Medicaid, ARHOME, and ARKids Beneficiaries

Watch for your renewal form, fill it out, and return it to Arkansas Medicaid right away to avoid losing Medicaid coverage if you are eligible.

Helpful Information for Providers

Helpful Information for Providers

What’s New for Arkansas Medicaid Providers

Content Updated December 8, 2023

Diabetic Supplies Update

To better assess the concerns and options proposed in public comments, DHS is postponing the effective date for Rule 243 for moving continuous glucose monitors and diabetic supplies to pharmacy point of sale claims processing until 4/1/2024. AFMC will continue to review DME requests for continuous glucose monitors and diabetic supplies and provide necessary authorizations. Further communication will be provided when information is available.

If there are any questions, please contact the Magellan Help Desk at (800) 424-7895.

Hepatitis C Update

Arkansas Medicaid has updated the prior authorization criteria for Hepatitis C reviews. The requirement for a certain fibrosis score, which dictates the amount of fibrosis in the liver, has been removed from the criteria. Fibrosis scores will no longer determine treatment eligibility. Each prior authorization request received will continue to be reviewed on a case-by-case basis.

The hepatitis C prior authorization form has been updated.

If there are any questions, please contact the Arkansas Medicaid Pharmacy Program at (501) 683-4120.

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 Official Notices

Please click here for the latest official notices.

New RA Messages

Added 12/8/23
Arkansas Medicaid released a remittance advice message to all providers. View the message regarding Importance of Maintaining Current Contact Information With DHS.

Added 11/30/23
Arkansas Medicaid released a remittance advice message to all providers. View the message regarding Diabetic Supplies Update.

Arkansas Medicaid released a remittance advice message to all providers. View the message regarding 340B Changes-System Update to Cutback.

Arkansas Medicaid released a remittance advice message to Nurse Practitioner providers. View the message regarding Procedure Code 49083 Covered for Nurse Practitioners.

Arkansas Medicaid released a remittance advice message to Personal Care and Attendant Care providers. View the message regarding Claims Submission Clarification for Attendant Care (S5125 U2) and Personal Care (T1019 U3 and T1019 U5).

Added 11/22/23
Arkansas Medicaid released a remittance advice message to all providers. View the message regarding National Correct Coding Initiative (NCCI) Inpatient Only List Updated in System Retroactive to 1/1/2022.