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Services for Arkansas Medicaid providers

Medication Assisted Treatment

Effective September 1, 2020, Arkansas Medicaid supports beneficiaries with Opioid Use Disorder (OUD). Medication Assisted Treatment (MAT) is the use of medications in combination with counseling and behavioral therapies for the treatment of substance use disorders. Follow this link to learn more.

AFMC’s teams include experienced and knowledgeable physicians, former practice/office managers, registered nurses, billing specialists and hospital and long-term care administrators who know Medicaid inside and out. We understand the daily challenges providers face. Our teams work with providers through telephone, personal office visits and secure HIPAA-compliant, electronic portals to improve the efficiency and quality of the health care your Medicaid clients receive.

Arkansas State Epidemiological Outcomes Workgroup (SEOW)

AFMC’s analytics team provides analytical support and leadership for Arkansas State Epidemiological Outcomes Workgroup (SEOW) through a contract with the Arkansas Department of Human Services Division of Aging, Adult, and Behavioral Health Services (DAABHS). Our team supports DAABHS in its decision-making process regarding the delivery of prevention services.

Arkansas Medicaid Management Information System (MMIS)

AFMC’s MMIS Outreach team assists Medicaid providers with Medicaid policy and procedures. Our staff is knowledgeable and we know the importance of providers having a clear understanding of the billing process, enterprise structure and program requirements.

Medicaid quality improvement projects

AFMC’s Medicaid Quality Improvement program specialists work with physicians and clinics to design, develop and implement evidence-based practices to improve the quality of care delivered to patients.

Medicaid review and prior authorization

URAC accredited in health utilization management, AFMC is the Arkansas Medicaid review agent. We also conduct reviews and prior authorizations for Child Health Management Services and therapy and personal care for Medicaid clients under the age of 21.

Non-Emergency Transportation program

The Arkansas Medicaid Non-Emergency Transportation (NET) program, which is provided through Division of Medical Services (DMS), provides eligible Medicaid clients with transportation to the nearest qualified Medicaid provider.

Transportation is provided only to and from Medicaid-covered services. No co-payments are required, and there are no limits on the number of trips and no mileage caps.

Patient-centered medical home – practice transformation

The process for converting a traditional practice into a patient-centered medical home is not easy. There are new measures to meet, new processes to implement and new metrics to track. AFMC’s practice transformation team can guide practices through the transition as well as aligning efforts with national quality initiatives and state payment improvement projects.

Patient-centered medical home – quality assurance

The patient-centered medical home quality assurance team works to ensure that PCMH-enrolled practices are meeting the metrics and activities of the program and that the program is making payments only to qualified practices.

Provider relations – DPSQA

AFMC’s DPSQA outreach specialists serve as the link between the Division of Provider Services and Quality Assurance (DPSQA) and the Medicaid provider community. The specialists help ensure providers understand applicable DHS programs, program requirements and operations, new initiatives, Medicaid policy changes and best-practice guidelines.

Provider relations – policy and education

Our outreach specialists are policy experts, educators and practice specialists who work with all primary care physicians and certain specialists who accept Medicaid and ARKids First. AFMC outreach specialists help practices navigate the Medicaid system and provide better care for their patients.

Surveys and reporting

AFMC is an National Committee for Quality Assurance (NCQA)-certified HEDIS/CAHPS survey vendor that conducts several surveys each year to measure client satisfaction with Medicaid programs and satisfaction levels of clients’ prenatal and delivery care. Surveys also assess how clients perceive their own health.