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

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Content updated December 12, 2019

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Electronic Visit Verification

Added 12/9/19
Providers will NOT have to comply with the electronic visit verification (EVV) requirements on January 1, 2020. Arkansas has been granted a good faith extension by CMS. The new deadline for compliance is January 1, 2021.

Assessment Dates Available on Portal Eligibility Check

Added 12/5/19
Effective 12/5/19 Behavioral Health Independent Assessment effective dates (both from and to) for PASSE members will be available on the Provider Portal Eligibility check.

Global OB Billing

Updated 12/4/19
All Arkansas OB/Gyn Medicaid Providers:
Below are changes to Global OB Billing for claims. This change becomes effective with claims billed on or after January 1, 2020.

  • The fee schedules and reimbursement rules will remain the same for all Global OB services.
  • A new selection will be added in the drop-down box for “Date Type” called “Initial Treatment Date” in the Claim Information panel of a professional claim in the provider portal.
  • For electronic claims, the first date of care will be billed in the Initial Treatment Date field of the professional claim form.
  • For CMS 1500 paper claim forms, field 15 will be utilized for required qualifier of “454” and the “Initial Treatment Date”.
  • If no Initial Treatment Date or an Invalid date is entered on either paper or electronic claim forms, an edit will set and deny the detail with the global procedure code on the claim.
  • The provider will no longer span dates of service on the claim line for the entire Global OB period of care.
  • Providers will bill the date of delivery on the claim line (as “from” and “to” Dates of Service)
  • The system will use the date of delivery and the first date of care to calculate and ensure that at least two months of care were given, thereby allowing payment for the Global OB service that was billed. If two months of care were not provided, the Global OB service will be denied; claims that fall into this category today are denied if two months of care were not provided.
  • If a Date of Service is a “spanned date” for a Global OB procedure billed, the detail will deny.

2019 Promoting Interoperability Meaningful Use Attestations

Added 11/22/19
Promoting Interoperability (formerly known as EHR) attestations for Meaningful Use - Stage 3, Payment Year 2019 for the State of Arkansas will be accepted starting 12/2/2019.

Notice to Visual Care Providers - All Arkansas Medicaid Eyeglass Orders to be Processed by Classic Optical Starting 12/1/19

Updated 11/20/19
Effective December 1, 2019, all Arkansas Medicaid eyewear orders should be placed with and will be processed by Classic Optical, not Select Optical. (All in-process orders placed by November 30, 2019 will be completed by Select Optical.)

All frame and lens products published in the current Arkansas Medicaid frame catalogue will continue to be available through Classic Optical.

Classic Optical will begin reaching out to providers on November 20, 2019. If you have not heard from Classic Optical, please call (888) 522-2020 to receive your new account number, ask additional questions, and learn how to place orders at www.classicoptical.com (HTML, new window).

Provider Electronic Solutions (PES) Transition

Added 10/22/19
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 is no longer supported, providers who use PES are strongly encouraged to transition to the Arkansas Medicaid HealthCare Provider Portal before their software becomes obsolete.

Get the facts about the transition now.

Streamlined Arkansas Medicaid Revalidation Available for Providers Enrolled in Medicare

Added 4/17/19
CMS has established guidelines allowing providers enrolled in Medicare and Medicaid to be revalidated through a streamlined process. In order to qualify, provider information on file with Arkansas Medicaid must match the information in Medicare’s Provider Enrollment, Chain, and Ownership System (PECOS).

Medicaid Provider Enrollment will begin checking PECOS for providers who must revalidate soon. If Provider Enrollment confirms a match between the two systems, revalidation will be processed with no further provider action necessary. To take advantage of this time-saving opportunity, Enrollment encourages providers to keep these important match criteria updated with Arkansas Medicaid and PECOS:

If Enrollment is unable to confirm a match between the two systems, the provider will receive a revalidation letter and be required to submit a full enrollment application to revalidate their enrollment as an Arkansas Medicaid provider.

New Final Rules

Added 11/19/19
Arkansas Medicaid has released a final rule for the domiciliary care packet that recently promulgated. View or print the domiciliary care final rules and cost impact statement. (PDF, new window)

Added 11/19/19
Arkansas Medicaid has released a final rule. View or print the 1932a State Plan Preprint - PCCM final rule. (PDF, new window)

Added 11/19/19
Arkansas Medicaid has released a final rule. View or print the Well-Child Screens final rule. (PDF, new window)

New Official Notices

Added 12/12/19
Arkansas Medicaid released an official notice for Area Health Education Center (AHEC), Certified Nurse-Midwife, Federally Qualified Health Center (FQHC), and Physician Providers of Obstetrics (OB) and Gynecology (Gyn) Services regarding Global OB Claims. View or print ON-005-19. (Word, new window)

New Provider Manual Updates

Added 11/20/19
Arkansas Medicaid released an ARKids First-B provider manual update. View or print the ARKIDS-4-18 transmittal letter. (Word, new window)
View or print changes to the ARKids First-B provider manual. (Word, new window)

Added 11/20/19
Arkansas Medicaid released a Domiciliary Care provider manual update. View or print the DOMCARE-1-18 transmittal letter. (Word, new window)
View or print changes to the Domiciliary Care provider manual. (Word, new window)

Added 11/20/19
Arkansas Medicaid released a Section I all provider manuals update. View or print the SecI-5-18 transmittal letter. (Word, new window)
View or print changes to Section I all provider manuals. (Word, new window)

Added 11/20/19
Arkansas Medicaid released a Section III all provider manuals update. View or print the SecIII-4-18 transmittal letter. (Word, new window)
View or print changes to Section III all provider manuals. (Word, new window)

New RA Messages

Added 12/12/19
Arkansas Medicaid released an RA message to ARChoices (respite care), Personal Care, and APD Agency Attendent Care providers. View the RA message regarding Electronic Visit Verification. (Word, new window)

Added 12/5/19
Arkansas Medicaid released an RA message to all OB/Gyn Medicaid providers. View the RA message regarding Global OB Billing. (Word, new window)

Arkansas Medicaid released an RA message to all Provider-Led Arkansas Shared Savings Entity (PASSE) Program providers. View the RA message regarding Assessment Dates Available on Portal Eligibility Check. (Word, new window)

Added 11/21/19
Arkansas Medicaid released an RA message to Visual Care providers. View the RA message regarding All Arkansas Medicaid Eyeglass Orders to be Processed by Classic Optical Starting 12/1/19. (Word, new window)

Arkansas Medicaid released an RA message to all PI participating providers. View the RA message regarding 2019 Promoting Interoperability Meaningful Use Attestations. (Word, new window)

Added 11/15/19
Arkansas Medicaid released an RA message to Developmental Rehabilitation Services providers. View the RA message regarding Reimbursement Rate for 96113. (Word, new window)