Welcome to Arkansas Medicaid!
As the threat from COVID-19 continues, important information on what DHS is doing about coronavirus as well as reliable, up-to-date information about how the virus is affecting the State can be found on the DHS website.
The Provider-led Arkansas Shared Savings Entity (PASSE) is a new model of organized care that will address the needs of certain Medicaid clients who have complex behavioral health and intellectual and developmental disabilities service
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Timely Information from Arkansas Medicaid
Prior Authorization Letters Location Change
Effective February 24, 2021 Prior Authorization (PA) letters will be linked to the appropriate Prior Authorization request in the HealthCare Portal. To open/view PA letters, access the Prior Authorization request using the search function through the “View Status of Authorizations” link under the Care Management tab. PA letters will no longer be found in Files Exchange.
Faxed EFT Forms Will Not be Accepted Beginning February 15, 2021
Effective February 15, 2021, the Provider Enrollment Unit will no longer accept Electronic Fund Transfer (EFT) forms via fax. EFT forms can be uploaded on the provider portal (preferred) or mailed to the address found on the EFT form. For help uploading documents on the portal, view or print the MMIS Job Aid - Uploading Documents (PDF, new window).
If a provider cannot submit an EFT form using the provider portal or by mail, a hardship exception is possible only with DHS approval on a case by case basis.
If you have any questions regarding this notification, please call Provider Enrollment at (800) 457-4454 or (501) 376-2211.
EVV Billing Deadline
At this time, billing for personal care services through MMIS will continue past January 31, 2021. Providers can continue to bill for these services directly to our MMIS for processing. When a new date is determined, we will make that announcement clarifying the new deadline. Providers are still encouraged to use the AuthentiCare system to ensure comfort with usage and to avoid impact to their claims processing as we transition over to the new system.
Swing Beds (Rev Code 194) Payable In Critical Access Hospital
Effective December 22, 2020, Arkansas Medicaid will cover Swing Beds (Revenue code 194) at a rate of $400 for the following providers:
- Provider Type 05 - Hospital / Provider Specialty CH - Critical Access Hospital
Provider billing instructions for Swing Beds:
- Claims can be submitted electronic or paper with required attachments
- Attach a cover sheet requesting coverage of Swing Bed in a critical access hospital.
- Revenue Code 194 should be billed for Swing Bed days.
- Bill all dates of service for each month on one claim (there will be separate claims filed for dates of service in different months)
- Bill at the amount of $400 per day.
This is a temporary rule that has been implemented due to bed shortage caused by COVID. The rule will be suspended through the Public Health Emergency as declared by the Governor. Notification of end dating this temporary rule will be announced at a later date.
CMS Compliance Reviews for Nursing Home Providers
During Covid-19 CMS stopped conducting compliance reviews completed on the 1527 form. However, CMS recently started conducting compliance reviews again. We have received a lot of concern from Nursing Home providers about their Medicare IDs being terminated for not having their yearly compliance review completed by CMS. During the Covid-19 emergency we will not terminate any provider for not having their compliance review completed. If you have further questions or concerns, please contact the Provider Enrollment Help Desk at 501-301-8311.
Medicaid Policies Regarding Hospital Services During Public Health Emergency
Early in the public health emergency, the Centers for Medicare and Medicaid Services announced that it was allowing states to temporarily waive certain federal requirements to help ensure Americans could access care and help hospitals deal with patient surges due to COVID-19. The waiving of rules is called issuing “blanket waivers” of federal requirements. These waivers allow hospitals to use beds as needed and still get reimbursement from Medicaid, with changes described in the Medicaid Policies Regarding Hospital Services During Public Health Emergency fact sheet (Word, new window).
In addition to changes through the blanket waivers, Arkansas Medicaid also temporarily suspended the Medicaid Utilization Management Program review requirement for patients over age 1 after four days of inpatient care. Now, all hospital stays, regardless of length are subject only to retrospective review. This includes transfers between hospitals.
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 Medicaid Data and Reports for Public Access
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