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What's new for Arkansas Medicaid providers

What’s New for Arkansas Medicaid Providers

Content updated May 22, 2015

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Page Contents

PERM (Payment Error Rate Measurement) Cycle 1 (FY2015) Provider Education Sessions
Outcomes Questionnaires (OQ) Contract with HP to Dissolve after 4/30/15
Claims Submitted without ICD-10 Codes On or After 10/1/15 Will NOT Be Paid
CMS’ EHR Provider Incentive Payment Flexibility Rule
November 30, 2015 EHR Program Participation Deadline For Eligible Hospitals (EH)
Updated: 2014 Eligible Professional (EP) Attestation Deadline is 6/30/15 at 11:59 p.m. CST
Updated: 2014 Eligible Hospitals (EH) Attestation Deadline is 6/30/15 at 11:59 p.m. CST
Insurance Cards for Private Option Enrollees
Monthly System Maintenance
Billing Bulletins
PES Trouble-Shooting Notes
New Provider Manual Updates
New RA Messages

PERM (Payment Error Rate Measurement) Cycle 1 (FY2015) Provider Education Sessions

Added 5/15/15
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 Wednesday, June 17, 2015, 3:00-4:00 pm ET.

The two step audio/webinar process is:

  1. 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.
  2. 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.

Outcomes Questionnaires (OQ) Contract with HP to Dissolve after 4/30/15

Added 4/30/15
After today, the contract between Hewlett Packard Enterprise Services (HP) and Outcomes Questionnaires (OQ) will dissolve. You will have until the end of the business day (4/30/15) to retrieve the data you need from the OQ website. The Department of Human Services will store the raw data from the OQ site in its raw format, but it will not be accessible to you through web-based means. Meaning, if you request the raw data, then you will receive it in a flat file, unformatted. We highly encourage you to retrieve the data you will need by today. Additionally, if you choose to continue using OQ, you will need to establish that relationship with your OQ contact. We appreciate your assistance in this matter and apologize for the short notice. Please visit the OQ website to retrieve your data. (HTML, new window)

Claims Submitted without ICD-10 Codes On or After 10/1/15 Will NOT Be Paid

Added 4/24/15
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)

CMS’ EHR Provider Incentive Payment Flexibility Rule

Added 4/1/15
CMS’ EHR Provider Incentive Payment Flexibility Rule requirements for 2014 certified EHR technology is in effect with the implementation of MAPIR 5.5, which is now available. If using the Flexibility Rule criteria, you must complete the Flexibility Rule Justification Form (Word, new window) and upload it to your application prior to submission.

The corresponding MAPIR 5.5 User Guides for Eligible Professionals and Eligible Hospitals are now available on the Arkansas Medicaid website via the links below. These guides are effective as of April 1, 2015.

Please note that the 2014 Attestation Deadline for Eligible Hospitals (EH) and Professionals (EP) is 06/30/15 at 11:59 p.m. CST. 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.

November 30, 2015 EHR Program Participation Deadline For Eligible Hospitals (EH)

Added 2/27/15
If you are a dually-eligible hospital and wish to receive an EHR incentive payment, first-time participants must attest with Medicare by November 30, 2015. Please contact the Arkansas Incentive Payment Team (AIPT) at aipt@hp.com with questions or concerns.

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.

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.

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.

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 5/15/15
Arkansas Medicaid released a Prosthetics provider manual update. View the transmittal letter for PROSTHET-4-15 provider manual update. (Word, new window)
View changes to the Prosthetics provider manual. (Word, new window)

New RA Messages

Added 5/22/15
Arkansas Medicaid released an RA message to All Providers. View the RA message regarding AFMC/HealthIT EHR Assistance. (Word, new window)

Added 5/15/15
Arkansas Medicaid released an RA message to All Providers. View the RA message regarding ICD-10 Content-Based Testing. (Word, new window)

Arkansas Medicaid released an RA message to All Providers. View the RA message regarding PERM (Payment Error Rate Measurement) Cycle 1 (FY2015) Provider Education Sessions. (Word, new window)

Added 5/8/15
Arkansas Medicaid released an RA message to All Providers. View the RA message regarding HCPCS Procedure Code E2359. (Word, new window)