Provider relations – policy and education
AFMC’s policy and education outreach specialists serve as the link between health care providers and Arkansas Medicaid. We help providers navigate the Medicaid system and stay up-to-date on policy and procedures.
Our team is a diverse group of professionals, each with several years of managerial experience in clinics and hospitals as well as home health experience and nursing. We visit the following types of providers:
- Primary care physicians
- Specialists
- Hospitals
- Area Health Education Centers (AHECs)
- Federally Qualified Health Centers (FQHCs)
- Rural health clinics
- Arkansas Department of Health clinics
During the visits, our outreach specialists offer feedback and educational tools as needed to help providers implement quality utilization and improvement.
Our team provides general consultation in the following areas:
- Medicaid, ARKids First B, and other waivered programs
- Medicaid policy updates and requirements
- Episodes of Care assistance and patient-centered medical home education to provide cost-effective, high quality care
- Emergency room education and in-service
- Non-emergency transportation education (NET services)
- Early and periodic screening, diagnosis and treatment (EPSDT)
See our map below to find an outreach specialist in your area.
Outreach Update Archive
PCP update packets
4TH QUARTER, SFY 2016–2017 • APRIL 1–JUNE 31, 2017
Download packet (PDF)
What’s New
- Episodes of Care Update
- Extension of Benefits Referral Forms
- Medicaid Policy
- Medicaid Management Information System (MMIS)
- Non-Emergency Transportation Program (NET)
- PCMH News – What’s Due?
Arkansas Health Care Payment Improvement Initiative (AHCPII)
Patient Centered Medical Home (PCMH)
Practice transformation
Episodes of Care
Links
-
- AFMC Service Center
- Beneficiary education
- Drug Lists
- Emergency Room
- EPSDT
- Learn on Demand
- Patient termination: PCP transfers by PCP request
- PCP Assignment Required for Aid Category 06
- Quality improvement project updates
- Referral Policy
- Review
- Third party liability form (DCO-662 TPL) update
- Call 501-537-1070 for assistance with adding or deleting insurance from a Medicaid beneficiary
- Voice Response System
- “What’s new” for providers
3RD QUARTER, SFY 2016–2017 • JAN. 1–MAR. 31, 2017
Download packet (PDF)
What’s New
- Timely Filing Notice
- ADH Mumps Update
- AFMC Service Center
- ARKids First B Cost Sharing and Reimbursement
- Beneficiary Aid Categories
- Cough and Cold Drug List
- LARC Project
- Magellan Pharmacy Call Center
- New Medicaid Management Information System (MMIS)
- PCMH Deadlines – What’s Due?
- PCMH Policy
- Prior Authorizations
- Quick Reference Guide for Medicaid Eligibility
- ReviewPoint
- Update on Removal of 24-Day Hospital Cap
Arkansas Health Care Payment Improvement Initiative (AHCPII)
Patient Centered Medical Home (PCMH)
- PCMH 24/7 Best Practices
- PCMH Contacts
- PCMH FAQs
- PCMH manual and program policy addendum
- PCMH QA
- PCMH Recovery of Practice Support
- PCMH Research, Reconsideration and Appeals
Practice transformation
Episodes of Care
Links
-
- Beneficiary education
- Drug Lists
- Emergency Room
- EPSDT
- Learn on Demand
- Medicaid Pseudo Claims
- Outreach Update newsletter
- Patient termination: PCP transfers by PCP request
- PCP Assignment Required for Aid Category 06
- Quality improvement project updates
- Referral Policy
- Third party liability form (DCO-662 TPL) update
- Call 501-537-1070 for assistance with adding or deleting insurance from a Medicaid beneficiary
- Voice Response System
- “What’s new” for providers
2ND QUARTER, SFY 2016–2017 • OCT. 1–DEC. 31, 2016
Download packet (PDF)
What’s New
- Timely Filing Notice
- 2016-2017 Flu Update
- 2017 ICD-10 Billing Update
- Beneficiary Aid Categories
- Cough and Cold Drug List
- LARC Project
- PCMH Deadlines – What’s Due?
- PCMH Policy/Contacts
- Prior Authorizations
- Quick Reference Guide for Medicaid Eligibility
- Update on Removal of 24-Day Hospital Cap
Arkansas Health Care Payment Improvement Initiative (AHCPII)
Patient Centered Medical Home (PCMH)
Practice transformation
Episodes of Care
Links
-
- Beneficiary education
- Drug Lists
- Emergency Room
- Extension of Benefits (EOB)
- EPSDT
- Going Paperless
- Learn on Demand
- Medicaid Retroactive Eligibility
- Provider Outreach Update newsletter
- Patient termination: PCP transfers by PCP request
- PCP Assignment Required for Aid Category 06
- Quality improvement project updates
- Referral Policy
- Third party liability form (DCO-662 TPL) update
- Call 501-537-1070 for assistance with adding or deleting insurance from a Medicaid beneficiary
- Voice Response System
- “What’s new” for providers
1ST QUARTER, SFY 2016–2017 • JUL. 1–SEPT. 30, 2016
Download packet (PDF)
What’s New
- 24/7 Best Practices
- ER Flow Sheet
- Going Paperless
- Medicaid Educational Conference Presentations
- Medicaid Retroactive Eligibility
- PCP Assignment Required for Aid Category 06
- PCMH Deadlines — What’s Due?
- Voice Response System
Arkansas Health Care Payment Improvement Initiative (AHCPII)
Patient Centered Medical Home (PCMH)
Practice transformation
Episodes of Care
Links
-
- Beneficiary education
- Drug Lists
- ER Trend Reports
- Extension of Benefits (EOB)
- EPSDT
- Learn on Demand
- Provider Outreach Update newsletter
- Patient termination: PCP transfers by PCP request
- PCP Profile Reports
- Physician services benefit limit
- Quality improvement project updates
- Referral Policy
- Third party liability form (DCO-662 TPL) update
- Call 501-537-1070 for assistance with adding or deleting insurance from a Medicaid beneficiary
- “What’s new” for providers
Looking for an older packet? Check the archive.
