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Affordable Care Act Information

Affordable Care Act Information

Refer to this page periodically for updated information regarding the Affordable Care Act.

Enrollment Application Fee Requirements

Effective July 1, 2013, the Arkansas Medicaid Program adopted new enrollment application fee requirements that have been mandated as part of the Affordable Care Act (ACA). The changes include:

  • All providers regardless of provider type are required to re-enroll every five (5) years.

  • Certain provider types are subject to an application fee. The Centers for Medicare & Medicaid Services (CMS) sets the application fee amount, which may vary or be adjusted from year to year and is payable every five (5) years. This federally mandated fee will be used to offset the cost of conducting new screening activities associated with the ACA. View the list of providers required to pay the fee. (PDF, new window)

    These providers must enroll online and pay an application fee.

  • If the provider is enrolled in Medicare and has paid the application fee to Medicare, or if the provider is enrolled in another state’s Medicaid Program and has paid the application fee to that state’s Medicaid Agency, the provider is not required to pay the application fee to Arkansas Medicaid.

  • Individual providers (such as physicians, dentists, therapists) and groups of individual providers (such as physician groups, dental groups, therapy groups) are not required to pay the application fee.

The complete rule is available for viewing in Section 140.000 – Section I All Provider Manuals. (Word, new window)

The new enrollment process began April 1, 2014. Providers will receive a ninety (90) day notice that they must comply with the new enrollment guidelines. Providers will also receive notices sixty (60) and thirty (30) days prior to their enrollment deadline.

Affordable Care Act (ACA) 1104 Changes Effective January 1, 2013

added 11/30/12
Effective January 1, 2013, Arkansas Medicaid implemented MMIS system changes to accommodate ACA 1104.

View the reminder letter to providers.

View the provider letter for more information.

ACA 1104 Companion Guides Now Available

added 10/19/12
Companion guides for system changes due to the Affordable Care Act (ACA 1104) are now available. They are intended for vendors that design software or systems for submitting health care transactions electronically to Arkansas Medicaid.

View the companion guides.