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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 Prescription Drug PA Help Desk:
In-state toll free:
(800) 707-3854
Local and out-of-state:
(501) 374-6609 x 500 
Voice Response System (VRS)
(800) 806-6181

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

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Timely Information from Arkansas Medicaid

All systems are currently online.

CMS-1500 Claim Rejections Due to Numeric Entries in Field 24E
Added 4/10/14
Field 24E, Diagnosis Pointer, of the CMS-1500 claim form previously required numeric indicators that corresponded to a diagnosis code in Field 21.

CMS-1500 version 02/12 requires an alphabetic entry in this field. The diagnosis code reference letter pointer should be A-L, or multiple letters as applicable. For more information about how you should complete Field 24E, please refer to your provider billing manual, "Completion of the CMS-1500 Claim Form."

Handout Regarding CMS-1500 Version 02/12
Added 3/31/14
Arkansas Medicaid has replaced the National Uniform Claim Committee (NUCC) CMS-1500 form with version 02/12. View or print a provider relations handout regarding changes to the form for more information. (Word, new window)   View or print a sample CMS-1500 form. (PDF, new window)

PCP Not Required for Newly Eligible Population
Added 1/23/14
Effective January 1, 2014, a Premium Assistance enrollee (aid category 06) in the Newly Eligible Population is not required to have a PCP assigned in order to receive services. To prevent claim denials, providers should hold claims with dates of service from 1/1/14 to 1/24/14 and submit them after 1/24/14. Please contact the Provider Assistance Center with any questions or for further information.

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)

Public Notices for 1115 Demonstration Waiver Applications/Renewals/Amendments
Updated 6/24/13
View the State's public notice and input processes for the 1115 Demonstration Waiver project applications/renewals/amendments.

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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