• Access the Provider Portal (check eligibility, submit a PA request, or submit claims)
• DMS COVID-19 Provider Manual and DHS COVID-19 Page for Providers
• Fee Schedules
• PCMH / PCCM
• Policy 1088
• Proposed Rules & Public Notices
• Provider Manuals
• Provider Training Information
• Sign-up for MMIS email updates
• State Plan (Medicaid and CHIP)

What’s New for Arkansas Medicaid Providers

Content Updated July 10, 2025

Pharmacy Adding Electronic PA (ePA) and CoverMyMeds

Added 7/1/25
Beginning August 1, 2025, the Arkansas Medicaid Pharmacy Program will add new functionality to begin accepting electronic prior authorization (ePA) requests via CoverMyMeds^® in addition to fax requests.

By prompting prescribers to answer required clinical questions, the CoverMyMeds tool will simplify the prior authorization process and offer real-time approval if clinical criteria are met. With the new functionality, prescribers will be able to submit prior authorization requests electronically, upload supporting documents, and track the request in real time.

Additionally, pharmacy providers who utilize CoverMyMeds can initiate medication ePA requests on behalf of a beneficiary. CoverMyMeds will direct the case to the prescriber’s queue prompting them to complete and submit the ePA to Arkansas Medicaid.

Please refer to the Arkansas Medicaid Pharmacy Website for additional information on ePA and CoverMyMeds.

Provider Search Features for Enhanced Accessibility Added to the Health Care Portals

Added 6/26/25
New capabilities have been added to the Health Care portals to enhance search capabilities. Providers and beneficiaries can now more quickly identify providers who offer accommodations for special needs. These capabilities include:

• American Sign Language (ASL) as a searchable language option
• Facility and telehealth accommodations available as filterable criteria

All providers should review their accommodation information and update it. Providers seeking to complete revalidation, enrollment, or re-enrollment with Arkansas Medicaid will be required to review and provide accommodation information in order to submit their applications.

Further search enhancements and self-service tools to update provider information are coming soon.

New Electronic Submission Requirements for Provider Enrollment Applications and Updates

Added 6/10/25
Effective July 15, 2025, initial provider enrollment applications (except Long Term Care Facilities) must be submitted electronically through the provider portal.

Online submission is the fastest and most effective way to enroll as an Arkansas Medicaid Provider because

• enrollment time decreases — from weeks to days.
• issues related to the quality of attachments and illegible applications are decreased or eliminated.
• real-time status updates on applications are available.
• applications are returned to providers less frequently for clarification or additional information and no associated mailing delays occur.
• application delays often result in failure to meet revalidation requirements causing a provider to temporarily lose the ability to bill for services.
• a higher percentage of electronic application submissions are successful.

For the rare occasions when a provider is unable to enroll using the portal, the state will review the situation and may approve submission of a paper application on a case-by-case basis. State review and approval will only occur if the provider has exhausted all options to enroll using the portal.

In addition to the new electronic enrollment requirement, paper requests received by Provider Enrollment for tasks and updates that can be completed using the self-service option will be returned to the provider.

A new job aid will soon be added to the Provider Training Information webpage that will outline self-service options and how to use them.

As noted earlier, Long Term Care Facilities are not required to submit enrollment applications electronically through the portal. Currently, these applications for enrollment must be submitted by paper application. General information from the Office of Long Term Care (OLTC) along with contact information for assistance with enrollment questions can be found on the OLTC webpage.

New Provider Manual Updates

Added 6/30/25
Arkansas Medicaid released FQHC-1-25 provider manual update. View or print the FQHC-1-25 transmittal letter. View or print changes to the Federally Qualified Health Center (FQHC) provider manual.

Arkansas Medicaid released RURLHLTH-1-25 provider manual update. View or print the RURLHLTH-1-25 transmittal letter. View or print changes to the Rural Health Clinic (RHC) provider manual.

Added 6/28/25
Arkansas Medicaid released CNM-1-25 provider manual update. View or print the CNM-1-25 transmittal letter. View or print changes to the Certified Nurse-Midwife provider manual.

Arkansas Medicaid released CNM-2-25 provider manual update. View or print the CNM-2-25 transmittal letter. View or print changes to the Certified Nurse-Midwife provider manual.

Arkansas Medicaid released NURSEPRA-1-25 provider manual update. View or print the NURSEPRA-1-25 transmittal letter. View or print changes to the Nurse Practitioner provider manual.

Arkansas Medicaid released NURSEPRA-2-25 provider manual update. View or print the NURSEPRA-2-25 transmittal letter. View or print changes to the Nurse Practitioner provider manual.

Arkansas Medicaid released PHYSICN-1-25 provider manual update. View or print the PHYSICN-1-25 transmittal letter. View or print changes to the Physician provider manual.

Arkansas Medicaid released PHYSICN-2-25 provider manual update. View or print the PHYSICN-2-25 transmittal letter. View or print changes to the Physician provider manual.

Arkansas Medicaid released SecI-1-25 all provider manuals update. View or print the SecI-1-25 transmittal letter. View or print changes to Section I of all provider manuals.

Added 6/20/25
Arkansas Medicaid released INPPSYCH-1-25 provider manual update. View or print the INPPSYCH-1-25 transmittal letter. View or print changes to the Inpatient Psychiatric Services for Under Age 21 provider manual.

Arkansas Medicaid released new provider manual Psychiatric Residential Treatment Facility Services for Under Age 21. View or print the PRFT-New-25 transmittal letter. View the Inpatient Psychiatric Services for Under Age 21 provider manual.

New Official Notices

View the latest official notices.

New RA Messages

Added 7/10/25
Arkansas Medicaid released a remittance advice message to all providers. View the message regarding New Edit 519 (ADMIT DATE/FDOS POLICY CONFLICT) – Effective 7/15/2025.

Added 7/3/25
Arkansas Medicaid released a remittance advice message to all providers. View the message regarding Pharmacy Adding Electronic PA (ePA) and CoverMyMeds.

Added 6/27/25
Arkansas Medicaid released a remittance advice message to Ambulatory Surgical Center (ASC), Arkansas Department of Health (ADH), Certified Nurse-Midwife (CNM), Federally Qualified Health Center (FQHC), Hospital, Nurse Practitioner, Physician, and Rural Health Clinic providers. View the message regarding Obstetrics (OB) Services Billing Changes (Global/Itemized) and Postpartum Visits.

Added 6/26/25
Arkansas Medicaid released a remittance advice message to all providers. View the message regarding Provider Search Features for Enhanced Accessibility Added to the Health Care Portals.

Arkansas Medicaid released a remittance advice message to Nurse Practitioner providers. View the message regarding Procedure 99417 added to Audit 6890.

Added 6/20/25
Arkansas Medicaid released a remittance advice message to Area Health Education Center (AHEC) and Physician providers. View the message regarding Place of Service Updates for Procedure Code 50693.

Arkansas Medicaid released a remittance advice message to Family Planning Clinic, Hospital, Independent Laboratory, Nurse Practitioner, Physician, and Rehabilitation Center providers. View the message regarding CLIA Waived Codes with MOD QW.

Arkansas Medicaid released a remittance advice message to all providers. View the message regarding Vaccine/Immunization Billing Rules.

Arkansas Medicaid released a remittance advice message to all providers. View the message regarding New Coverage – Presumptive Eligibility – Pregnant Women (PE-PW).

Added 6/12/25
Arkansas Medicaid released a remittance advice message to all providers. View the message regarding New Electronic Submission Requirements for Provider Enrollment Applications and Updates.

Arkansas Medicaid released a remittance advice message to Counseling and Crisis Services, Home and Community-Based Services for Clients with Intellectual Disabilities and Behavioral Health Needs, and Provider-Led Arkansas Shared Savings Entity (PASSE) Program Providers. View the message regarding HCBS Rate Review – Survey Live.

Added 6/6/25
Arkansas Medicaid released a remittance advice message to Hospice providers. View the message regarding Hospice Provider Manual Updates.

Arkansas Medicaid released a remittance advice message to Transportation providers. View the message regarding Updated List of Drug Codes that Require Being Billed with A0426 or A0427.

Added 6/5/25
Arkansas Medicaid released a remittance advice message to Occupational Therapy, Physical Therapy, and Speech-Language Pathology Services providers. View the message regarding New Coverage for Comprehensive Autism Evaluation Codes Under THER Contract Effective 7/1/2025.