All four of these requirements must be met to be eligible for enrollment as a PCMH

• The Provider entity must be one of the following:
  • An individual Primary Care Physician (PCP) (Medicaid Provider Types 01 or 03)
  • A physician group of Primary Care Providers who are affiliated with a common group Medicaid identification number (Provider Types 02 or 04)
  • A Rural Health Clinic (Medicaid Provider Type 29) as defined by the Rural Health Clinic Provider Manual, Section 201.000
  • An Area Health Education Center (AHEC) (Medicaid Provider Type 69)
• The practice must include PCPs enrolled in the ConnectCare Primary Care Case Management program
• The practice may not participate in the PCCM Shared Savings Program established under AR Act 1453 of 2013
• The practice must have at least 150 attributed beneficiaries at the time of enrollment

PCMH Manual and Supplemental Materials

2024 PCMH Program Policy Addendum
2023 PCMH Program Policy Addendum
2023 PCMH PCP List
2022 PCMH Program Policy Addendum
2022 PCMH PCP List
2021 PCMH Program Policy Addendum
2021 PCMH PCP List
2019-2024 PCMH Manual
2020 PCMH Program Policy Addendum
2020 PCMH PCP List
2019 PCMH Program Policy Addendum
2019 PCMH PCP List
2018 PCMH Manual
2018 PCMH Program Policy Addendum
2018 PCMH PCP List

Forms

DMS-844, Practice Participation Agreement/Update Change Form
DMS 845, Pooling Request Form
DMS 846, Practice Withdrawal Form

Provider Inquiries and Assistance

Gainwell Technologies – PCMH Help Desk
Phone: 501.301.8311 or 866.322.4696
Fax: 501.374.0549
General Inquiries/Enrollment Applications: ARKPCMH@gainwelltechnologies.com

Arkansas Foundation for Medical Care
Phone: 501.212.8600
Fax: 501.375.1201
Email: PCMH@afmc.org
Website: www.AFMC.org

Arkansas Foundation for Medical Care, Practice Transformation
Rhelinda McFadden, RN CPHIT, CPEHR
Manager, PCMHPT/Quality Consultant
1020 West 4th Street, Suite 200
Little Rock, Arkansas 72201
Phone: 501.212.8733
Fax: 501.375.0705
Email: rmcfadden@afmc.org
Email: pcmhpt@afmc.org
Website: www.afmc.org

Other Contacts

Arkansas Chapter
American Academy of Pediatrics
Anna Strong
P. O. Box 251182, Little Rock, Arkansas 72225
Phone: 415.902.3927
Email: annastrong.araap@gmail.com
Website: www.arkansasaap.org

Arkansas Chapter American Academy of Family Physicians
Carla Coleman
500 Pleasant Valley Dr. Suite #102
Little Rock, AR 72227
Phone: 501.223.2272
Email: ARAFP@sbcglobal.net
Website: www.ArkansasAFP.org

Arkansas Office of Health Information Technology (OHIT) – AR SHARE
Anne Santifer
HIT Director
Phone: 501.410.1999
Email: sharehealth@arkansas.gov
Website: https://sharearkansas.com/

QualityCare Insight Help Desk
Email: ARQCISupport@gdit.com
Website: https://qci.mmis.arkansas.gov/apii/login