What’s New

Arkansas Take Back

• Permanent site

Arkansas Works

Behavioral Health

• Informational report
• OBHS manual
• Referral change for primary care physicians
• Webinars – Stakeholder and transformation

Episodes of Care (EOC)

• Announcements
• Performance payment and reconciliation reports
• URI – AFMC Resources

Fluoride

• Codes
• Manual language

Medicaid Management Information System (MMIS)

• https://medicaid.mmis.arkansas.gov/Provider/frontline.html
• Aid Category to Benefit Plan Crosswalk
• AFMC MMIS Specialists Map
• Managed Care Capitation and Administrative Fees
• Eligibility Job+Aid
• Submitting and Reviewing a Claim Job+Aid

New URL for Arkansas Medicaid

• https://medicaid.mmis.arkansas.gov

PASSE

• Independent assessment
• Updated contact information
• Webinar (Recorded Oct. 2017)

PCMH News

• 6-month activities – due by June 30
• Asthma metric
• Webinar (Recorded Oct. 2017)

QMB and SMB

• Cost sharing

Remittance Advice (RA), March 22–29

• Chiropractic services

Who May Not Enroll with a PCP

Arkansas Health Care Payment Improvement Initiative (AHCPII)

• AHCPII website

Patient Centered Medical Home (PCMH)

• PCMH 24/7 Best Practices
• PCMH Contacts
• PCMH manual and program policy addendum
  • Health literacy tools
  • PCMH Recovery of Practice Support
  • PCMH Research, Reconsideration and Appeals
  • History Button and Medical Neighborhood Report

Practice transformation

• Arkansas Foundation for Medical Care (AFMC)

Episodes of Care

• Episodes of Care (Algorithms) and Update – Performance Period and Final Report Dates

Links

• AFMC Service Center
• Beneficiary education
• Drug Lists
  • Cough and cold drug list
  • Generic drug upper limit list
  • Over the counter (OTC) drug list
  • Magellan Pharmacy Call Center
  • Preferred drug list (PDL)
• Emergency Room
  • ER Flow Sheets
  • ER Billing Sheet
• EPSDT
  • Billing sheet
  • EPSDT Booklet
  • Fee schedule
  • Screenings and sick visits
    • Messages for remittance advices
• Learn on Demand
  • Program flier
• Medicaid Policy
  • DMS-2609
  • Voice Response System
• Quality improvement project updates
  • Alcohol Use Disorder
  • CT imaging in the emergency department
  • Diabetes
  • Flu prevention
  • LARC
  • Opioids
• Review
  • ReviewPoint
  • Prior Authorizations
• “What’s new” for providers

What’s New

• Behavioral Health Transformation Webinar (Recorded Sept. 8)
• BreastCare
• ConnectCare Changes
  • Medicaid Policy: PCP Selection and Enrollment
    • ConnectCare Help Line
    • Participating Hospitals
    • Supplemental Security Income (SSI) Beneficiaries
    • PCP Transfer by Enrollee Request
    • PCP Transfer by PCP Request
    • PCP Enrollment Transfers Initiated by the State
  • PCP Change Form
    • DMS 2609
• Electronic Funds Transfer (EFT): Action Required Now
• EPSDT Booklet
• Medicaid Management Information System (MMIS)
  • https://www.medicaid.state.ar.us/provider/frontline.html
  • MMIS Transition: Submitting Claims
  • Managed Care Capitation and Administrative Fees (820 Report)
  • Aid Category to Benefit Plan Crosswalk
  • AFMC MMIS Specialists Map
• New Crossover Form DMS-600
  • Submit New Form with Original EOMB for Paper Crossover Claims
• PASSE
  • Contacts
  • Webinar (Recorded Oct. 2017)
• PCMH News
  • What’s Due?
    • 2017 Performance Period Metric Due by Jan. 31, 2018
    • 2018 PCMH Requirements
  • New to PCMH?
    • PCMH Manual
    • 2018 PCMH Program Policy Addendum
    • Update/Change Form
    • Questions? Contact PCMH@afmc.org

Arkansas Health Care Payment Improvement Initiative (AHCPII)

• AHCPII website

Patient Centered Medical Home (PCMH)

• PCMH 24/7 Best Practices
• PCMH Contacts
• PCMH manual and program policy addendum
  • Health literacy tools
  • PCMH Recovery of Practice Support
  • PCMH Research, Reconsideration and Appeals
  • History Button and Medical Neighborhood Report

Practice transformation

• Arkansas Foundation for Medical Care (AFMC)

Episodes of Care

• Episodes of Care (Algorithms) and Update – Performance Period and Final Report Dates

Links

• AFMC Service Center
• Beneficiary education
• Drug Lists
  • Cough and cold drug list
  • Generic drug upper limit list
  • Over the counter (OTC) drug list
  • Magellan Pharmacy Call Center
  • Preferred drug list (PDL)
• Emergency Room
  • ER Flow Sheets
  • ER Billing Sheet
• EPSDT
  • Billing sheet
  • Fee schedule
  • Screenings and sick visits
    • Messages for remittance advices
• Extension of Benefits Referral Forms
  • Pathology/Lab referral form
  • Radiology referral form
• Learn on Demand
  • Program flier
• Medicaid Policy
  • Foster Care Guidelines
  • Illegal Discrimination
  • Lead Screening
  • Smoking Cessation Counseling Services
    • Smoking Cessation Checklist
• Non-Emergency Transportation Program (NET)
  • NET Map
• Quality improvement project updates
  • Alcohol Use Disorder
  • CT imaging in the emergency department
  • Diabetes
  • Flu prevention
  • LARC
  • Opioids
• Referral Policy
• Review
  • Prior Authorizations
  • ReviewPoint
• Voice Response System
• “What’s new” for providers

What’s New

• Behavioral Health Transformation Webinar (Recorded Sept. 8)
• ConnectCare changes
• Electronic Funds Transfer (EFT) Requirement Coming Soon
• EPSDT Booklet
• Extension of Benefits Referral Forms
  • Pathology/Lab Referral Form
  • Radiology Referral Form
• Medicaid Policy
  • Foster Care Guidelines
  • Illegal Discrimination
  • Lead Screening
  • PCP Caseload
  • Smoking Cessation Counseling Services
    • Smoking Cessation Checklist
• Medicaid Management Information System (MMIS)
  • https://www.medicaid.state.ar.us/provider/frontline.html
  • MMIS transition: Submitting claims
• New Crossover Form DMS-600
  • Submit new form with original EOMB for paper crossover claims
• Non-Emergency Transportation Program (NET)
  • NET map
• PASSE Information
• PCMH News — What’s Due?
  • 2017 Activity Requirements (12-Month Activity)
  • History Button and Medical Neighborhood Report
  • PCMH enrollment open until Oct. 31
  • PCMH webinar: Enrollment (Recorded Aug. 25)

Arkansas Health Care Payment Improvement Initiative (AHCPII)

• AHCPII website

Patient Centered Medical Home (PCMH)

• PCMH 24/7 Best Practices
• PCMH Contacts
• PCMH manual and program policy addendum
  • Activity I: Care Plan Validation
  • Health literacy tools
  • PCMH Recovery of Practice Support
  • PCMH Research, Reconsideration and Appeals

Practice transformation

• Arkansas Foundation for Medical Care (AFMC)

Episodes of Care

• Episodes of Care (Algorithms) and Update – Performance Period and Final Report Dates

Links

• AFMC Service Center
• Beneficiary education
• Drug Lists
  • Cough and cold drug list
  • Generic drug upper limit list
  • Over the counter (OTC) drug list
  • Magellan Pharmacy Call Center
  • Preferred drug list (PDL)
• Emergency Room
  • ER Flow Sheets
• EPSDT
  • Billing sheet
  • Fee schedule
  • Screenings and sick visits
    • Messages for remittance advices
• Learn on Demand
  • Program flier
• Patient termination: PCP transfers by PCP request
  • Deceased Patient Removal Process
• PCP Assignment Required for Aid Category 06
• Quality improvement project updates
  • Alcohol Use Disorder
  • Breastfeeding
  • CT imaging in the emergency department
  • Diabetes
  • Flu prevention
  • LARC
  • Opioids
• Referral Policy
• Review
  • Prior Authorizations
  • ReviewPoint
• 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

What’s New

• Episodes of Care Update
• Extension of Benefits Referral Forms
  • Pathology/Lab Referral Form
  • Radiology Referral Form
• Medicaid Policy
  • Foster Care Guidelines
  • Lead Screening
  • Illegal Discrimination
  • PCP Caseload
  • Smoking Cessation Counseling Services
    • Smoking Cessation Checklist
• Medicaid Management Information System (MMIS)
  • Medicaid Front Line provider information page
  • Provider Portal Training
• Non-Emergency Transportation Program (NET)
  • NET map
• PCMH News – What’s Due?
  • 2017 Activity Requirements (6-Month Activity)
  • History Button and Medical Neighborhood Report
  • PCMH Webinar (April 14, 2017)

Arkansas Health Care Payment Improvement Initiative (AHCPII)

• AHCPII website

Patient Centered Medical Home (PCMH)

• PCMH 24/7 Best Practices
• PCMH Contacts
• PCMH manual and program policy addendum
  • Activity I: Care Plan Validation
  • Health literacy tools
  • PCMH Recovery of Practice Support
  • PCMH Research, Reconsideration and Appeals

Practice transformation

• Arkansas Foundation for Medical Care (AFMC)

Episodes of Care

• Episodes of Care (Algorithms) and Update – Performance Period and Final Report Dates

Links

• • AFMC Service Center
  • Beneficiary education
  • Drug Lists
    • Cough and cold drug list
    • Generic drug upper limit list
    • Over the counter (OTC) drug list
    • Magellan Pharmacy Call Center
    • Preferred drug list (PDL)
  • Emergency Room
    • ER Flow Sheets
  • EPSDT
    • Billing sheet
    • Fee schedule
    • Screenings and sick visits
      • Messages for remittance advices
  • Learn on Demand
    • Program flier
    • New user guide
  • Patient termination: PCP transfers by PCP request
    • Deceased Patient Removal Process
  • PCP Assignment Required for Aid Category 06
  • Quality improvement project updates
    • Alcohol Use Disorder
    • Breastfeeding
    • CT imaging in the emergency department
    • Diabetes
    • Flu prevention
    • LARC
    • Opioids
  • Referral Policy
  • Review
    • Prior Authorizations
    • ReviewPoint
  • 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

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)
  • Medicaid Front Line provider information page
• PCMH Deadlines – What’s Due?
  • 2017 activity requirements (3-month activity)
• PCMH Policy
  • Activity I: Care Plan Validation
  • Health literacy tools
  • PBPM recovery
• Prior Authorizations
  • AFMC Review Services – Prior Authorizations
• Quick Reference Guide for Medicaid Eligibility
• ReviewPoint
• Update on Removal of 24-Day Hospital Cap

Arkansas Health Care Payment Improvement Initiative (AHCPII)

• AHCPII website

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

• Arkansas Foundation for Medical Care (AFMC)

Episodes of Care

• Episodes of Care (Algorithms) and Update – Performance Period and Final Report Dates

Links

• • Beneficiary education
  • Drug Lists
    • Generic drug upper limit list
    • Over the counter (OTC) drug list
    • Preferred drug list (PDL)
  • Emergency Room
    • ER Flow Sheets
  • EPSDT
    • Billing sheet
    • Fee schedule
    • Foster care guidelines
    • Screenings and sick visits
      • Messages for remittance advices
  • Learn on Demand
    • Program flier
    • New user guide
  • Medicaid Pseudo Claims
  • Outreach Update newsletter
  • Patient termination: PCP transfers by PCP request
    • Deceased Patient Removal Process
  • PCP Assignment Required for Aid Category 06
  • Quality improvement project updates
    • Alcohol Use Disorder
    • Breastfeeding
    • CT imaging in the emergency department
    • Diabetes
    • Flu prevention
    • Opioids
  • 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

What’s New

• Timely Filing Notice
  • Timely Filing Issues
• 2016-2017 Flu Update
• 2017 ICD-10 Billing Update
• Beneficiary Aid Categories
• Cough and Cold Drug List
• LARC Project
• PCMH Deadlines – What’s Due?
  • 2016 activity requirements (12-month activity)
  • 2017 enrollment/pooling requirements
• PCMH Policy/Contacts
  • Research, reconsideration and appeals
  • Recovery of PBPM
  • PCMH contacts
• Prior Authorizations
  • AFMC Review Services – Prior Authorizations
• Quick Reference Guide for Medicaid Eligibility
• Update on Removal of 24-Day Hospital Cap

Arkansas Health Care Payment Improvement Initiative (AHCPII)

• AHCPII website

Patient Centered Medical Home (PCMH)

• PCMH 24/7 Best Practices
• PCMH FAQs
• PCMH manual and program policy addendum
• PCMH QA

Practice transformation

• Arkansas Foundation for Medical Care (AFMC)

Episodes of Care

• Episodes of Care (Algorithms) and Update – Performance Period and Final Report Dates

Links

• • Beneficiary education
  • Drug Lists
    • Generic drug upper limit list
    • Over the counter (OTC) drug list
    • Preferred drug list (PDL)
  • Emergency Room
    • ER Flow Sheets
    • ER Trend Reports
  • Extension of Benefits (EOB)
    • iExchange
  • EPSDT
    • Billing sheet
    • Fee schedule
    • Foster care guidelines
    • Screenings and sick visits
      • Messages for remittance advices
  • Going Paperless
    • Provider address change form
  • Learn on Demand
  • Medicaid Retroactive Eligibility
  • Provider Outreach Update newsletter
  • Patient termination: PCP transfers by PCP request
    • Deceased Patient Removal Process
  • PCP Assignment Required for Aid Category 06
  • Quality improvement project updates
    • Alcohol Use Disorder
    • Antibiotic resistance
    • BreastCare
    • Breastfeeding
    • CT imaging in the emergency department
    • Diabetes
    • Opioids
    • Pap smear/cervical cancer screening
  • 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

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)

• AHCPII website

Patient Centered Medical Home (PCMH)

• PCMH FAQs
• PCMH manual and program policy addendum
• PCMH QA

Practice transformation

• Arkansas Foundation for Medical Care (AFMC)

Episodes of Care

• Episodes of Care (Algorithms) and Update – Performance Period and Final Report Dates

Links

• • Beneficiary education
  • Drug Lists
    • Generic drug upper limit list
    • Over the counter (OTC) drug list
    • Preferred drug list (PDL)
  • ER Trend Reports
  • Extension of Benefits (EOB)
    • iExchange
  • EPSDT
    • Billing sheet
    • Fee schedule
    • Foster care guidelines
    • Screenings and sick visits
      • Messages for remittance advices
  • Learn on Demand
  • Provider Outreach Update newsletter
  • Patient termination: PCP transfers by PCP request
    • Deceased Patient Removal Process
  • PCP Profile Reports
    • Updated information
  • Physician services benefit limit
  • Quality improvement project updates
    • Alcohol Use Disorder
    • Antibiotic resistance
    • BreastCare
    • Breastfeeding
    • CT imaging in the emergency department
    • Diabetes
    • Opioids
    • Pap smear/cervical cancer screening
  • 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

What’s New

• Beneficiary Education (afmc.org/ARBeneEd)
• ER Trend Reports
• iExchange
• Newborn Eligibility
• PCP Profile Reports
  • Updated information
  • Login to view your report
  • Referral policy
  • Arkansas Health Care Payment Improvement Initiative (AHCPII) website 

Patient Centered Medical Home (PCMH)

• PCMH FAQs
• PCMH manual and program policy addendum
• PCMH QA
• Care plan guidance document

Practice transformation

• Qualis Health
• Arkansas Foundation for Medical Care (AFMC)

Episodes of Care

• Episodes of Care (Algorithms) and Update – Performance Period and Final Report Dates

Links

• Arkansas Medicaid Information Interchange (AMII)
  • User guide
• Dental update “Paint a Smile”
  • Visit www.medicaid.state.ar.us/Provider/docs/agreeCDT.aspx. Accept the copyright acknowledgment and click on “Section II.” You will find the added information in Section 217.100.
• Drug Lists
  • Generic drug upper limit list
  • Over the counter (OTC) drug list
  • Preferred drug list (PDL)
• Extension of Benefits (EOB)
• EPSDT
  • Billing sheet
  • Fee schedule
  • Foster care guidelines
  • Screenings and sick visits
• Learn on Demand
• Provider Outreach Update newsletter
• AFMC provider representative contact information
• Patient termination: PCP transfers by PCP request
  • Deceased Patient Removal Process
• Physician services benefit limit
• Psych TLC
• Quality improvement project updates
  • Alcohol screening
  • Antibiotic resistance
  • BreastCare
  • Breastfeeding
  • CT imaging in the emergency department
  • Opioids
• 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

What’s New

• Beneficiary Education (afmc.org/ARBeneEd)
• VFC and SCHIP – Coverage of HPV
• Retrospective Therapy Review Change
• Going Paperless in 2016 – Policy Update Notification
  • Provider Address Change Form
• Deceased Patient Removal Process

Arkansas Health Care Payment Improvement Initiative (AHCPII) website 

Patient Centered Medical Home (PCMH)

• PCMH FAQs
• PCMH manual and program policy addendum
• PCMH QA
  • Care plan guidance document
• Practice transformation
  • Qualis Health
  • Arkansas Foundation for Medical Care (AFMC)

Episodes of Care

• Episodes of Care (Algorithms) and Update – Special Note about ICD-10

Links

• Arkansas Medicaid Information Interchange (AMII)
  • User guide
• Dental update “Paint a Smile”
  • Visit www.medicaid.state.ar.us/Provider/docs/agreeCDT.aspx. Accept the copyright acknowledgment and click on “Section II.” You will find the added information in Section 217.100.
• Drug Lists
  • Generic drug upper limit list
  • Over the counter (OTC) drug list
  • Preferred drug list (PDL)
• Extension of Benefits (EOB)
• EPSDT
  • Billing sheet
  • Fee schedule
  • Foster care guidelines
  • Screenings and sick visits
    • Messages for Remittance Advices
• iExchange Overview
• Learn on Demand
• MMCS Update newsletter
• MMCS provider representative contact information
• Patient termination: PCP transfers by PCP request
• PCP profile reports
• Physician services benefit limit
• Psych TLC
• Quality improvement project updates
  • Alcohol screening
  • Antibiotic resistance tip sheet update
  • BreastCare
  • Breastfeeding
  • CT imaging in the emergency department
  • Opioids
  • Pap smear/cervical cancer screening
• “What’s new” for providers

What’s New

• Beneficiary Education (afmc.org/ARBeneEd)
• VFC and SCHIP – Coverage of HPV
• Retrospective Therapy Review Change
• Going Paperless in 2016 – Policy Update Notification
  • Provider Address Change Form
• Deceased Patient Removal Process

Arkansas Health Care Payment Improvement Initiative (AHCPII) website 

Patient Centered Medical Home (PCMH)

• PCMH FAQs
• PCMH manual and program policy addendum
• PCMH QA
  • Care plan guidance document
• Practice transformation
  • Qualis Health
  • Arkansas Foundation for Medical Care (AFMC)

Episodes of Care

• Episodes of Care (Algorithms) and Update – Special Note about ICD-10

Links

• Arkansas Medicaid Information Interchange (AMII)
  • User guide
• Dental update “Paint a Smile”
  • Visit www.medicaid.state.ar.us/Provider/docs/agreeCDT.aspx. Accept the copyright acknowledgment and click on “Section II.” You will find the added information in Section 217.100.
• Drug Lists
  • Generic drug upper limit list
  • Over the counter (OTC) drug list
  • Preferred drug list (PDL)
• Extension of Benefits (EOB)
• EPSDT
  • Billing sheet
  • Fee schedule
  • Foster care guidelines
  • Screenings and sick visits
    • Messages for Remittance Advices
• iExchange Overview
• Learn on Demand
• MMCS Update newsletter
• MMCS provider representative contact information
• Patient termination: PCP transfers by PCP request
• PCP profile reports
• Physician services benefit limit
• Psych TLC
• Quality improvement project updates
  • Alcohol screening
  • Antibiotic resistance tip sheet update
  • BreastCare
  • Breastfeeding
  • CT imaging in the emergency department
  • Opioids
  • Pap smear/cervical cancer screening
• “What’s new” for providers

ICD-10

• DHS ICD-10 News and Information
• Town Hall Meetings (dates and locations)
  • Register today!

ARKids B changes (anticipated to begin August 1, 2015)

• Read the provider letter

Arkansas Health Care Payment Improvement Initiative (AHCPII) website 

Patient Centered Medical Home (PCMH)

• Enrollment/welcome letter
• Enrollment instructions
  • Samples
  • Blank forms
• 24/7 Best practices
• Guide to reading your PCMH quarterly report
  • Sample PCMH quarterly report
• PCMH FAQs
• PCMH manual and supplemental manual
  • Manual
  • Supplemental manual
• PCMH QA
  • Care Plan Guidance
• Practice transformation
  • Arkansas Foundation for Medical Care (AFMC)

Episodes of Care

• Algorithms

Links

• • Arkansas Medicaid Information Interchange (AMII)
    • User guide
  • Dental update
    • Fluoride Varnish Initiative: “Paint a Smile”
    • Fluoride varnish policy statement
    • TFV training site
    • Visit https://www.medicaid.state.ar.us/InternetSolution/Provider/docs/dental.aspx. Accept the copyright acknowledgment and click on “Section II.” You will find the added information in Section 217.100.
  • EPSDT
    • Provider documents
    • Billing sheet
    • Fee schedule
    • Foster care guidelines
    • Screenings and sick visits
  • PCP profile reports
  • Preferred drug list (PDL)
  • Psych TLC
  • Quality improvement project updates
    • Antibiotic resistance tip sheet update
    • BreastCare
    • Breastfeeding
    • CT imaging in the emergency department
    • Opioids
    • Pap smear/cervical cancer screening
  • Smoking cessation codes update
  • “What’s new” for providers

Arkansas Health Care Payment Improvement Initiative (AHCPII) website 

Patient Centered Medical Home (PCMH)

• 24/7 Best practices
• Care coordination
  • Arkansas Community Cares
• Guide to reading your PCMH quarterly report
  • Sample PCMH quarterly report
• Guide to selecting high priority beneficiaries
• PCMH FAQs
• PCMH manual
• PCMH QA
  • Sample care plans
    • ADHD
    • HTN
  • 18-Month activities
• Practice transformation
  • Qualis Health
  • Arkansas Foundation for Medical Care (AFMC)
    • Flyer
    • PCMH Practice Transformation Enrollment Form

Episodes of Care

• Initiative overview
• Principal accountable provider (PAP)
• Provider portal
• Episode of care algorithms
  • Asthma
  • ADHD
  • Cholecystectomy
  • Chronic obstructive pulmonary disease
  • Colonoscopy
  • Congestive heart failure
  • Coronary artery bypass graft
  • Total joint replacement
  • Oppositional defiant disorder
  • Perinatal
  • Tonsillectomy
  • Ambulatory upper respiratory infection (URI)

Links

• Arkansas Medicaid Information Interchange (AMII)
  • User guide
• BreastCare
• Dental update
  • As a result of ACT 90 of 2011, Arkansas physicians, nurses, and other licensed health care professionals as well as dentists, dental hygienists, and dental assistants can now apply fluoride varnish. As of Aug. 1, 2014, the Medicaid Provider Manual has been updated with this information.
  • Visit https://www.medicaid.state.ar.us/InternetSolution/Provider/docs/dental.aspx. Accept the copyright acknowledgement and click on “Section II.” You will find the added information in Section 217.100.
• EPSDT
  • Billing sheet
  • Fee schedule
  • Foster care guidelines
  • Screenings and sick visits
• Health independence accounts (HIA)
  MyIndyCard.org
  • MyIndyCard Provider Provider FAQs
  • MyIndyCard Provider Resource Card
  • MyIndyCard Quickstart Pocket Guide
  • MyIndyCard User Guide
• ICD-10Claims submitted without ICD-10 codes on or after 10/01/15 will not be paid.All claims submitted to Arkansas Medicaid for dates of service on and after 10/01/15 must bill using ICD-10 codes. Claims that do not bill ICD-10 codes will be denied and you will not be paid by Arkansas Medicaid. This is a federal mandate. Feel free to contact Arkansas Medicaid for assistance. With more than 38,000 providers, we expect a high volume of inquiries and possible delays in responses. We appreciate your patience.
• MMCS Update newsletter
• MMCS provider representative contact information
• PCP profile reports
• Preferred drug list (PDL)
• Quality improvement project updates
  • Antibiotic resistance tip sheet update
  • Breastfeeding
  • CT imaging in the emergency department
  • Opioids
  • Pap smear/cervical cancer screening
• Smoking cessation codes update
• 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