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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@hp.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

What type of information do you want?

 
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.

Request for Information on Managed Care for Medicaid Special Needs Populations: RFI Open for Responses due June 15, 2015
Updated 5/15/15
The Arkansas Department of Human Services has issued a Request for Information (RFI) on Managed Care for Special Needs Populations, with a deadline for responses from potential vendors of June 15, 2015. This RFI is intended to explore opportunities for implementing managed care for Medicaid-eligible clients receiving behavioral health services, developmental disabilities services, and care for the aged, frail, and physically disabled. The materials and information submitted by managed care organizations in response to this RFI will be reviewed to inform the path forward for improving care for many of Arkansas’ highest need Medicaid clients. Get more information about the RFI.

PERM (Payment Error Rate Measurement) Cycle 1 (FY2015) Provider Education Sessions
Added 5/15/15
CMS will host four sessions. The PERM program is designed to measure improper payments in the Medicaid Program and the Children’s Health Insurance Program (CHIP), as required by the Improper Payments Information Act (IPIA) of 2002.

The presentations will be repeated for each session. You can ask questions live through the conference lines, webinar, or the dedicated PERM Provider email address at PERMProviders@cms.hhs.gov. Presentation materials will be posted on the Providers tab of the PERM website at http://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicaid-and-CHIP-Compliance/PERM/Providers.html (HTML, new window) on Wednesday, June 17, 2015, 3:00-4:00 pm ET.

The two step audio/webinar process is:

  1. Audio: Login to https://cms.webex.com/cms/j.php?J=998344200 (HTML, new window). The call-in#/meeting ID/access code will display on your screen (keep this open) when you dial in.
  2. Webinar: In a separate window, login to https://webinar.cms.hhs.gov/pepi2015/ (HTML, new window) to access the webinar.

Arkansas PERM Contact - Regina Zimmer, Division of Medical Services 501-320-6423 or Regina.Zimmer@dhs.arkansas.gov.

Outcomes Questionnaires (OQ) Contract with HP to Dissolve after 4/30/15
Added 4/30/15
After today, the contract between Hewlett Packard Enterprise Services (HP) and Outcomes Questionnaires (OQ) will dissolve. You will have until the end of the business day (4/30/15) to retrieve the data you need from the OQ website. The Department of Human Services will store the raw data from the OQ site in its raw format, but it will not be accessible to you through web-based means. Meaning, if you request the raw data, then you will receive it in a flat file, unformatted. We highly encourage you to retrieve the data you will need by today. Additionally, if you choose to continue using OQ, you will need to establish that relationship with your OQ contact. We appreciate your assistance in this matter and apologize for the short notice.

Please visit the OQ website to retrieve your data. (HTML, new window)

Claims Submitted without ICD-10 Codes On or After 10/1/15 Will NOT Be Paid
Updated 4/24/15
All claims submitted to Arkansas Medicaid for Dates of Service on and after 10/1/15 must bill using ICD-10 codes. Claims that do not bill ICD-10 codes will deny and you will not be paid by Arkansas Medicaid. This is a Federal mandate. Feel free to contact Arkansas Medicaid for assistance. With more than 38,000 providers, we expect a high volume of inquiries and possible delays in responses. We appreciate your patience.

Please visit the ICD-10 website for more information. (HTML, new window)

TEFRA Renewal
Added 8/12/14
The Arkansas Department of Human Services (DHS), Division of Medical Services (DMS) is providing public notice of its intent to submit to the Centers of Medicare and Medicaid Services (CMS) a written application to request a renewal of the TEFRA-like 1115 (a) demonstration waiver project for an additional three years from January 1, 2015, through December 31, 2017. Without a renewal, the TEFRA-like demonstration project is scheduled to end on December 31, 2014.

Get more information regarding the public notice and the TEFRA Renewal.

Proposed Amendment to Health Care Independence (aka Private Option) 1115 waiver
Added 8/1/14
The Arkansas Department of Human Services (DHS), Division of Medical Services (DMS) is providing public notice of its intent to submit to the Centers of Medicare and Medicaid Services (CMS) a written request to amend the Health Care Independence 1115 Demonstration waiver and to hold public hearings to receive comments on the amendments to the Demonstration.

Get more information regarding the public notice and the proposed amendment to 1115 Waiver special terms and conditions.

Post-Award Forum for Arkansas Health Care Independence (aka Private Option) Program
Added 7/11/14
On Friday, June 13, the Arkansas Department of Human Services (DHS) held a Post-Award Forum to provide the public with an opportunity to offer comment on the progress of the Arkansas Health Care Independence Program (commonly known as the Private Option).

Read the comments and review the Post-Award Forum transcript.

Insurance Cards for Private Option Enrollees
Added 1/3/14
Private Option enrollees will not receive Medicaid ID cards but will receive insurance cards from their private health plan issuers. Private Option enrollees will use their private insurance cards to access medical services. Medicaid will provide limited supplemental services for Private Option enrollees, including Early and Periodic Screening, Diagnosis, & Treatment (EPSDT) for 19 and 20 year olds and non-emergency transportation. These services can be accessed using the Medicaid ID number that was sent to the Private Option enrollee in the plan enrollment notice. The Medicaid ID number can be used for retroactive coverage and interim coverage from the eligibility approval date until the date that the qualified health plan takes effect.

Newly eligible adults that are exempt from participation in the Private Option (e.g. medically frail individuals) will be enrolled in fee-for-service Medicaid and will receive a Medicaid ID card.

Frequently Asked Questions about the Arkansas Health Care Independence Program
Added 9/30/13
View or print frequently asked questions about the Arkansas Health Care Independence Program. (PDF, 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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