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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

Refunds
Added 5/18/18
To correct claims that have paid incorrectly due to other insurance payment, please void or adjust the claim using the HealthCare Provider Portal or 837 process and rebill with the correct payment information. Sending a refund to correct overpayment does not update the claim data required for your documentation.

EHR Program Name Change
Added 5/11/18
To reflect CMS’s commitment to interoperability of health care data and patients’ access to their health information, the Electronic Health Record (EHR) Incentive Program is being overhauled. Effective immediately, the EHR Incentive Program will change to the Promoting Interoperability (PI) Program. The MIPS Advancing Care Information performance category will be known as the Promoting Interoperability performance category.

This rebranding does not merge the EHR Incentive Program and MIPS. Instead, these changes reflect CMS’s mission to move these programs beyond the current Meaningful Use requirement to an increased focus on interoperability and ease of patient access to health information. In the coming weeks, CMS will update its websites and educational resources to reflect these changes.

Pharmacy Providers Must Enroll for EFT by May 31, 2018
Added 5/7/18
All providers have been notified that Arkansas Medicaid will no longer produce and mail paper checks. Pharmacy providers must now utilize electronic fund transfer (EFT), which allows your Medicaid payments to be directly deposited into your bank account. If your pharmacy already receives Medicaid payments by EFT, then no further action is required.

If your pharmacy DOES NOT receive EFT payments for Medicaid services you provide, you must take action NOW to ensure that you continue to receive Medicaid payments.

  • Complete the Electronic Fund Transfer (EFT) Authorization for Automatic Deposit (Word, new window), located in Section V of your provider manual.
  • Return the completed EFT authorization form along with a voided check or signed letter from your bank reflecting the bank’s ABA number and your account number before May 31, 2018 to
    Medicaid Provider Enrollment Unit
    DXC Technology
    P.O. Box 8105
    Little Rock, AR 72203-8105
    or
    Arkansas Medicaid Pharmacy
    Fax 800-424-5851

If your pharmacy does not take action by May 31, 2018, your provider number will be suspended until the EFT information is received.

Grace Period Extension
Added 4/27/18
The deadline for Dually-Eligible Hospitals to submit an application for the 2017 Program Year has been extended to May 31, 2018. A submitted application means that you have registered with the R&A, attested through MAPIR and completed the MAPIR application by clicking the Submit button.

If you have questions or concerns, please contact the Arkansas Incentive Payment Team (AIPT) at aipt@dxc.com.

Changes to the Arkansas Medicaid Website
Updated 4/12/18
Due to changes implemented by the Department of Information Services, the Arkansas Medicaid website URL changed on 4/6/18 from the legacy https://www.medicaid.state.ar.us/ to the new URL https://medicaid.mmis.arkansas.gov/. The legacy Arkansas Medicaid URL will automatically redirect to the updated website URL for a period of time; however, your bookmarks to the website should be updated during this period. In a few months the legacy Arkansas Medicaid website URL will no longer exist and you will receive a page not found message.

Although you should expect a different look for the Arkansas Medicaid website that utilizes a new drop-down menu structure, the content on the Arkansas Medicaid website remains the same.

Paper Remittance Advices Will No Longer Be Mailed
Added 4/6/18
Effective April 30, 2018, Arkansas Medicaid will no longer print and mail paper Remittance Advices (RAs). Providers have two options to receive their RAs:

  • Register on the HealthCare Provider Portal and download your RA using Search Payment History, or
  • Obtain an 835 transaction from your billing vendor, which contains the data from your RA

If you need help registering for the HealthCare Provider Portal, obtaining a trading partner ID, linking your trading partner ID or using Search Payment History, the following job aids will provide step-by-step instructions.

If you have any questions, please contact the Provider Assistance Center at (800) 457-4454 or (501) 376-2211.

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 Health Care Payment Improvement Initiative
Get more information about the Arkansas Health Care Payment Improvement Initiative. (HTML, new window)

Arkansas Medicaid Reports and Data for Public Access

EHR Incentive Payment Program
You may be eligible for incentive payments or reimbursements of up to $63,750 from Medicaid to help offset the cost associated with implementing an electronic health record system. To find out if you are eligible, use the following links:


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Please send comments or suggestions on accessibility to arkwebmasterdl@dxc.com.

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