Timely Information from Arkansas Medicaid
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Claims Submitted without ICD-10 Codes for Dates of Service on or After 10/1/15 Will NOT Be Paid
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)
Request for Information on Managed Care for Medicaid Special Needs Populations: DHS thanks all those who participated in the RFI process
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.
The Request for Information period is now closed, and DHS would like to thank those organizations who submitted responses to the RFI, as well as all stakeholders and members of the public who submitted questions, comments and suggestions. DHS is undertaking a process of review and consideration of all responses received, and will post additional information on the next steps at the appropriate time. Responses to the RFI received by DHS have been posted. Get more information about the RFI.
Arkansas Medicaid Website Changes May Affect Your Favorites/Bookmarks
Modifications were made to the website resulting in web address (Uniform Resource Locator-URL) changes for many pages that you may have bookmarked or added to your favorites. If you are experiencing problems reaching the Arkansas Medicaid website via your favorites, you will need to update or recreate them with the new web address.
Anticipated Changes to ARKids-B Coverage Beginning August 1, 2015
Anticipated Effective 8/1/15: ARKids-B beneficiaries will no longer be eligible for the VFC program. However, providers will still be able to obtain vaccines to administer to ARKids-B beneficiaries by contacting Bill Ledford with ADH at 501-661-2723 or firstname.lastname@example.org and indicating the need to order “ARKids-B SCHIP vaccines”. Expected for dates of service on or after 8/1/15, modifier “SL” will be required when billing for the administration of SCHIP vaccines to ARKids-B beneficiaries.
Anticipated effective for dates of service on or after 8/1/15, the services of orthodontia, occupational therapy, physical therapy, and inpatient psychiatric hospital and psychiatric residential treatment facility services will be covered services for ARKids-B beneficiaries. More information regarding these services will be available in the ARKids-2-14 provider manual update to be issued soon.
PERM (Payment Error Rate Measurement) Cycle 1 (FY2015) Provider Education Sessions
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 Thursday, June 25, 2015, 3:00-4:00 pm ET.
The two step audio/webinar process is:
- 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.
- 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.
REMINDER: 2014 EHR Attestation Grace Period Deadline 6/30/15 at 11:59 p.m. CST
If you wish to apply for an EH or EP EHR incentive payment for 2014, you must submit your application/attestation by the grace period deadline of 6/30/15 at 11:59 p.m. CST.
You must select the correct Meaningful Use Stage and enter the correct CMS EHR Certification ID. Please confirm you have done so before clicking Submit. If you select/enter incorrect information for these two fields, you must ABORT the application; otherwise, the MU options presented will be incorrect. You cannot make changes to these two fields after the deadline, even in Submitted Status. If the fields are incorrect when the application is submitted, a 2015 application will have to be submitted; no going back. 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 email@example.com. Upon contacting the AIPT, please provide screen prints regarding your question/concern.
TEFRA Waiver Renewal Approved by CMS
The Centers for Medicare and Medicaid Services (CMS) have approved the recent TEFRA renewal waiver. See “Waivers Approved by CMS” to view the renewal approval letter and special terms.
Proposed Amendment to Health Care Independence (aka Private Option) 1115 waiver
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
Post-Award Forum for Arkansas Health Care Independence (aka Private Option) Program
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
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
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