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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!

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

Enrollment for DME Providers to Bill Specialty Waiver Products
Added 5/22/19
Current Prosthetic (DME and Orthotics) providers are needed to meet needs of beneficiaries enrolled in the Arkansas Provider-led Arkansas Shared Savings Entity (PASSE) Program. Services that will be rendered under this program may include (but are not limited to) the ordering, and delivery of specialized medical supplies, physical aids or adaptive equipment to a beneficiary in accordance with their Person Centered Services Plan (PCSP) as authorized through the PASSE program utilization review process.

View or print the letter for full details regarding the enrollment process. (Word, window)

Global OB Claims
Added 5/16/19
This is notification that a systematic workaround has been identified to process claims that have denied due to Member’s Benefit Plan changing during the Global OB period. Currently, please continue to bill your claims as you always have.

Within the next month, the first reprocessings will take place of the current backlog of claims that have denied for this reason. After this initial reprocessing, regular reprocessings will occur the 15th of every month for all those claims that have denied within the previous month.

Current plans are in place for a permanent fix to this issue to be implemented by January 1, 2020. However, again, please continue to bill today as you have in the past. More communication will be sent when changes are needed to your current billing process.

2019 CEHRT Requirements
Added 4/18/19
The 2015 Edition CEHRT does not have to be implemented on January 1, 2019. However, participants must use the functionality of the 2015 Edition CEHRT for a minimum of any continuous 90-day EHR reporting period in 2019. The EHR must be certified to the 2015 Edition standards and certification criteria by the FIRST day of the selected EHR reporting period.

2015 CEHRT Requirement Fact Sheet Clarification
Added 4/18/19
CMS released new resources for the Promoting Interoperability Program.

IMPORTANT UPDATE: Entry of Electronic PAs Using AFMC ReviewPoint Portal to Continue
Added 2/28/19
We are continuing to optimize the Arkansas Medicaid Prior Authorization Process to ensure the best possible experience for providers and beneficiaries. Prior Authorization requests reviewed by AFMC should continue to be submitted in the AFMC ReviewPoint Portal (HTML, new window) until further notice.

Although you can enter the DXC portal now and familiarize yourself with the interface, the DXC Provider Portal will formally launch at a later time and you will be informed when to start using the system for actual submission of prior authorization requests and documents. Until then, please continue to use the AFMC ReviewPoint Portal (HTML, new window) for all prior authorization submissions reviewed by AFMC.

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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