Provider relations – policy and education

IMPORTANT UPDATE!

Requests for Prior Authorization (PAs) and extensions of benefits (EOBs) must be submitted through the Medicaid Provider Portal instead of AFMC ReviewPoint, effective May 1, 2019. AFMC cannot receive or process PAs submitted through AFMC ReviewPoint after May 1, 2019.

Retrospective Reviews (for services that occurred in the past, excluding EOBs) will continue to be submitted through AFMC ReviewPoint.

To submit a PA through the Medicaid Provider Portal, you will need Medicaid Provider Portal login. From there, you can log in or register a new account. If you need immediate support, call (479) 649-8501. Please have your Medicaid Provider ID ready. 

 

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

1ST QUARTER, SFY 2019–2020 • JULY 1 - SEPT. 30, 2019
Download packet (PDF)

Dual Eligibles

Dual eligible benefit plans having no Medicaid benefits

Episodes of Care

SFY 2020 first quarter reports

  • SFY 2020 1st quarter episode of care reports can be viewed on AHIN on or after July 31, 2019.

Exhausted Benefits

MMIS

PASSE

Patient-Centered Medical Home (PCMH)

Pharmacy

Magellan

Provider Enrollment

Therapy

Voice Response System (VRS)

4TH QUARTER, SFY 2018–2019 • APRIL 1 - JUNE 30, 2019
Download packet (PDF)

Arkansas Works

DMS-2609 PCP Selection/Change Form

  • PCP assignment not needed for IAPB or Medicare primary

Extension of Benefits

Immunization Schedule

Medicaid Management Information System (MMIS)

Medicaid Non-Emergency Transportation (NET)

PASSE

PASSE Contacts

  • DHS PASSE Provider Line………………………………1-888-889-6451
  • Arkansas Total Care……………………………………….1-866-282-6280
  • Empower Healthcare Solutions………………………..1-855-429-1028
  • Summit Community Care………………………………..1-844-462-0022

Patient-Centered Medical Home (PCMH)

Physician Assistant — Direct Supervision

Provider Enrollment

Referrals

Telemedicine

Title V Children with Special Health Care

Needs Webinar (2/7/19)

1ST AND 2ND QUARTERS, SFY 2018–2019 • JULY 1–DEC 31, 2018
Download packet (PDF)

What’s New

Arkansas Take Back

Arkansas Works

Behavioral Health

County Codes (DMS-2608)

Episodes of Care (EOC)

PASSE

PCMH News

Arkansas Health Care Payment Improvement Initiative (AHCPII)

Patient Centered Medical Home (PCMH)

Practice transformation

Episodes of Care

Links

4TH QUARTER, SFY 2017–2018 • APRIL 1–JUNE 30, 2018
Download packet (PDF)

What’s New

Arkansas Take Back

Arkansas Works

Behavioral Health

Episodes of Care (EOC)

Fluoride

Medicaid Management Information System (MMIS)

New URL for Arkansas Medicaid

PASSE

PCMH News

QMB and SMB

Remittance Advice (RA), March 22–29

Who May Not Enroll with a PCP

Arkansas Health Care Payment Improvement Initiative (AHCPII)

Patient Centered Medical Home (PCMH)

Practice transformation

Episodes of Care

Links

 

3RD QUARTER, SFY 2017–2018 • JANUARY 1–MARCH 31, 2018
Download packet (PDF)

What’s New

Arkansas Health Care Payment Improvement Initiative (AHCPII)

Patient Centered Medical Home (PCMH)

Practice transformation

Episodes of Care

Links

 

1ST AND 2ND QUARTERS, SFY 2017–2018 • JULY 1–DECEMBER 31, 2017
Download packet (PDF)

What’s New

Arkansas Health Care Payment Improvement Initiative (AHCPII)

Patient Centered Medical Home (PCMH)

Practice transformation

Episodes of Care

Links

 

4TH QUARTER, SFY 2016–2017 • APRIL 1–JUNE 31, 2017
Download packet (PDF)

What’s New

Arkansas Health Care Payment Improvement Initiative (AHCPII)

Patient Centered Medical Home (PCMH)

Practice transformation

Episodes of Care

Links

 

3RD QUARTER, SFY 2016–2017 • JAN. 1–MAR. 31, 2017
Download packet (PDF)

What’s New

Arkansas Health Care Payment Improvement Initiative (AHCPII)

Patient Centered Medical Home (PCMH)

Practice transformation

Episodes of Care

Links

 

2ND QUARTER, SFY 2016–2017 • OCT. 1–DEC. 31, 2016
Download packet (PDF)

What’s New

Arkansas Health Care Payment Improvement Initiative (AHCPII)

Patient Centered Medical Home (PCMH)

Practice transformation

Episodes of Care

Links

 

1ST QUARTER, SFY 2016–2017 • JUL. 1–SEPT. 30, 2016

Contact an outreach specialist