shared Savings Entity (PASSE) is a new model of organized care that will address the needs of certain Medicaid beneficiaries who have complex behavioral health and intellectual and developmental disabilities service needs.

Learn more about PASSE.

Welcome Arkansas Medicaid Beneficiaries and Providers!

Timely Information from Arkansas Medicaid

UPDATE: New COVID-19 Procedure Code 87426 (Coronavirus AG IA)
Added 8/3/20
Effective on August 7, 2020, the following procedures codes are available for billing COVID-19 antigen detection testing. These codes will be retroactive to dates of service June 25, 2020, and forward.

Procedure Code: 87426
Short Description: Coronavirus AG IA
Long Description: Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative, multiple-step method; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19])
Fee: $45.23

Incorrect Fax Number on AFMC Prior Authorization Letters
Added 7/15/20
Prior Authorization letters you received from AFMC dated 7/1/2020 – 7/14/2020 have an incorrect fax number on them. If you are needing to fax documents to AFMC, please use the following fax number: 479-649-0799. Please resend any documents to the correct fax number if necessary. The fax number has been corrected for future letters.

Laboratory Testing for COVID-19
Updated 8/4/20
In response to the COVID-19 outbreak in Arkansas and consistent with CMS’s coverage and payment for COVID-19 diagnostic testing, DMS is covering the linked laboratory services. (PDF, new window)

Telemedicine Requirements for Certain Behavioral Health Providers During the COVID-19 Public Health Emergency
Added 3/19/20
As you know, the Governor declared a public health emergency on March 12, 2020, due to the Coronavirus (COVID-19) outbreak in Arkansas. In response to this declaration and the need for social distancing, DMS has issued the following guidance related to certain behavioral health providers using technology for direct communication that takes place in real-time to provide certain counseling services. (PDF, new window).

Telemedicine Requirements for Physicians during the COVID-19 Public Health Emergency
Added 3/18/20
As you know, the Governor declared a public health emergency on March 12, 2020, due to the Coronavirus (COVID-19) outbreak in Arkansas. In response to this declaration and the need for social distancing, DMS issues the following guidance and policy related to physicians use of telemedicine (PDF, new window).

Current Demonstration Waiver Projects
The Division of Medical Services will provide public notice and allow input processes for its intent to submit written applications, renewals or amendments to any 1115(a) demonstration waiver projects that will be sent to the Centers of Medicare and Medicaid Services. Learn more about current demonstration waiver projects.

Arkansas Medicaid Data and Reports for Public Access

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