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What's new for Arkansas Medicaid providers

What’s New for Arkansas Medicaid Providers

Content updated December 17, 2017

All systems are currently online.

Page Contents

Claim Submission Cutoff
Primary Care Physician Provider Action Needed – Changing Service Counties/Regions
820 – Capitation Payment Report
Need Help from DXC?
MAPIR Back Online and Accepting Program Year 2017 Applications
Updated Adjustment Form
Electronic Funds Transfer Requirement
New Crossover Forms
Change to Medicare Cards Coming Soon
Continued Effort: Policy Update Notifications Going “Paperless”
Monthly System Maintenance
Billing Bulletins
PES Trouble-Shooting Notes
New Provider Manual Updates
New RA Messages

Claim Submission Cutoff

Updated 11/30/17
Claims must be submitted by 6:00 p.m. each Friday in order to be included in the weekly financial cycle. Your claims must be included in the financial cycle to pay the following week.

For Pharmacy claims processed by Magellan, the claims submission cutoff is midnight each Thursday.

Primary Care Physician Provider Action Needed – Changing Service Counties/Regions

Added 11/30/17
In an attempt to have the correct Primary Care Physician information on file, we are requesting that the PCP Agreement (Word, new window) be completed by PCPs who are changing service counties/regions or changing who will receive the Managed Care fee payment. Be mindful that if you remove a county/region and you have a patient currently assigned to you in that region, the patient will be unassigned. Please fax the form to (501) 374-0746.

820 – Capitation Payment Report

Added 11/21/17
We are aware of an issue that some providers have not received their 820 Capitation Payment report. We are working on a resolution at this time. Additional information concerning this issue will be posted on Front Line and on the provider portal.

Need Help from DXC?

Added 11/20/17
Our Provider Assistance Center and EDI Support Center are open from 6:00 a.m. to 6:00 p.m. Monday through Friday.Need help?

EDI, PAC, Provider Enrollment, and AIPT share the same convenient phone numbers:
(800) 457-4454 in-state toll-free or
(501) 376-2211 local and out-of-state.

If you need to call the EDI Support Center for assistance, please be prepared with the following information to expedite research:

  • Your provider number(s)
  • Your trading partner number(s)
  • Your method of submission – portal, PES, upload via the portal or secure website, vendor system/billing company/clearinghouse

Also, please have the person most familiar with the electronic billing and expected responses contact the EDI Support Center.

For more help making the transition, Front Line is the place for MMIS information. Visit the Front Line webpage for details today! (HTML, new window)

MAPIR Back Online and Accepting Program Year 2017 Applications

Added 11/8/17
MAPIR is back online and accepting 2017 applications in the new HealthCare Provider Portal. If you haven’t already registered for the portal, access Critical Information Regarding Portal Registration and the New MMIS. (HTML, new window)

For Program Year 2017 Applications: The Meaningful Use (MU) EHR reporting period is a minimum of any continuous 90-days between January 1 and December 31, 2017. If this is your first time reporting MU, then you must report 90-days of Clinical Quality Measures (CQM).

If you have already received a payment for meeting MU prior to program year 2017, you must report a full year of Clinical Quality Measures (CQM). You can start your application now; however, you will need to wait until January 1, 2018 or later to complete the CQM portion of your application.

If you have questions or concerns, then please contact the Arkansas Incentive Payment Team (AIPT) at aipt@hpe.com.

Updated Adjustment Form

Updated 11/5/17
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.

If you mailed a paper adjustment before November 1, it will be processed in the order it was received. Adjustments and reversals can be entered into the new HealthCare Provider Portal beginning November 1 to avoid paper submission.

Electronic Funds Transfer Requirement

Updated 11/5/17
Beginning November 1, 2017, providers are required to use Electronic Funds Transfer (EFT/Automatic Deposit). Providers who have not set up EFT must submit their account information using the current Provider Enrollment form for EFT (Word, New Window).

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.

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 Provider Manual Updates

Added 12/15/17
Arkansas Medicaid released a Patient-Centered Medical Home (PCMH) provider manual update. View or print the PCMH-2-17 transmittal letter. (Word, new window)
View or print changes to the PCMH provider manual. (Word, new window)

Added 11/22/17
Arkansas Medicaid released an ARChoices in Home Care Home and Community-Based 2176 Waiver provider manual update. View or print the ARCHOICES-1-17 transmittal letter. (Word, new window)
View or print changes to the ARChoices provider manual (1-17). (Word, new window)

Arkansas Medicaid released a Child Health Services/Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) provider manual update. View or print the EPSDT-1-17 transmittal letter. (Word, new window)
View or print changes to the EPSDT provider manual (1-17). (Word, new window)

Arkansas Medicaid released a Home Health provider manual update. View or print the HOMEHLTH-1-17 transmittal letter. (Word, new window)
View or print changes to the Home Health provider manual (1-17). (Word, new window)

Arkansas Medicaid released a Hospice provider manual update. View or print the HOSPICE-1-17 transmittal letter. (Word, new window)
View or print changes to the Hospice provider manual (1-17). (Word, new window)

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

Arkansas Medicaid released a Personal Care provider manual update. View or print the PERSCARE-1-17 transmittal letter. (Word, new window)
View or print changes to the Personal Care provider manual (1-17). (Word, new window)

Arkansas Medicaid released a Private Duty Nursing Services provider manual update. View or print the PDN-1-17 transmittal letter. (Word, new window)
View or print changes to the Private Duty Nursing Services provider manual (1-17). (Word, new window)

Arkansas Medicaid released a Physician provider manual update. View or print the PHYSICN-3-17 transmittal letter. (Word, new window)
View or print changes to the Physician provider manual (3-17). (Word, new window)

Arkansas Medicaid released a Rural Health Clinic (RHC) provider manual update. View or print the RURLHLTH-1-17 transmittal letter. (Word, new window)
View or print changes to the Rural Health Clinic provider manual (1-17). (Word, new window)

Arkansas Medicaid released a Section I all provider manuals update. View or print the SecI-3-17 transmittal letter. (Word, new window)
View or print changes to the Section I of all provider manuals. (3-17) (Word, new window)

Added 11/16/17
Arkansas Medicaid released a Section V all provider manuals update. View or print the SecV-7-17 transmittal letter. (Word, new window)
View or print changes to the Section V of all provider manuals. (7-17) (Word, new window)
View or print changes to Medicare EOMB Information - Form DMS-600. (Word, new window)

New RA Messages

Added 12/8/17
Arkansas Medicaid released an RA message to all Orthodontic providers. View the RA message regarding New PA Request Process - Orthodontia. (Word, new window)

Added 11/30/17
Arkansas Medicaid released an RA message to all Primary Care Physician providers. View the RA message regarding Primary Care Physician Provider Action Needed – Changing Service Counties/Regions. (Word, new window)

Arkansas Medicaid released an RA message to all providers. View the RA message regarding Claim Submission Cutoff. (Word, new window)

Added 11/16/17
Arkansas Medicaid released an RA message to all providers. View the RA message regarding Claim Submission Cutoff. (Word, new window)