What’s New for Arkansas Medicaid Providers
Content updated October 16, 2018
All systems are currently online.
Electronic Funds Transfer – Action Required for Pharmacy Providers
Electronic Billing for Oral Surgery CPT Codes
Fingerprint Requirement for High Risk Providers
Provider EFT Enrollment Update
PA Correction for Procedure Code J1300
OBHS Agency Providers – PT95 Billing Codes
Monthly System Maintenance
PES Trouble-Shooting Notes
New Official Notices
New Provider Manual Updates
New RA Messages
All providers have been notified that Arkansas Medicaid will no longer produce and mail paper checks. Providers must now utilize electronic fund transfer (EFT), which allows your Medicaid payments to be directly deposited into your bank account. If you already receive your Medicaid payments by EFT, then no further action is required.
If you DO NOT receive EFT payments for Medicaid services you provide, you must take action NOW to ensure that you continue to receive Medicaid payments.
Complete the Electronic Fund (EFT) Authorization for Automatic Deposit (Word, new window), located in Section V of your provider manual.
Return the completed EFT authorization form along with a voided check or letter from your bank reflecting the bank’s ABA number and your account number before 12/31/2018 to:
Medicaid Provider Enrollment Unit
P.O. Box 8105
Little Rock, AR 72203-8105
Arkansas Medicaid Pharmacy
If you do not take action by December 31, 2018, your provider number will be suspended until the EFT information is received.
Effective 10/3/18, the MMIS has been updated to allow Oral Surgeons to electronically bill CPT oral surgery codes for managed care beneficiaries. Please submit all claims through the provider portal. If you need assistance submitting your claims, please contact the Provider Assistance Center (PAC) in-state toll free at 1-800-457-4454 or local and out-of-state at 1-501-376-2211. Select Option 0 for “other inquiries,” then option 2 for PAC.
Federal fingerprint-based background checks are required for all high risk providers (and their owners who have a 5% or greater direct or indirect ownership interest) as a condition of enrollment in the Arkansas Medicaid program. In addition, high risk providers will be required to re-enroll/revalidate their enrollment with Arkansas Medicaid every three years.
If you are identified as a high risk provider, you will be notified by mail. Failure to comply within sixty days of the date on this letter will result in termination from the Arkansas Medicaid program. Providers will be responsible for any fees associated with processing the fingerprint application.
There are two options available to process your fingerprints—the ink-based fingerprint card or electronic fingerprints. Detailed instruction for each method is included in the letter. Inform the vendor the reason fingerprinted is “6401 Medicaid.”
For electronic fingerprinting, each applicant must choose and contact an approved vendor to capture electronic fingerprints. The location will electronically submit the fingerprint form. Approved electronic fingerprinting vendors are Arkansas Live Scan or Hixson Adventure, Fitness & Tactical Academy (HAFTA).
For ink-based fingerprinting, you must use the fingerprint card provided by the Division of Medical Services. (ORI Number ARPAC000Z) To obtain a fingerprint card, call (501) 537-1257 to have one mailed to you. The card must be legibly completed or processing will be delayed. Fingerprints must be taken by properly trained personnel. Your local police department or sheriff’s office may provide this service; however, you must provide a 9x12 brown mailing envelope to mail your fingerprint card and pay any associated fees. The Arkansas State Police ID Bureau collects fingerprints, without charge, Monday through Friday, 8:00 a.m. until 4:30 p.m.
You may elect to challenge the accuracy of the criminal history record information by contacting the appropriate agency.
Effective 9/28/18, claims will be denied for providers who do not have an active electronic funds transfer (EFT) account on file. All providers have been notified that Arkansas Medicaid requires
EFT on file for payment.
The Hospital and Physicians manuals have been corrected to require a prior authorization for procedure code J1300 to match system requirements. “No” has been changed to “Yes” for procedure code J1300 in the prior authorization field in both provider manuals. (Section 272.510 in Hospital and Section 292.590 in Physicians.)
OBHS agencies who received denied claims for procedure codes which can be provided by PT95 Masters Level Clinicians under supervision can now send any claims that have been held for rendering provider PT95 for the procedure codes and modifiers found in the linked table (Word, new window). Appropriate system changes have been completed to correctly process these claims.
System maintenance is scheduled on the first and third Saturday of each month from 9:00 p.m. to 2:00 a.m. and on the last Tuesday of each month from 7:00 p.m. to 9:00 p.m. During these maintenance periods, you may not be able to verify eligibility or submit claims interactively. Batch transactions received during these periods will be held in queue and will be processed as soon as maintenance is complete. Pharmacy claims will not be affected.
For the latest billing news, see Billing Bulletins.
If you’re having trouble using Provider Electronic Solutions software, please see PES Trouble-Shooting Notes.
Arkansas Medicaid released an official notice for AHEC, Hospital, Nurse Practitioner and Physician providers regarding Opioid Use Disorder Treatment Drugs. View or print ON-003-18. (Word, new window)
Arkansas Medicaid released an official notice for all providers regarding 2019 International Classification of Diseases, 10th Revision, Clinical Modification/Procedure Coding System (ICD-10-CM/PCS). View or print ON-004-18. (Word, new window)
Arkansas Medicaid released a Prosthetics provider manual update. View or print the PROSTHET-1-18 transmittal letter. (Word, new window)
View or print changes to the Prosthetics provider manual. (Word, new window)
Arkansas Medicaid released a Section V all provider manuals update. View or print the SecV-5-18 transmittal letter. (Word, new window)
View or print changes to DMS-2609 – Primary Care Physician Selection and Change Form. (Word, new window)
Arkansas Medicaid released an ARChoices provider manual update. View or print the ARCHOICES-1-18 transmittal letter. (Word, new window)
View or print changes to the ARChoices provider manual. (Word, new window)
Arkansas Medicaid released an RA message to oral surgeon providers.
View the RA message regarding Electronic Billing for Oral Surgery CPT Codes. (Word, new window)
Arkansas Medicaid released an RA message to all providers.
View the RA message regarding Provider EFT Enrollment Update. (Word, new window)
Arkansas Medicaid released an RA message to Pharmacy providers.
View the RA message regarding New CAP Rates. (Word, new window)
Arkansas Medicaid released an RA message to Hospital and Physician providers.
View the RA message regarding PA Correction for Procedure Code J1300. (Word, new window)