Help Desks / Support Centers

(800) 457-4454
in-state toll-free or
(501) 376-2211
local and out-of-state

Arkansas Payment Improvement Initiative
(866) 322-4696 in-state toll-free or
(501) 301-8311 local and out-of-state

Magellan Medicaid Administration Pharmacy Help Desk
(800) 424-7895, Option 2 for Prescribers

What’s New for Arkansas Medicaid Providers

Smiling dental provider

Content updated January 14, 2019

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Autism Program Transition to DDS

Added 1/9/19
Effective on January 1, 2019, the Division of Developmental Disabilities Services (DDS) began overseeing the Autism Programs. This includes both the Autism Home and Community Based Services (HCBS) Waiver and the Autism EPSDT services. Determining eligibility and billing under the Autism Waiver will remain the same, please continue to work with Partners for Inclusive Communities, develop Plans of Care for Waiver clients, and bill those services through the MMIS.

For Autism services through EPSDT, specifically Applied Behavioral Analysis (ABA) therapy, please submit all claims for services to Elizabeth.Pitman@dhs.arkansas.gov, so that these can be processed. Currently, we are still processing these through a paper claims system. However, we are working to create an electronic billing process for ABA therapy claims under EPSDT. We hope to have that in place in the early part of this year and will send out more guidance on that process soon.

We look forward to working together with providers, DMS, and other stakeholders to improve the delivery of Autism Services to Arkansans.

Attention: Assisted Living Facility Providers

Added 1/7/19
Concerning denials received with procedure T2031 for EOB 0361 - (Rate Not Valid For Dates of Service): New program changes effective January 1, 2019, have resolved this issue and providers are now able to rebill. We apologize for the inconvenience.

Dialysis and Chemotherapy Appointments through NET Broker

Added 1/4/19
Beginning on January 1, 2019, the Department of Human Services (DHS) launched new non-emergency transportation (NET) contracts for most Medicaid covered services through the vendors. DHS understands there have been several reports of access issues for your clients. In an effort to ensure patient access to these critical services, DHS is waiving the requirement that beneficiaries book transportation directly with brokers for dialysis and chemotherapy appointments only through Friday, February 1, 2019.

NET is available for all Medicaid beneficiaries, children and adults, who have no other way to get to and from approved medical appointments. There are seven NET regions served by four brokers. A toll-free Non-Emergency Transportation Helpline (1-888-987-1200, option 2) is available to answer beneficiary questions about the NET program. Please encourage your patients to call the Helpline to report any issues they may experience as we continue working through this transition so DHS and the brokers can address complaints or concerns.

DEA Number Requirement

Updated 1/4/19
A DEA number is required to write prescriptions for patients. DEA numbers are now required on enrollment applications for the following provider type/specialties: 01, 03, 08, 17, 22, 58, 79, 95-NU, 95-NV and 99-N2.

Extension of Current Manuals

Added 12/18/18
The go-live date of Phase II for the Provider-led Arkansas Shared Savings Entity (PASSE) program has been moved to March 1, 2019. The following manuals, as they are currently written today, will continue to be in place until February 28, 2019:

  • OBHS
  • PASSE manual (Phase I-care coordination)
  • CES waiver
  • CES certification

The updated or new versions of the following manuals will be effective on March 1, 2019:

  • OBHS
  • PASSE manual (Phase II-full risk)
  • Adult Behavioral Health Services for Community Independence (new)

Incorrect CEHRT PI Measures From Greenway Health, LLC

Added 12/17/18
Greenway Health, LLC has notified customers that their CEHRT is incorrectly calculating Promoting Interoperability (PI) measures. Accordingly, they have instructed their customers not to attest to the Medicaid PI Program for program year 2018 using the data their Greenway CEHRT is currently producing.

Greenway has notified CMS that fixes will be available later in 2019. The State of Arkansas understands that Greenway has advised providers to not attest for Meaningful Use in 2019 and supports this request.

Providers using CEHRT from Greenway during post-payment audit will not be penalized if they were unaware of the CEHRT deficiencies at the time of their attestation; however, providers should not attest to Meaningful Use with data they know to be incorrect.

The Arkansas deadline for 2018 attestations for the Medicaid PI Program (formerly named EHR) will be announced in the near future.

Electronic Funds Transfer Required for All Providers Billing All Claims

Updated 12/10/18
All providers and groups, excluding providers rendering services under a group, require EFT to enroll in Arkansas Medicaid. Providers participating in the Arkansas Diamond Plan or billing for services as an individual must have EFT on file.

Any claims that are submitted without EFT on file will deny.

For Outpatient Behavioral Health Services Providers
The following providers require an EFT to enroll in Arkansas Medicaid:

  1. Behavioral Health Agency
  2. Independently Licensed Practitioner Individual and
  3. Independently Licensed Practitioner Group

Providers rendering services solely as employees of a Behavioral Health Agency do not require an EFT to enroll in Arkansas Medicaid. Providers participating in the Arkansas Diamond Plan or billing for services as an individual must have EFT on file. Any claims that are submitted without EFT on file will deny.

New Provider Manual Updates

Added 1/11/19
Arkansas Medicaid released a Patient-Centered Medical Home (PCMH) provider manual update. View or print the PCMH-1-18 transmittal letter. (Word, new window)
View or print changes to the PCMH provider manual. (Word, new window)

Added 1/4/19
Arkansas Medicaid released a Federally Qualified Health Center (FQHC) provider manual update. View or print the FQHC-2-18 transmittal letter. (Word, new window)
View or print changes to the FQHC provider manual. (Word, new window)

Arkansas Medicaid released a Hospital provider manual update. View or print the HOSPITAL-4-18 transmittal letter. (Word, new window)
View or print changes to the Hospital provider manual. (Word, new window)

Arkansas Medicaid released a Nurse Practitioner provider manual update. View or print the NURSEPRA-2-18 transmittal letter. (Word, new window)
View or print changes to the Nurse Practitioner provider manual. (Word, new window)

Arkansas Medicaid released a Physician provider manual update. View or print the PHYSICN-4-18 transmittal letter. (Word, new window)
View or print changes to the Physician provider manual. (Word, new window)

Arkansas Medicaid released a Rehabilitative Hospital provider manual update. View or print the REHABHSP-2-18 transmittal letter. (Word, new window)
View or print changes to the Rehabilitative Hospital provider manual. (Word, new window)

Added 1/2/19
Arkansas Medicaid released an ARChoices in Home Care Home and Community-Based 2176 Waiver provider manual update. View or print the ARCHOICES-2-18 transmittal letter. (Word, new window)
View or print changes to the ARChoices provider manual. (Word, new window)

Arkansas Medicaid released a Home Health provider manual update. View or print the HOMEHLTH-1-18 transmittal letter. (Word, new window)
View or print changes to the Home Health provider manual. (Word, new window)

Arkansas Medicaid released a Hospice provider manual update. View or print the HOSPICE-2-18 transmittal letter. (Word, new window)
View or print changes to the Hospice provider manual. (Word, new window)

Arkansas Medicaid released a Living Choices Assisted Living (LCAL) provider manual update. View or print the LCAL-1-18 transmittal letter. (Word, new window)
View or print changes to the LCAL provider manual. (Word, new window)

Arkansas Medicaid released a Personal Care provider manual update. View or print the PERSCARE-1-18 transmittal letter. (Word, new window)
View or print changes to the Personal Care provider manual. (Word, new window)

Arkansas Medicaid released a Program of All-Inclusive Care for the Elderly (PACE) provider manual update. View or print the PACE-1-18 transmittal letter. (Word, new window)
View or print changes to the PACE provider manual. (Word, new window)

Added 12/21/18
Arkansas Medicaid released an IndependentChoices provider manual update. View or print the INCHOICE-1-18 transmittal letter. (Word, new window)
View or print changes to the IndependentChoices provider manual. (Word, new window)

Arkansas Medicaid released a Section V all provider manuals update. View or print the SecV-4-18 transmittal letter. (Word, new window)
View or print changes to Section V. (Word, new window)
View or print contact information for the Division of Provider Services and Quality Assurance. (Word, new window)
View or print contact information for Provider Qualifications, Division of Provider Services and Quality Assurance. (Word, new window)

Updated 12/18/18
Arkansas Medicaid released a new Arkansas Independent Assessment (ARIA) provider manual. View or print the ARIA-New-18 transmittal letter. (Word, new window)
View or print  the ARIA provider manual. (Word, new window)

New RA Messages

Added 1/10/19
Arkansas Medicaid released an RA message to Autism Waiver providers. View the RA message regarding Autism Program Transition to DDS. (Word, new window)

Added 1/4/19
Arkansas Medicaid released an RA message to all providers. View the RA message regarding Dialysis and Chemotherapy Appointments through NET Broker. (Word, new window)

Added 12/20/18
Arkansas Medicaid released an RA message to Eligible Hospital And Eligible Professional providers. View the RA message regarding Incorrect CEHRT PI Measures from Greenway Health, LLC. (Word, new window)

Arkansas Medicaid released an RA message to all CES Waiver And Behavioral Health providers. View the RA message regarding Extension of Current Manuals. (Word, new window)