- 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, 2024
Magellan Pharmacy Point of Sale System Will Be Down
Magellan will be performing maintenance to the pharmacy point of sale system beginning
Sunday, July 14 at 1:00 AM CT and lasting approximately 1.5 hours, until 2:30 AM CT. The pharmacy point of sale claims system will be down during this time frame.
Upcoming Continuous Glucose Monitor and Diabetic Supplies Billing Update
As previously communicated, Arkansas Medicaid is updating the billing processes for diabetic supplies including Continuous Glucose Monitors (CGMs), which will be changing to a pharmacy claim type submission by both pharmacies and DME providers. The official start date is 8/1/2024 for both DME providers and pharmacy providers.
Beginning July 1, 2024, DME providers who manage diabetic supplies including CGMs may register for the new billing portal by logging into the DHS Pharmacy website managed by Prime Therapeutics/Magellan, at https://ar.magellanrx.com. To complete online registration, the DME provider will click on the Login icon in the upper right corner of the screen, then click on Provider, and click Register. This will generate a PIN, which is mailed to a physical address. A registration guide for the web portal is available at https://ar.magellanrx.com/documents/d/arkansas/arkansas-medicaid-rx-uac-quick-start-guide. If there are login issues to the portal, the Magellan Call Center has a web support option in the regular Help Desk phone tree at (800) 424-7895, where callers can be transferred to that center. Providers can also reach Web Support directly at (800) 241-8726 for help with portal login issues. A user guide is posted for the new DME web claim submissions, found at https://ar.magellanrx.com/documents/d/arkansas/arkansas-medicaid-rx-web-claims-submission-user-guide and does not require a login.
Pharmacies billing NCPDP claims may begin to bill for the diabetic supplies as regular prescriptions on August 1, 2024. Diabetic supplies may be billed with a prescription for children and adults. For adults, the diabetic supplies will not count towards prescription limits.
Please visit the DHS Pharmacy website managed by Prime Therapeutics/Magellan at http://ar.magellanrx.com, and see the drop-down Resources tab for all diabetic supply announcements and criteria, including web portal submissions guidance. Registration is not needed to view this information. The Magellan Help Desk can be reached Monday through Friday, from 8:00 am to 5:00 pm, at (800) 424-7895.
Covid-19 Information from DHS
Important information on what DHS is doing about coronavirus as well as reliable, up-to-date information about how the virus is affecting the State can be found on the DHS website.
Get the latest Covid-19 information for providers.
New Provider Manuals
Added 6/28/24
Arkansas Medicaid released a Counseling and Crisis Services provider manual update effective July 1, 2024. View the CNSLSERV-1-24 Transmittal Letter. View changes to the Counseling and Crisis Services provider manual.
Arkansas Medicaid released a Living Choices Assisted Living provider manual update effective July 1, 2024. View the LCAL-1-23 Transmittal Letter. View changes to the Living Choices Assisted Living provider manual.
Arkansas Medicaid released a Nurse Practitioner provider manual update effective July 1, 2024. View the NURSEPRA-4-23 Transmittal Letter. View changes to the Nurse Practitioner provider manual.
Arkansas Medicaid released a Physician provider manual update effective July 1, 2024. View the PHYSICN-4-23 Transmittal Letter. View changes to the Physician provider manual.
New Official Notices
Please click here for the latest official notices.
New RA Messages
Added 7/10/24
Arkansas Medicaid released a remittance advice message to Pharmacy providers. View the message regarding Magellan Pharmacy Point of Sale System Will Be Down.
Added 7/3/24
Arkansas Medicaid released a remittance advice message to Pharmacy and Physician Assistant providers. View the message regarding New Provider Type/Specialty–Physician Assistant (PT12/NV)–Causing Claim Denials for Pharmacy Claims.
Added 6/27/24
Arkansas Medicaid released a remittance advice message to Prosthetics providers. View the message regarding New Diabetic Supply/CGM Billing Portal Training.
Added 6/21/24
Arkansas Medicaid released a remittance advice message to Prosthetics providers. View the message regarding Upcoming Continuous Glucose Monitor and Diabetic Supplies Training Update.
Added 6/14/24
Arkansas Medicaid released a remittance advice message to Pharmacy providers. View the message regarding Magellan Pharmacy Point of Sale System Will Be Down.
