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What's new for Arkansas Medicaid providers

What’s New for Arkansas Medicaid Providers

Content updated October 18, 2017

All systems are currently online.

Page Contents

Are You Ready for the New MMIS?
MMIS Transition Guides
Updated Adjustment Form
New Crossover Forms
MAPIR Offline Beginning 10/1/17
Sign-Up to Receive MMIS eBlasts
Electronic Funds Transfer Requirement Coming Soon
Change to Medicare Cards Coming Soon
Continued Effort: Policy Update Notifications Going “Paperless”
Monthly System Maintenance
Billing Bulletins
PES Trouble-Shooting Notes
New Official Notices
New Provider Manual Updates
New RA Messages

Are You Ready for the New MMIS?

Updated 10/14/17
The Arkansas Department of Human Services is pleased to announce the delivery of a new Arkansas Medicaid Management Information System (MMIS) coming November 2017.

  • Have you attended training?
  • Have you contacted your billing company/vendor/clearinghouse to make them aware of changes they need to make?
  • Do you need a new submitter ID?

Visit Front Line for details and prepare for upcoming changes today! (HTML, new window)

MMIS Transition Guides

Updated 10/14/17
Time is running out before implementation of the new MMIS! To help you manage the timeline for the new MMIS transition, we have developed guides for your reference. View or print the transition guides today! (PDF, new window)

Early portal registration has ended and the new HealthCare Provider Portal is currently unavailable through October 26. Information to help you with portal registration and filing claims in the new MMIS is still available. Get critical information regarding portal registration and the coming MMIS. (HTML, new window)

Updated Adjustment Form

Updated 10/18/17
The new HP-AR-004 Adjustment Request Form (PDF, new window), along with your updated claim must but be submitted for paper adjustment claims to DXC Technology.

Paper adjustments received on the old form will be returned for resubmission using the new process. This change is for submitting adjustments on PAPER only.

Adjustments are no longer being keyed into the legacy MMIS. Reversals are no longer being accepted for the legacy MMIS with the exception of Magellan reversals. Magellan reversals will be processed through October 19, 2017. This will allow claims data to be migrated from the legacy MMIS to the new MMIS. If you mail a paper adjustment during this time, it will be processed after November 1 in the order it was received. Beginning November 1, you can enter adjustments into the new HealthCare Provider Portal and reversals can also be submitted.

New Crossover Forms

Updated 10/18/17
The new EOMB attachment – Form DMS-600 (PDF, new window), along with your crossover claim and the original EOMB must be submitted for paper crossover claims to DXC Technology, PO Box 34440, Little Rock, AR 72203.

Paper crossover claims submitted on the former proprietary crossover claim forms will be returned for resubmission using the new process. This change is for submitting crossovers on PAPER only.

MAPIR Offline Beginning 10/1/17

Added 9/22/17
Due to the new MMIS system conversion, the MAPIR application will be offline starting 10/1/17, until further notice. The latest time to submit using MAPIR before the downtime is 9/30/17 at 11:59pm. Payment processing will be delayed during this timeframe. If you have questions or concerns, please contact the Arkansas Incentive Payment Team (AIPT) at aipt@hpe.com.

Sign Up to Receive MMIS eBlasts

Added 8/7/17
Receive the latest information regarding the new MMIS directly to your inbox! Sign-up for AFMC’s eBlast messages today. (HTML, new window)

Electronic Funds Transfer Requirement Coming Soon

Added 6/23/17
By November 1, 2017, providers will be required to submit information for Electronic Funds Transfer (EFT/Automatic Deposit). In anticipation of this requirement, we are asking Providers to submit their account information using the current Provider Enrollment form for EFT (Word, New Window). Arkansas Medicaid appreciates your compliance with this early request.

Change to Medicare Cards Coming Soon

Added 4/12/17
The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 mandates the removal of the SSN-based HICN from Medicare cards to address the current risk of beneficiary medical identity theft. Per the legislative requirement, CMS must mail out all Medicare cards with the new Medicare Beneficiary Identifier (MBI) by April 2019.

Will your practice management system need to make any changes to use the new MBI? If so, you’ll need to make those changes and test them from October 2017 until April 2018.

Get additional information about the new Medicare cards. (HTML, new window)

Stay tuned for additional information to learn about system updates and requirements, along with dates to remember.

Continued Effort: Policy Update Notifications Going “Paperless”

Updated 6/24/16
In an effort to end paper mail-outs and begin electronic-only notifications of provider documentation, Arkansas Medicaid is still needing some providers to respond to the request for email addresses. To be more fiscally and environmentally responsible, notifications will be sent by email, and access to these documents will be available here on the “What’s New for Arkansas Medicaid Providers” webpage.

A second provider letter and form requesting an updated email address has been mailed. Thank you if you have already responded. If you still need to update your business email address (a generic email address that more than one person can access), please complete the Provider Address Change Form (DMS-673) (Word, new window) and submit it to the Provider Enrollment Unit by mail or fax.

Medicaid Provider Enrollment Unit
P.O. Box 8105
Little Rock, AR 72203-8105
Fax: (501) 374-0746

When providing your email address:

  • Use a generic email address that more than one person can access (e.g., xyzclinic@yahoo.com instead of janedoe@yahoo.com). Email addresses often become outdated when an individual leaves a practice or clinic.
  • You must notify the Division of Medical Services Medicaid Provider Enrollment Unit if any information changes.
  • Make sure the email address will accept email from hpe.com. You may have to instruct your network administrator or email provider to accept emails from hpe.com. Arkansas Medicaid sends email in bulk and some email services block bulk email unless instructed otherwise.
  • If Internet access is not yet available in your area, please write “no access” in the email field of the Provider Address Change Form (DMS-673).

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 Official Notices

Added 10/18/17
Arkansas Medicaid released an official notice for all providers regarding 2018 International Classification of Diseases, 10th Revision, Clinical Modification/Procedure Coding System (ICD-10-CM/PCS). View or print ON-001-17. (Word, new window)

New Provider Manual Updates

Added 9/29/17
Arkansas Medicaid released a Child Health Management Services (CHMS) provider manual update. View or print the CHMS-2-17 transmittal letter. (Word, new window)
View or print changes to the CHMS provider manual. (Word, new window)

Arkansas Medicaid released a new DDS Community and Employment Supports (CES) provider manual. View or print the DDSCES-New-17 transmittal letter. (Word, new window)
View or print the DDSCES provider manual. (Word, new window)

Arkansas Medicaid released a Developmental Day Treatment Clinic Services (DDTCS) provider manual update. View or print the DDTCS-2-17 transmittal letter. (Word, new window)
View or print changes to the DDTCS provider manual. (Word, new window)

Arkansas Medicaid released a new Provider-Led Arkansas Shared Savings Entity (PASSE) Program provider manual. View or print the PASSE-NEW-17 transmittal letter. (Word, new window)
View or print the PASSE Program provider manual. (Word, new window)

Added 9/22/17
Arkansas Medicaid released a DDS Alternative Community Services (ACS) Waiver provider manual update. View or print the DDSACS-2-17 transmittal letter. (Word, new window)
View or print changes to the DDSACS provider manual. (Word, new window)

Arkansas Medicaid released an Inpatient Psychiatric provider manual update. View or print the INPPSYCH-1-17 transmittal letter. (Word, new window)
View or print changes to the Inpatient Psychiatric provider manual. (Word, new window)

Arkansas Medicaid released an Outpatient Behavioral Health Services (OBHS) provider manual update. View or print the OBHS-1-17 transmittal letter. (Word, new window)
View or print changes to the OBHS provider manual. (Word, new window)

New RA Messages

Added 10/6/17
Arkansas Medicaid released an RA message to Pharmacy providers. View the RA message regarding New CAP Rates. (Word, new window)

Added 9/29/17
Arkansas Medicaid released an RA message to all providers. View the RA message regarding New Crossover Forms. (Word, new window)

Added 9/22/17
Arkansas Medicaid released an RA message to all providers. View the RA message regarding DMS-679A. (Word, new window)

Arkansas Medicaid released an RA message to all providers. View the RA message regarding ARMedicaid Insider Newsletter (Volume 2, Issue 6). (Word, new window)

Arkansas Medicaid released an RA message to Eligible Hospital and Eligible Professional providers. View the RA message regarding MAPIR Offline Beginning 10/1/17. (Word, new window)