Welcome to Arkansas Medicaid!
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
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Timely Information from Arkansas Medicaid
Beginning on November 7, 2019, Medicaid will turn on two new edits in interChange to ensure Medicare crossover claims are paid in accordance with current federal and state policy. Edit 559 will now post when the coninsurance amount is greater than the paid amount. Edit 565 will post when the coinsurance and/or deductible amount is greater than the billed amount. To ensure accurate billing and payment for claims that do not cross over from the Medicare Coordination of Benefits Agreement (COBA) process, you will need to enter information for each service provided on the detail lines of the claim you submit through interChange. Failure to do this will result in the above edits posting and denial of the claim. For more information on how to bill crossover claims, please see Section 332.100 in your Medicaid provider manual.(Word, new window)
Billing for Bilateral Prosthetic Device
Currently any professional claims billing a bilateral prosthetic device with one line and two units will get paid for both units. Beginning September 13, 2019, any professional claims billing a bilateral prosthetic device with one line and two units will cutback to one unit and deny the remaining units. The first anatomical modifier on the claim will be the one recognized as paid. To be paid for both devices, providers will either need to bill a new claim with the second anatomical modifier and 1 unit or bill their claim with two lines, each line having one of the anatomical modifiers and one unit.
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.
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