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Implementing a Change for the Better

Your Information Hub for the New MMIS

The Arkansas Department of Human Services (DHS) is pleased to announce the delivery of a new Arkansas Medicaid Management Information System (MMIS), which will Go-live beginning on November 1, 2017! Arkansas Medicaid providers and beneficiaries rely on a MMIS for provider enrollment, beneficiary eligibility and claims processing. If you submit Arkansas Medicaid claims, they will be processed through this new system. The new MMIS will bring cutting-edge technology to DHS, Arkansas Medicaid providers and beneficiaries.

Check this page often for the latest alerts and important information regarding implementation and for opportunities to learn about the new MMIS. The more you know, the smoother your transition will be. The new MMIS and Healthcare Portal will offer many features such as personalization and @neTouch to make your workflow effective, efficient and accurate. The success of the new MMIS depends on your satisfaction as an Arkansas Medicaid provider.

Alerts

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)

We encourage providers to attend training sessions to understand the portal registration process and delegate access options covered in the workshops. Training will help ensure your success with the new provider portal.

If you have a billing company, they will need to enroll as a trading partner and can also register to use the new portal. You will need to contact your billing company using this trading partner letter (PDF, new window) to notify them of the upcoming change.

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)

Claim Status Response for Trading Partners — Unsolicited 277 Response

Added 10/12/17
With the implementation of the new MMIS, Trading Partners must select the 276 transaction set in order to receive the claim status response. The Unsolicited 277 Response will no longer be available. To get a 277 Response, you must have a 276 Transaction. Other options are checking claim status by using the Search Claims option on the HealthCare Provider Portal or Voice Response System (VRS).

Policy Changes to Come

Updated 10/12/17
With the implementation of the new MMIS, the following billing policies will be affected:

  • Abortion Codes – The legacy MMIS uses CPT codes on the UB04 for the surgery code. Beginning November 1, Arkansas Medicaid will not accept CPT surgery codes and will require ICD-10 PCS.
    View proposed policy changes related to abortion codes. (PDF, new window)
     
  • Condition Code AN – The Hospital provider manual currently states providers must use condition code AN for newborn charges/bills. This condition code is outdated; condition code 81 is used nationally for newborn charges/bills. Draft policy revising the Hospital provider manual will be posted as it becomes available.
     
  • New Crossover Forms – The current proprietary crossover claim forms will no longer be used beginning October 16, 2017. 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 received beginning October 16 on the current proprietary crossover claim forms will be returned for resubmission using the new process. This change is for submitting crossovers on PAPER only.

  • Updated Adjustment Form – The current adjustment form will no longer be used beginning September 29, 2017. 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 beginning September 29, 2017, using the current form will be returned for resubmission using the new process. This change is for submitting adjustments on PAPER only.

    Also beginning September 29, adjustments will no longer be keyed into the legacy MMIS. Reversals will not be accepted after October 6, 2017 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 be submitted.

  • Z Code Conversion – Z codes are being crosswalked to national codes where necessary.
    View proposed policy changes related to Z codes crosswalked to national codes. (PDF, new window)

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)

Calendar

October 2017

Sunday Monday Tuesday Wednesday Thursday Friday Saturday
1 2 3 4 5 6 7
8 9 10 11 12 13
Early HealthCare Provider Portal registration ends
14
15 16
Begin using new crossover claim process for PAPER crossover claims
17 18 19 20
Claims entry in legacy MMIS ends at noon;

Claims entry into the new MMIS begins after 7 p.m. – all claims held for processing in new MMIS;

Eligibility updates in legacy MMIS ends
21
No eligibility updates in legacy MMIS;

Claims received held for processing in new MMIS
22
No eligibility updates in legacy MMIS;

Claims received held for processing in new MMIS
23
No eligibility updates in legacy MMIS;

Claims received held for processing in new MMIS
24
No eligibility updates in legacy MMIS;

Claims received held for processing in new MMIS
25
No eligibility updates in legacy MMIS;

Claims received held for processing in new MMIS,

Last date to verify eligibility through legacy MMIS
26
New MMIS online

Claims begin processing in the new MMIS;

Current eligibility files available in new MMIS;

HealthCare Provider Portal registration re-opens
27 28
29 30 31        

MMIS Job Aids

Training Materials File Name File Size
Eligibility Verification MMIS_JobAid_Eligibility.pdf 1.5MB
MAPIR MMIS_JobAid_MAPIR.pdf 1.2MB
Prior Authorization MMIS_JobAid_PriorAuthorization.pdf 2MB
Registering on the Provider Portal – Provider MMIS_JobAid_ProvPortalReg.pdf 6.1MB
Registering on the Provider Portal – Delegates MMIS_JobAid_DelegatePortalReg.pdf 4.4MB
Registering on the Provider Portal – Trading Partners MMIS_JobAid_TradingPartnerPortalReg.pdf 2.1MB
Frequently Asked Questions Regarding Registering on the Portal MMIS_JobAid_PortalRegFAQs.pdf 76k
Trading Partner ID Enrollment MMIS_JobAid_TrdngPrtnrIDEnroll.pdf 2.8MB
Frequently Asked Questions for Trading Partner ID Enrollment MMIS_TradingPartnerEnrollFAQ.pdf 75k
Search Payment History MMIS_JobAid_SearchPaymentHistory.pdf 946k
Submitting and Reviewing a Claim MMIS_JobAid_SubmittingReviewingClaim.pdf 3.4MB
Treatment History MMIS_JobAid_TreatmentHistory.pdf 1.5MB
Updating PCP Caseload MMIS_JobAid_UpdatingPCPCaseload.pdf 1.4MB
Uploading Documents MMIS_JobAid_UploadingDocuments.pdf 1.1MB
Using the new Medicaid Provider Portal PortalTraining.pdf 15MB

If you would like to learn more about the new MMIS, AFMC is hosting a series of virtual and on-site workshops on Navigating the Provider Portal. Register to attend today!


Go to Arkansas Medicaid         dxc.technology

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