Provider relations – policy and education

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 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.

In addition to Medicaid provider manuals, official notices should be referenced for Medicaid program policy. - Arkansas Medicaid Official Notices

Educational Outreach Updates

PCP update packets

1ST QUARTER, SFY 2020–2021 • July 1 – Sept. 30, 2020
Download packet (PDF)

COVID-19 Response

DHS’s Response to COVID-19 for Beneficiaries 

  • How to apply for Medicaid services
  • Frequently asked questions
  • DHS contact information
  • Additional topics being added as needed

DHS’s Response to COVID-19 for Providers 

  • Care Continuity Emergency Response Reimbursement Payments
  • Hospital direct and non-direct care payments
  • Laboratory/testing
  • Medicaid provider/services requirements
  • Pharmacy and medical devices
  • Rural health centers and federally qualified health centers

Arkansas Medical Society

AFMC COVID-19 Updates and Resources for Providers

Telehealth

Episodes of Care

  • Reports

MMIS Medicaid 101 Webinars

Opioid Addiction Treatment Resources

Patient-centered Medical Home (PCMH)

PCP

Services not requiring a referral

PCP selection and change form

Pharmacy

Magellan

Provider Electronics Solutions (PES)

Sept. 1, 2020, Arkansas Medicaid will no longer accept claims through PES.

Smoking Cessation

What’s New

What’s new for Arkansas Medicaid providers

4TH QUARTER, SFY 2019–2020 • APR. 1–June 30, 2020
Download packet (PDF)

COVID-19 Response

DHS’s Response to COVID-19 for Beneficiaries 

  • How to apply for Medicaid services
  • Frequently asked questions
  • DHS contact information
  • Additional topics being added as needed

DHS’s Response to COVID-19 for Providers 

AFMC COVID-19 Updates and Resources for Providers

ARKids First-B

Beneficiary Education Sessions

Episodes of Care

  • Reports
  • April episode of care reports can be viewed on AHIN on or after April 30, 2020

EPSDT

Opioid Addiction Treatment Resources

Patient-centered Medical Home (PCMH)

Pharmacy

Magellan

Smoking Cessation

Third-party Liability

What’s New

What’s new for Arkansas Medicaid providers

3RD QUARTER, SFY 2019–2020 • JAN. 1–MARCH 31, 2020
Download packet (PDF)

ARKids First-B


Beneficiary Education Sessions

Episodes of Care

  • Reports
    • January episode of care reports can be viewed on AHIN on or after Jan. 31, 2020

EPSDT

PASSE

Patient-centered Medical Home (PCMH)

PCP Caseloads

Opioid Addiction Treatment Resources

What’s New

 

2ND QUARTER, SFY 2019–2020 •OCT. 1 - DEC. 31, 2019
Download packet (PDF)

AHIN Updates

Episodes of Care

  • SFY 2020 second quarter reports
    • SFY 2020 second quarter episode of care reports can be viewed on AHIN on or after Oct. 31, 2019

EPSDT Reason Codes

Exhausted Benefits

Flu Vaccines

Hospital Emergency Department

MMIS

PASSE

Patient-Centered Medical Home (PCMH)

PCP Caseloads

Upcoming Conferences

 

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

Contact an outreach specialist

Continuing to provide uninterrupted service to our clients is vital to us and ensuring the health and safety of our employees is critical. While our teams are working diligently to be available, we ask for your understanding as some questions may experience a slight delay in response time. Thank you for your patience as together we all work through the next few weeks to address the impact of COVID-19.