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Services for Arkansas Medicaid providers

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 beneficiaries receive.

Arkansas Innovative Performance Program (AIPP)

A program managed by AFMC, AIPP is dedicated to helping Medicaid-certified nursing homes provide the best care possible for each resident. We do this by helping homes find opportunities for improvement and offering guidance and support to help make positive changes. We can help make state survey findings more understandable and meaningful and recommend best practice solutions to improve survey performance, care quality and resident satisfaction.

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 Behavioral Health Services (DBHS). Our team supports DBHS in its decision-making process regarding the delivery of prevention services.

AFMC HealthIT

AFMC HealthIT helps practices maximize incentive payments, implement electronic health records, achieve Meaningful Use, conduct security risk assessments, and adhere to security and HIPAA 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 beneficiaries 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 beneficiaries 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 – 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 beneficiary satisfaction with Medicaid programs and satisfaction levels of beneficiaries’ prenatal and delivery care. Surveys also assess how beneficiaries perceive their own health.