What’s New for Arkansas Medicaid Providers
Content updated April 9, 2020
As the threat from COVID-19 continues, important information on what the Arkansas Department of Human Services (DHS) is doing about coronavirus (COVID-19) as well as reliable, up-to-date information about how the virus is affecting the State can be found on the DHS website. Learn more about DHS’s response to COVID-19. (HTML, new window).
The attestation deadline for Program Year 2019 is EXTENDED to April 30, 2020. Providers who attest by the April deadline will have until July 31, 2020 to finish incomplete applications for the incentive payment.
In response to the COVID-19 pandemic, Arkansas Medicaid is making some lab and primary care procedure codes payable retroactively. These codes will be active in the claims processing system temporarily and should only be performed with an order from the physician.
Pursuant to Executive Order 20-05 and as allowed under current Medicaid policy, DMS is lifting the requirement to have an established professional relationship before utilizing telemedicine for physicians under the following conditions for the duration of the emergency declaration:
- The physician providing telehealth services must have access to a patient’s personal health record maintained by a physician.
- The telemedicine service may be provided by any technology deemed appropriate, including telephone, but it must be provided in real time (cannot be delayed communication).
- Physicians may use telemedicine to diagnose, treat, and, when clinically appropriate, prescribe a non-controlled drug to the patient.
To bill for these services, please use the appropriate billing procedure code with the “GT” modifier and Place of Service (POS) “02.”
Medicaid is also opening the virtual check-in CPT (code G2012) for sixty (60) days. The code will be turned on April 1, 2020 and will be retroactive to date of service March 18, 2020.
DMS is suspending the rule related to originating site requirements for certain behavioral health providers to provide certain counseling services. Any technology deemed appropriate may be used, including telephones, but technology must utilize direct communication that takes place in real-time. Only the following services may be billed:
- Individual Behavioral Health Counseling
- 90832, U4, GT
- 90834, U4, GT
- 90837, U4, GT
- Psychoeducation (H2027, U4, GT)
To learn more, see all COVID-19 related memorandums posted below.
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).
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).
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).
DXC Technology’s Medicaid software, Provider Electronic Solutions (PES), enables health care providers to verify beneficiary eligibility, request prior authorizations, and submit claims electronically. However, because PES software will be decommissioned, providers who use PES are strongly encouraged to transition to the Arkansas Medicaid HealthCare Provider Portal before their software becomes obsolete.
Arkansas Medicaid has released Final Rule 96 - State Plan Amendment 2020-007. View or print the DME Rate Adjustment final rule. (PDF, new window)
Arkansas Medicaid released an official notice to all providers regarding 2020 ASC Code Conversion. View or print ON-004-20. (Word, new window)
Arkansas Medicaid released an RA message to Eligible Hospitals and Eligible Professionals.
View the RA message regarding Updated Program Year 2019 Attestation Deadline. (Word, new window)
Arkansas Medicaid released an RA message to Physician, Independent Laboratory, and Outpatient Behavioral Health Services (OBHS) providers.
View the RA message regarding Temporary Procedure Code Changes in Response to COVID-19. (Word, new window)
Arkansas Medicaid released an RA message to all providers.
View the RA message regarding COVID-19 Update from DMS. (Word, new window)