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What's new for Arkansas Medicaid providers

What’s New for Arkansas Medicaid Providers

Content updated February 20, 2015

All systems are currently online.

Page Contents

New Pharmacy Vendor Fax Numbers Effective 3/14/15
Provider Memorandum
Updated: 2014 Eligible Professional (EP) Attestation Deadline is 6/30/15 at 11:59 p.m. CST
New Arkansas Medicaid Pharmacy Vendor Effective 3/14/15
ADHD Portal Improvement
National Corrective Coding Initiative New Procedure-to-Procedure (PTP) – Associated Modifiers
UPDATED: 2014 Eligible Hospitals (EH) Attestation Deadline is 6/30/15 at 11:59 p.m. CST
ARKids First-B Beneficiaries WILL STILL BE ELIGIBLE for VFC Program beginning January 1, 2015
NEW ARKids First-B SERVICES WILL NOT BE ADDED TO BENEFIT COVERAGE beginning January 1, 2015
New HP Telephone System
Insurance Cards for Private Option Enrollees
Monthly System Maintenance
Billing Bulletins
PES Trouble-Shooting Notes
New Provider Manual Updates
New RA Messages

New Pharmacy Vendor Fax Numbers Effective 3/14/15

Added 2/27/15
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)

Provider Memorandum

Added 2/13/15
The Division of Medical Services has issued a memorandum to Pharmacy providers. View or print the memorandum regarding New Medicaid Pharmacy Vendor. (Word, new window)

Updated: 2014 Eligible Professional (EP) Attestation Deadline is 6/30/15 at 11:59 p.m. CST

Updated 1/29/15
If you wish to apply for an EP EHR incentive payment for Calendar Year 2014, you must submit your application/attestation by June 30, 2015.

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 aipt@hp.com. Upon contacting the AIPT, please provide screen prints regarding your question/concern.

New Arkansas Medicaid Pharmacy Vendor Effective 3/14/15

Added 1/23/15
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)

ADHD Portal Improvement

Added 1/23/15
Effective 2/1/15, changes will be complete to the AHIN portal allowing a more explicit selection of certifications. For assistance on entering certifications with the new changes and questions, please contact the help desk at 1-866-322-4696 (Toll-Free), 501-301-8311, or via email arkpii@hp.com.

National Corrective Coding Initiative New Procedure-to-Procedure (PTP) – Associated Modifiers

Added 12/19/14
Effective for dates of service on and after January 1, 2015, four new HCPCS modifiers will be established that should be added to the list of Procedure-to-Procedure (PTP) – Associated Modifiers for Medicaid claims. View official notice ON-004-14 for more details. (Word, new window)

UPDATED: 2014 Eligible Hospitals (EH) Attestation Deadline is 6/30/15 at 11:59 p.m. CST

Updated 12/19/14
Due to the CMS-granted extension given to Medicare for Eligible Hospitals, Medicaid has extended the EH deadline. If you wish to apply for an EH EHR incentive payment for Fiscal Year 2014, you must submit your application/attestation by June 30, 2015.

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 aipt@hp.com. Upon contacting the AIPT, please provide screen prints regarding your question/concern.

ARKids First-B Beneficiaries WILL STILL BE ELIGIBLE for VFC Program beginning January 1, 2015

Added 12/17/14
The changes that had been planned to be made to the ARKids-B program will not be implemented 1/1/15 as previously reported. ARKids First-B beneficiaries will still be eligible for the VFC Program for dates of service 1/1/15 and after, and providers can continue to obtain vaccines as they have always done using the vaccine ordering process currently in place with the Arkansas Department of Health.

NEW ARKids First-B SERVICES WILL NOT BE ADDED TO BENEFIT COVERAGE beginning January 1, 2015

Added 12/17/14
The changes that had been planned to be made to the ARKids-B program will not be implemented 1/1/15 as previously reported. The previously reported new services of orthodontia, occupational therapy, physical therapy, and psychiatric hospital and psychiatric residential treatment facility services will NOT be covered services for ARKids First-B beneficiaries for dates of service 1/1/15 and after.

New HP Telephone System

Added 12/11/14
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.

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.

Monthly System Maintenance

System maintenance will be performed from 10:00 p.m. to 2:00 a.m. on the first and third Saturday of each month. During the maintenance period, you will not be able to verify eligibility interactively; however, you will still be able to enter claims and check eligibility through Arkansas Medicaid's website. Batch transactions received during this period will be held in queue and will be processed as soon as maintenance is complete. Pharmacy claims will not be affected.

Billing Bulletins

For the latest billing news, see Billing Bulletins.

PES Trouble-Shooting Notes

If you're having trouble using Provider Electronic Solutions software, please see PES Trouble-Shooting Notes.

New Provider Manual Updates

Added 2/20/15
Arkansas Medicaid released a Developmental Day Treatment Clinic Services (DDTCS) provider manual update. View the transmittal letter for DDTCS-1-15 provider manual update. (Word, new window)  View changes to the Developmental Day Treatment Clinic Services provider manual. (Word, new window)

Added 2/13/15
Arkansas Medicaid released an ARKids First-B provider manual update. View the transmittal letter for ARKIDS-1-15 provider manual update. (Word, new window)  View changes to the ARKids First-B provider manual. (Word, new window)

Added 2/6/15
Arkansas Medicaid released a Living Choices Assisted Living provider manual update. View the transmittal letter for LCAL-1-15 provider manual update. (Word, new window)  View changes to the Living Choices Assisted Living provider manual. (Word, new window)

Added 1/23/15
Arkansas Medicaid released a Hospital provider manual update. View the transmittal letter for HOSPITAL-3-14 provider manual update. (Word, new window)  View changes to the Hospital provider manual. (Word, new window)

New RA Messages

Added 2/13/15
Arkansas Medicaid released an RA message to Pharmacy Providers. View the RA message regarding New Pharmacy Vendor. (Word, new window)

Added 1/30/15
Arkansas Medicaid released an RA message to ARKids First-B, Child Health Services/Early and Periodic Screening, Diagnosis, and Treatment (EPSDT), Episodes of Care, Patient-Centered Medical Home (PCMH), Physician, Rehabilitative Hospital, Rehabilitative Services for Persons with Physical Disabilities (RSPD), and Rehabilitative Services for Persons with Mental Illness (RSPMI) Providers. View the RA message regarding ADHD Portal Improvement. (Word, new window)

Arkansas Medicaid released an RA message to All Providers. View the RA message regarding Updated: 2014 Eligible Professional (EP) Attestation Deadline is 6/30/15 at 11:59 P.M. CST. (Word, new window)

Added 1/23/15
Arkansas Medicaid released an RA message to Patient-Centered Medical Home (PCMH) Providers. View the RA message regarding PCMH Payments and Report. (Word, new window)