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Arkansas Medicaid supports healthy initiatives for improving the lives of Arkansans. To read more about some of these programs, click the links below. The links will open in new windows. To return to this site, close the window.

Arkansas Governor's Council on Fitness

Camp iRock

Stamp Out Smoking

EDI, PAC, Provider Enrollment, and AIPT now share the same convenient phone numbers:
In-state toll-free:
(800) 457-4454
Local and out-of-state:
(501) 376-2211

Select option 0 for “Other inquiries” and then option 1 for “EDI Support Center” when prompted.

Select option 0 for “Other inquiries” and then option 2 for “Provider Assistance Center” when prompted.

Select option 0 for “Other inquiries” and then option 3 for “Provider Enrollment” when prompted.

Select option 0 for “Other inquiries” and then option 4 for “Arkansas Incentive Payment Team (AIPT)” when prompted.

If you are a provider and have pharmacy claim or prescription drug prior authorization concerns, please call the MMA Pharmacy Help Desk:
(800) 424-7895, Option 2 for Prescribers

If you are a provider and have questions about the Arkansas Payment Improvement Initiative (APII), please contact the APII Help Desk:
In-state toll-free:
(866) 322-4696
Local and out-of-state:
(501) 301-8311
Email: ARKPII@hpe.com


General Information describes Arkansas Medicaid’s organization and services.

Provider Information is a collection of tools for individuals and organizations that provide health care services to Arkansas Medicaid beneficiaries.

Consumer Information is a guide to applying for and using Medicaid benefits in Arkansas.

Research Tools organizes statistical and other database tools in one convenient spot.

Welcome to Arkansas Medicaid

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Go to General Information menu Go to General Information menu Go to Provider Information menu Go to Provider Information menu
Go to Consumer Information menu Go to Consumer Information menu Go to Research Tools menu Go to Research Tools menu

Timely Information from Arkansas Medicaid

All systems are currently online.

Eligible Hospital and Eligible Provider Program Year 2016 Application Deadline – Program Year 2016 Application Deadline
Added 1/12/17
If you wish to apply for an EHR incentive payment for Program Year 2016, you must submit your application/attestation by March 31, 2017.

A submitted application means that you have registered with the R&A, attested through MAPIR and completed the MAPIR application by clicking the Submit button.

If you have questions or concerns, please contact the Arkansas Incentive Payment Team (AIPT) at aipt@hpe.com.

Eligible Provider – Program Year 2016 Alternate Medicare MU Attestation Deadline
Added 1/12/17
If you intend to use the Alternate Attestation system, you must initiate attestation by February 24, 2017, to allow CMS time to verify eligibility with Arkansas Medicaid.

If you have questions or concerns, please contact the Arkansas Incentive Payment Team (AIPT) at aipt@hpe.com.

Arkansas Works – Changes to the Medicaid Program
Added 12/13/16
Although the Health Care Independence Program (often referred to as the Private Option) is ending, Arkansas has received approval for “Arkansas Works.” Arkansas Works will provide the same type of healthcare coverage and will cover the same benefit categories.

Arkansas Works begins January 1st, 2017, and includes changes that are important for providers to know. The majority of Medicaid beneficiaries in Arkansas Works will not see any change to their coverage for 2017. Below are high-level changes that might drive questions by patients to their providers:

  • Arkansas Works will continue to use premium assistance to purchase Qualified Health Plans (QHP) offered through the individual market in the Marketplace for those eligible for expanded coverage.
  • Beneficiaries who have access to cost-effective small group employer sponsored insurance (ESI) coverage will be required to enroll with their employers’ ESI if their small group employer has already enrolled with Arkansas Works. Arkansas Medicaid will ensure that the ESI plan complies with federal requirements for cost effectiveness and benefits and will wrap cost sharing to Medicaid allowable limits.
  • In 2017, a $13 monthly premium will be charged to the enrollees who have household incomes above 100% of the Federal Poverty Level (FPL) and are also in a QHP/ESI. In subsequent years, enrollees will be required to pay a monthly premium of up to 2% of their household income.
  • If an enrollee does not pay their premium, they will not lose eligibility but will accrue a debt to the state.
  • The premium payment will be paid to the QHP carrier or to their employer if they are in an ESI.
  • Beneficiaries who are determined to be below 100% FPL will not have a premium obligation.

Eligible Hospital (EH) Meaningful Use Attestation and Program Year 2015 Application Deadline
Updated 11/18/16
Beginning November 10, 2016, attestation will be accepted for Medicaid only Eligible Hospitals for Modified Stage 2 Meaningful Use for Program Year 2015. Medicaid only Eligible Hospitals will have until December 31, 2016 to submit a Program Year 2015 Arkansas Medicaid EHRIP application. If you have questions or concerns, please contact the Arkansas Incentive Payment Team (AIPT) at aipt@hpe.com.

Timely Filing Issues
Updated 11/3/16
In an effort to resolve claims denied for eligibility beginning with dates of service on 10/1/2013, Arkansas Medicaid has made modifications to bypass the timely filing edits. Claims are to be submitted electronically. Providers must verify that an eligibility segment for the dates of service in question is available on file and verify that a PCP, if required, is on file before the claim is submitted. Providers will have an open window between October 17, 2016 and April 15, 2017 to submit claims. A listing of permissible reasons for qualifying claims may be obtained on this FAQ document (PDF, new window) along with other pertinent information.

CLAIMS FILED BY PROVIDERS THAT DO NOT QUALIFY UNDER THE IDENTIFIED LISTING WILL BE REVIEWED AND RECOUPED.

Arkansas Medicaid and the Arkansas Foundation for Medical Care (AFMC) now offer a timely filing webinar. Go to the AFMC website to view the webinar. (HTML, new window)

Claims Over 365 Days Old
Added 10/28/16
For those providers who have submitted timely filing claims, these claims will be processed no later than Friday, November 4, 2016.

Denial of ARKids First-B for Age Ineligibility
Added 10/21/16
If an eligibility strip showed an ARKids First-B beneficiary as eligible at date of service but the claim was denied due to age ineligibility, please resubmit the claim. If the claim is beyond 365 days, resubmit following the timely filing instructions on the Medicaid website.

RSPMI CLAIMS WITH EOB 952 (PCP REQUIRED)
Added 8/5/16
The ICD-10 error that caused RSPMI claims for beneficiaries over age 21 with dates of service on and after 10/1/15 to deny for ERROR CODE 107/EOB 952 (PCP REQUIRED) has been resolved. Suspended claims are being recycled. Providers who had claims deny for EOB 952 can rebill the claims. We appreciate your patience.

Update on the Removal of the 24-day Cap
Added 7/8/16
DMS Program Planning and Development has issued a provider memo to all hospital providers. View or print the memorandum regarding Removal of the 24-day Cap. (Word, new window)

Arkansas Medicaid Reports and Data for Public Access

Arkansas Health Care Payment Improvement Initiative
Get more information about the Arkansas Health Care Payment Improvement Initiative. (HTML, new window)

EHR Incentive Payment Program
You may be eligible for incentive payments or reimbursements of up to $63,750 from Medicaid to help offset the cost associated with implementing an electronic health record system. To find out if you are eligible, use the following links:


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