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Medical Director

Medical Director

The Medical Director provides medical input and expertise to the Medical Services area of Arkansas Medicaid. The Medical Director

  • acts as physician reviewer for the Utilization Review section, reviewing beneficiary records to determine whether criteria have been met
  • determines prior authorizations for areas such as Adult Personal Care Extension of Benefits, Adult and Child Home Health Extension of Benefits, Adult and Child Private Duty Nursing, drugs not meeting the pharmacy program’s prior-authorization criteria, and Adult Dental Services
  • on behalf of Arkansas Medicaid, hears disputes of beneficiaries when payment for services has been denied
  • participates in committees, associations, and boards as a representative of Arkansas Medicaid
  • writes white paper policy briefs for the director of the Arkansas Department of Human Services