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What's new for Arkansas Medicaid providers

What’s New for Arkansas Medicaid Providers

Content updated March 27, 2015

All systems are currently online.

Page Contents

New HP Telephone System Fully Implemented
Provider Memorandum Regarding Drug Utilization Review Board Edits
New Pharmacy Vendor Fax Numbers Effective 3/14/15
New Arkansas Medicaid Pharmacy Vendor Effective 3/14/15
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

New HP Telephone System Fully Implemented

Updated 3/27/15
HP’s new telephone system has been fully implemented. The old phone system is no longer available. The main phone number (501) 374-6608 and the toll-free number 1-800-457-4454 will remain in use. You can reach HP employees with whom you communicate regularly using their new direct-dial phone numbers noted in their email signature line.

Provider Memorandum Regarding Drug Utilization Review Board Edits

Added 3/6/15
The Division of Medical Services Pharmacy Program has issued a memorandum to Arkansas Medicaid prescribers and interested parties. View or print the memorandum regarding Arkansas Medicaid DUR Board Edits Approved at the January 21, 2015 Meeting. (Word, new window)

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)

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)

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 3/20/15
Arkansas Medicaid released a Home Health provider manual update. View the transmittal letter for HOMEHLTH-2-15 provider manual update. (Word, new window)  View changes to the Home Health provider manual. (Word, new window)

Arkansas Medicaid released a Physician provider manual update. View the transmittal letter for PHYSICN-1-14 provider manual update. (Word, new window)  View changes to the Physician provider manual. (Word, new window)

Added 3/13/15
Arkansas Medicaid released a Pharmacy provider manual update. View the transmittal letter for PHARMACY-1-15 provider manual update. (Word, new window)  View changes to the Pharmacy provider manual. (Word, new window)

Arkansas Medicaid released a Section V all provider manuals update. View the transmittal letter for SecV-1-15 provider manual update. (Word, new window)  View changes to Section V of all provider manuals. (Word, new window)

New RA Messages

Added 3/27/15
Arkansas Medicaid released an RA message to All Providers. View the RA message regarding Prior Authorization Changes to Wheelchair and Wheelchair Seating Systems. (Word, new window)

Added 3/13/15
Arkansas Medicaid released an RA message to All Providers. View the RA message regarding ICD-10 Content-Based Testing. (Word, new window)

Added 3/6/15
Arkansas Medicaid released an RA message to All Providers. View the RA message regarding EHR Program – Switching Programs (Medicare/Medicaid). (Word, new window)