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 July 9, 2020

Jump to

Top 4 Provider Enrollment Issues When Applying on the HealthCare Provider Portal

Added 7/9/20
Arkansas Medicaid provider enrollment applicants should gather all needed materials before applying to streamline the process. Below are the four most common reasons why applications are denied.

  • Name Mismatch
    The name on every document, including on all attachments, must match. In other words, the name on the application must match the licenses or certifications, W-9, and any other document submitted. For example, if a provider applies as “Benjamin J. Smith” and provides a license that says “James Smith,” the application cannot be accepted because of mismatching names.

  • Incorrect W-9
    For a provider enrolling as an individual, the W-9 must be completed with the individual’s information (name and Social Security Number). For a group, the W-9 must be completed with the group’s information (name and Tax ID).

  • Missing Attachments
    If a provider does not submit all the required attachments for the provider type, the system will not allow the application to be submitted. Providers can use the Required Documents Finder (Excel, new window) to find out which documents are required for each provider type.

    Provider types applying as an individual should be prepared to submit:Provider types applying with or as a group should be prepared to submit:


  • Incorrect Signature
    Applications are denied when they do not have the correct signature to agree to the terms of enrollment.
    • For an individual provider, the application must be signed by that individual provider.
    • If the application is for a group, the application must be signed by an authorized signer such as a managing employee who should be listed on the Ownership Disclosure form.
      NOTE: This information is submitted as part of the application on the portal, but if the application is submitted by paper, the Ownership Disclosure Form (Word, new window) must be completed.

If you have any questions about your application, call the Arkansas Medicaid Provider Enrollment Office at (501) 376-2211 or visit the Provider Enrollment Information webpage for more FAQs and job aids.

Provider Electronic Solutions (PES) Decommission on 9/1/20

Updated 7/1/20
DXC Technology’s Medicaid software, Provider Electronic Solutions (PES), which enables health care providers to verify beneficiary eligibility, request prior authorizations, and submit claims electronically will be decommissioned on September 1, 2020. Providers who use PES must transition to using the Arkansas Medicaid HealthCare Provider Portal (or a HIPAA-compliant vendor software) before this date. All PES functionality (including claims submission) will end effective September 1, 2020.

Electronic Visit Verification (EVV) Webinar

Added 7/1/20
AFMC will host an EVV webinar for Personal Care Providers and AR Choices: Attendant Care and Respite Providers. Learn more about the webinar to be held on July 14, 2020.

Electronic Visit Verification (EVV) Requirements for Participation

Updated 6/15/20
For Personal Care Providers along with AR Choices: Attendant Care and Respite Providers: Section 12006(a) of the 21st Century Cures Act (HTML, new window) mandates that states implement Electronic Visit Verification (EVV) for all Medicaid personal care services (PCS) that require an in-home visit by a provider. These services include Personal Care, Attendant Care, and Respite provided under the Medicaid State Plan and under Home and Community Based Services waivers to individuals in the home.

In order for Agency or self directed providers to participate in EVV by January 1, 2021, all personal care, attendant care and respite aides will need to enroll in Arkansas Medicaid by applying for a practitioner ID number (PIN). These aides will not be billing providers, only listed on the claim as the rendering provider for Identification purposes. The Personal Care, Attendant Care and Respite Aides should submit their applications via the Provider Portal (HTML, new window) beginning April 29, 2020. When completing an application, the enrollment type is atypical, provider type is 95 — registered, non-credentialed provider and the specialty code is NT — registered, non-credentialed. Additionally, there will be a question asking if the application is for a personal care aide, which should be indicated as ‘yes,’ even if you are providing attendant care or respite. When completing whether online or paper; the aides personal email address will be needed. This will allow the aide to reset password without calling the help desk.

While paper applications (Word, new window) are still accepted, it is strongly encouraged for all providers to submit their applications electronically. Paper application processing will be delayed due to staffing shortages caused by COVID-19.

Personal Care, Attendant Care and Respite Aides need to be enrolled no later than September 30, 2020. If you are a Provider that is required to be part of EVV, there is not an opt-out option.

For questions regarding the enrollment process, please contact DXC Technology Provider Enrollment at 1-800-457-4454, locally at 501-376-2211. Thank you in advance for your cooperation and compliance.

Program Year 2019 Attestation Deadline

Updated 4/30/20
The attestation deadline for Program Year 2019 has again been EXTENDED until June 30, 2020. Providers who attest by the June deadline will have until July 31, 2020 to finish incomplete applications for the incentive payment.

All audit activity for the Promoting Interoperability (formerly known as “EHR”) Program has been suspended until May 31, 2020. DMS auditors will contact providers individually who have been selected for audit or with further instruction on how to proceed if audit information has already been submitted.

Important Information From DHS About the COVID-19 Public Health Emergency

Added 4/8/20
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).

Temporary Procedure Code Changes in Response to COVID-19

Added 3/20/20
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.

Laboratory Testing for COVID-19

Added 3/19/20
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).

Telemedicine Requirements for Certain Behavioral Health Providers During the COVID-19 Public Health Emergency

Added 3/19/20
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).

Telemedicine Requirements for Physicians during the COVID-19 Public Health Emergency

Added 3/18/20
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).

New Final Rules

Added 6/26/20
Arkansas Medicaid has released a Final Rule for SPA #2020-0011; ARChoices, Personal Care, and Targeted Case Management Medicaid Provider Manuals. View or print the final rule for SPA-2020-0011. (PDF, new window)

Added 6/24/20
Arkansas Medicaid has released a Final Rule for SPA #2020-007 Durable Medical Equipment Rate Adjustment. View or print the final rule for SPA-2020-007. (PDF, new window)

Added 6/19/20
Arkansas Medicaid has released a Final Rule for SPA-2020-0001—Self-Direction Budget Calculation Methodology and IndependentChoices Provider Manual. View or print the final rule for SPA-2020-0001. (PDF, new window)

Arkansas Medicaid has released a Final Rule for State Plan Amendment #2020-0003 EIDT/ADDT Rate Increase. View or print the final rule for SPA-2020-0003. (PDF, new window)

Arkansas Medicaid has released a Final Rule for State Plan Amendment #2020-0005. View or print the final rule for SPA-2020-0005. (PDF, new window)

Arkansas Medicaid has released a Final Rule for State Plan Amendment 2020-0008 Physicians’ Evaluation and Management Code Rate Increase. View or print the final rule for SPA-2020-0008. (PDF, new window)

Arkansas Medicaid has released a Final Rule for State Plan Amendment # 2019-002, Section 1004 of the SUPPORT Act. View or print the final rule for SPA-2019-0002. (PDF, new window)

Arkansas Medicaid has released a Final Rule for Technical Corrections—Removal of References to Provider Electronic Solutions (PES) Software and Updating Outdated Terminology in Arkansas Medicaid Provider Manuals. View or print the final rule for PES Removal Updates. (PDF, new window)

Added 5/28/20
Arkansas Medicaid has released a Final Rule for Ambulatory Surgical Center. View or print the final rule for ASC Procedures That Require Medical Review, Prior Authorization, and Diagnosis Code Restriction. (PDF, new window)

New Provider Manual Updates

Added 6/26/20
Arkansas Medicaid released an ARChoices in Home Care Home and Community-Based 2176 Waiver provider manual update. View or print the ARCHOICES-3-19 transmittal letter. (Word, new window)
View or print changes to the ARChoices in Home Care Home and Community-Based 2176 Waiver provider manual (ARCHOICES-3-19). (Word, new window)

Arkansas Medicaid released an IndependentChoices provider manual update. View or print the INCHOICE-1-20 transmittal letter. (Word, new window)
View or print changes to the IndependentChoices provider manual. (Word, new window)

Arkansas Medicaid released a Living Choices Assisted Living (LCAL) provider manual update. View or print the LCAL-1-19 transmittal letter. (Word, new window)
View or print changes to the LCAL provider manual (LCAL-1-19). (Word, new window)

Arkansas Medicaid released an Occupational, Physical, and Speech-Language Therapy Services provider manual update. View or print the THERAPY-2-19 transmittal letter. (Word, new window)
View or print changes to the Occupational, Physical, and Speech-Language Therapy Services provider manual. (Word, new window)

Arkansas Medicaid released a Personal Care provider manual update. View or print the PERSCARE-1-19 transmittal letter. (Word, new window)
View or print changes to the Personal Care provider manual (PERSCARE-1-19). (Word, new window)

Arkansas Medicaid released a Pharmacy provider manual update. View or print the PHARMACY-3-19 transmittal letter. (Word, new window)
View or print changes to the Pharmacy provider manual. (Word, new window)

Arkansas Medicaid released a Podiatrist provider manual update. View or print the PODIATR-1-19 transmittal letter. (Word, new window)
View or print changes to the Podiatrist provider manual. (Word, new window)

Arkansas Medicaid released a Portable X-Ray Services provider manual update. View or print the PORTX-2-19 transmittal letter. (Word, new window)
View or print changes to the Portable X-Ray Services provider manual. (Word, new window)

Arkansas Medicaid released a Prosthetics provider manual update. View or print the PROSTHET-4-19 transmittal letter. (Word, new window)
View or print changes to the Prosthetics provider manual. (Word, new window)

Arkansas Medicaid released a Rural Health Clinic provider manual update. View or print the RURLHLTH-2-19 transmittal letter. (Word, new window)
View or print changes to the Rural Health Clinic provider manual. (Word, new window)

Arkansas Medicaid released a School-Based Mental Health Services (SBMH) provider manual update. View or print the SBMH-1-19 transmittal letter. (Word, new window)
View or print changes to the SBMH provider manual. (Word, new window)

Arkansas Medicaid released a Transportation provider manual update. View or print the TRANSP-2-19 transmittal letter. (Word, new window)
View or print changes to the Transportation provider manual. (Word, new window)

Arkansas Medicaid released a Ventilator Equipment provider manual update. View or print the VENT-2-19 transmittal letter. (Word, new window)
View or print changes to the Ventilator Equipment provider manual. (Word, new window)

Arkansas Medicaid released a Visual Care provider manual update. View or print the VISUAL-2-19 transmittal letter. (Word, new window)
View or print changes to the Visual Care provider manual. (Word, new window)

Added 6/25/20
Arkansas Medicaid released an Adult Development Day Treatment (ADDT) provider manual update. View or print the ADDT-3-19 transmittal letter. (Word, new window)
View or print changes to the ADDT provider manual. (Word, new window)

Arkansas Medicaid released an ARChoices in Home Care Home and Community-Based 2176 Waiver provider manual update. View or print the ARCHOICES-4-19 transmittal letter. (Word, new window)
View or print changes to the ARChoices provider manual. (Word, new window)

Arkansas Medicaid released an Ambulatory Surgical Center (ASC) provider manual update. View or print the ASC-2-19 transmittal letter. (Word, new window)
View or print changes to the ASC provider manual. (Word, new window)

Arkansas Medicaid released an Autism Waiver provider manual update. View or print the AUTISM-2-19 transmittal letter. (Word, new window)
View or print changes to the Autism Waiver provider manual. (Word, new window)

Arkansas Medicaid released a Chiropractic provider manual update. View or print the CHIRO-1-19 transmittal letter. (Word, new window)
View or print changes to the Chiropractic provider manual. (Word, new window)

Arkansas Medicaid released a Certified Nurse-Midwife (CNM) provider manual update. View or print the CNM-1-19 transmittal letter. (Word, new window)
View or print changes to the CNM provider manual. (Word, new window)

Arkansas Medicaid released a Dental provider manual update. View or print the DENTAL-1-19 transmittal letter. (Word, new window)
View or print changes to the Dental provider manual. (Word, new window)

Arkansas Medicaid released a Developmental Rehabilitation Services (DRS) provider manual update. View or print the DRS-1-19 transmittal letter. (Word, new window)
View or print changes to the DRS provider manual. (Word, new window)

Arkansas Medicaid released an Early Intervention Day Treatment (EIDT) provider manual update. View or print the EIDT-3-19 transmittal letter. (Word, new window)
View or print changes to the EIDT provider manual. (Word, new window)

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

Arkansas Medicaid released a Hearing Services provider manual update. View or print the HEARING-1-19 transmittal letter. (Word, new window)
View or print changes to the Hearing Services provider manual. (Word, new window)

Arkansas Medicaid released a Hyperalimentation provider manual update. View or print the HYPER-2-19 transmittal letter. (Word, new window)
View or print changes to the Hyperalimentation provider manual. (Word, new window)

Arkansas Medicaid released a Living Choices Assisted Living (LCAL) provider manual update. View or print the LCAL-2-19 transmittal letter. (Word, new window)
View or print changes to the LCAL provider manual. (Word, new window)

Arkansas Medicaid released a Nurse Practitioner provider manual update. View or print the NURSEPRA-4-19 transmittal letter. (Word, new window)
View or print changes to the Nurse Practitioner provider manual. (Word, new window)

Arkansas Medicaid released an Outpatient Behavioral Health Services (OBHS) provider manual update. View or print the OBHS-2-19 transmittal letter. (Word, new window)
View or print changes to the OBHS provider manual. (Word, new window)

Arkansas Medicaid released a Private Duty Nursing Services (PDN) provider manual update. View or print the PDN-1-19 transmittal letter. (Word, new window)
View or print changes to the PDN provider manual. (Word, new window)

Added 6/23/20
Arkansas Medicaid released an Inpatient Psychiatric provider manual update. View or print the INPPSYCH-1-19 transmittal letter. (Word, new window)
View or print changes to the Inpatient Psychiatric provider manual. (Word, new window)

Arkansas Medicaid released a Personal Care provider manual update. View or print the PERSCARE-2-19 transmittal letter. (Word, new window)
View or print changes to the Personal Care provider manual. (Word, new window)

Arkansas Medicaid released a Physician provider manual update. View or print the PHYSICN-3-19 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-3-19 transmittal letter. (Word, new window)
View or print changes to the Rehabilitative Hospital provider manual. (Word, new window)

Arkansas Medicaid released a Rehabilitative Services for Persons with Physical Disabilities (RSPD) provider manual update. View or print the RSPD-1-19 transmittal letter. (Word, new window)
View or print changes to the RSPD provider manual. (Word, new window)

Arkansas Medicaid released a Section I all provider manuals update. View or print the SecI-2-19 transmittal letter. (Word, new window)
View or print changes to Section I all provider manuals. (Word, new window)

Arkansas Medicaid released a Section III all provider manuals update. View or print the SecIII-1-19 transmittal letter. (Word, new window)
View or print changes to Section III all provider manuals. (Word, new window)

Arkansas Medicaid released a Section IV all provider manuals update. View or print the SecIV-2-19 transmittal letter. (Word, new window)
View or print changes to Section IV all provider manuals. (Word, new window)

Arkansas Medicaid released a Targeted Case Management (TCM) provider manual update. View or print the TCM-2-19 transmittal letter. (Word, new window)
View or print changes to the TCM provider manual. (Word, new window)

Added 6/22/20
Arkansas Medicaid released an ARKids First-B provider manual update. View or print the ARKIDS-3-19 transmittal letter. (Word, new window)
View or print changes to the ARKids First-B provider manual. (Word, new window)

Arkansas Medicaid released a Division of Youth Services (DYS) and Division of Children and Family Services (DCFS) Targeted Case Management provider manual update. View or print the DYSDSFS-1-19 transmittal letter. (Word, new window)
View or print changes to the DYSDCFS provider manual. (Word, new window)

Arkansas Medicaid released a Home Health provider manual update. View or print the HOMEHLTH-1-19 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-2-19 transmittal letter. (Word, new window)
View or print changes to the Hospice provider manual. (Word, new window)

Arkansas Medicaid released a Hospital provider manual update. View or print the HOSPITAL-4-19 transmittal letter. (Word, new window)
View or print changes to the Hospital provider manual. (Word, new window)

Added 5/28/20
Arkansas Medicaid released an Ambulatory Surgical Center (ASC) provider manual update. View or print the ASC-1-19 transmittal letter. (Word, new window)
View or print changes to the ASC provider manual. (Word, new window)

Arkansas Medicaid released a Physician provider manual update. View or print the PHYSICN-5-19 transmittal letter. (Word, new window)
View or print changes to the Physician provider manual. (Word, new window)

New RA Messages

Added 7/2/20
Arkansas Medicaid released an RA message to All Providers. View the revised RA message regarding Provider Electronic Solutions (PES) Decommission on 9/1/20. (Word, new window)

Added 6/25/20
Arkansas Medicaid released an RA message to Personal Care Providers. View the RA message regarding Revised Personal Care Fee Schedule for July 1, 2020. (Word, new window)

Arkansas Medicaid released an RA message to All Providers. View the RA message regarding Provider Electronic Solutions (PES) Decommission on 9/1/20. (Word, new window)

Added 6/18/20
Arkansas Medicaid released an RA message to Long Term Care, Home Health, Inpatient, Outpatient, and Professional Providers With Claims Paid Fee-For-Service While Beneficiary Was Covered by PASSE on Date(s) of Service. View the RA message regarding Fee-For-Service (FFS) Fund Recovery Notice. (Word, new window)