Timely Information from Arkansas Medicaid
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New Pharmacy Vendor Fax Numbers Effective 3/14/15
As of March 14, 2015, the Arkansas Medicaid Pharmacy Program will be transitioning to a new point-of-sale pharmacy claims system managed by Magellan Medicaid Administration (MMA). This system change will impact the fax numbers for submissions of Prior Authorization (PA) requests. Please make note of the new fax numbers so you do not experience a delay in reviewing your request(s).
View or print the new fax number bulletin. (Word, new window)
New Arkansas Medicaid Pharmacy Vendor Effective 3/14/15
Magellan Medicaid Administration will assume administrative operation of the Medicaid Pharmacy program for the State of Arkansas and take over operations from the current administrating company, Hewlett-Packard (HP) on March 14, 2015. At that time, pharmacies will submit all Arkansas Medicaid Pharmacy claims for payment through the new pharmacy vendor’s system. The new system will provide point-of-sale (POS) claims processing.
Pharmacies are encouraged to contact their software vendors to assure they are aware of this transition and the availability of a new NCPDP Payer Sheet for Arkansas Medicaid. (Word, new window) You will need to work with your vendor to assure your pharmacy practice system is on track to populate claims with the updated routing and claim field information so that claims will reach the new processing system when you fill prescriptions on and after 3/14/2015.
View or print the latest provider memorandum regarding the transition to Magellan. (Word, new window)
New HP Telephone System
The transition of HP’s new telephone system began on 12/15/14. You may notice new direct-dial phone numbers in the emails of HP employees with whom you communicate regularly. Until the full telephone system implementation is complete, providers will have the ability to reach their contacts with the old and new telephone numbers. We welcome the opportunity to test the new system. The main phone number (501) 374-6608 and the toll-free number 1-800-457-4454 will remain in use after implementation.
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
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
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