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
Program Year 2017 Application Deadline
If you wish to apply for an EHR incentive payment for Program Year (PY) 2017, new applications must be submitted no later than September 17, 2018. Applications received after the deadline will not be accepted. 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.
Pending applications for PY 2017 must be completed by September 30, 2018. If you have questions or concerns, please contact the AIPT team at firstname.lastname@example.org.
OBHS Agency Providers – PT95 Billing Codes
Some OBHS agencies have received denied claims for procedure codes which can be provided by PT95 Masters Level Clinicians under supervision. Until the Arkansas Medicaid contractor can make the appropriate system changes, we are asking OBHS agencies to hold claims for rendering provider PT95 for the procedure codes and modifiers found in the linked table (Word, new window).
Third Party Recoupment
Beginning September 15, 2018, Health Management Services (HMS), a DHS contractor, will start recoupment of Behavioral Health claims identified as potential overpayments that should have been paid by a third party.
Prior Authorized Reconsideration
Beginning August 29, 2018, new Healthcare Provider Portal functionality for State-approved prior authorization (PA) will be added to allow a onetime reconsideration of previously denied or not fully approved PA. If a requested PA or PA line item is “Denied” or “Approved with Modifications,” the provider will have the option to timely request a reconsideration by logging into the provider portal and accessing PAs. The provider also has the option to attach additional documentation that will support reconsideration of their PA request.
Please note: Only ONE reconsideration of the PA is allowed. A reconsideration of all line items that were denied or not fully approved must be requested for reconsideration at the same time. You will not be able to ask for reconsideration of separate line items at different times. If a reconsideration is denied, a provider may appeal the denial as defined in the Arkansas Provider Manual
Section I, 160.000 – Administrative Reconsideration and Appeals. (Word, 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 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
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