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What’s New for Arkansas Medicaid Providers
Content Updated October 9, 2026
Prime Therapeutics Pharmacy Point of Sale System Will Be Down
Added 10/6/26
Prime Therapeutics will be performing maintenance to the pharmacy point of sale system beginning Saturday, October 10 between 10:00 PM CT and lasting approximately 5 hours until 3:00 AM CT on Sunday, October 11. The pharmacy point of sale claims system will be down during this time frame.
Guidance for Nursing Home Leave of Absence (LOA)
Added 8/20/26
When a nursing home resident is temporarily admitted to a hospital, your facility must bill a Leave of Absence (LOA) revenue code for the applicable dates. Using the correct LOA code is critical. Failure to do so may result in denied or delayed payment to either the hospital or your facility.
Please refer to the Codes webpage and review the “Long Term Care Codes” section to identify the appropriate LOA revenue code. For questions, reach out to your AFMC MMIS Outreach Specialist.
Revalidations for Home Health and Prosthetics (DME)
Added 7/9/26
Arkansas Medicaid Provider Enrollment strongly urges all providers to stay current with all Medicare and Medicaid revalidation requests and monitor all notices closely. Home Health and Prosthetics providers should have received a ninety-day letter for revalidation. These letters were sent June 26, 2026. A link should be available on the Provider Portal to complete your revalidation.
Provider Enrollment strongly recommends completing revalidation within 60 days to allow time to correct any issues before the provider’s termination date. Revalidation is required within 90 days of the assigned date, or the provider will be terminated as an Arkansas Medicaid provider.
The Centers for Medicare & Medicaid Services (CMS) established a moratorium on new Medicare enrollments for Home Health and Prosthetics (DME) provider types. This initiative aims to mitigate fraud, waste, and abuse.
While this moratorium does not impact currently enrolled agencies, providers must maintain compliant status.
Failure to successfully complete Medicare or Medicaid revalidation will result in the termination of Arkansas Medicaid provider agreements, WITH NO OPTION TO RE-ENROLL for the duration of the moratorium.
Comprehensive details and regulatory guidance are available in the official CMS FAQ Document.
New Provider Manual Updates
Added 9/30/26
Arkansas Medicaid released a Prosthetics provider manual update. View the PROSTHET-1-26 transmittal letter. View changes to the Prosthetics provider manual for PROSTHET-1-26.
New Official Notices
View the latest official notices.
New RA Messages
Added 10/9/26
Arkansas Medicaid released a remittance advice message to Arkansas Department of Health (ADH), Certified Nurse-Midwife (CNM), Independent Lab, Hospital, Nurse Practitioner, Physician, Rehabilitative Hospital, and Rehabilitative Services for Persons With Physical Disabilities (RSPD) providers. View the message regarding CLIA Waived Codes with MOD QW.
Arkansas Medicaid released a remittance advice message to Pharmacy providers. View the message regarding Prime Therapeutics Pharmacy Point of Sale System Will Be Down.
Added 10/2/26
Arkansas Medicaid released a remittance advice message to Hospital and Physician providers. View the message regarding Updated Coverage for Procedure Codes J2789 and 0402T.
Arkansas Medicaid released a remittance advice message to Occupational Therapy, Physical Therapy, and Speech-Language Pathology Services providers. View the message regarding Updates on Limit Audits for Adult Members Receiving PT/OT under THER Contract.
Added 9/25/26
Arkansas Medicaid released a remittance advice message to all providers. View the message regarding Place of Service Update for Procedure Code Q0138.
Arkansas Medicaid released two remittance advice message to Dental providers.
View the message regarding Update to Audit 6211 (PROCEDURE LIMITED TO 2 UNITS PER STATE FISCAL YEAR).
View the message regarding Rate Change for D0210 Effective September 1, 2025.
Arkansas Medicaid released two remittance advice message to Physician, Podiatrist, and Nurse Practitioner providers. View the message regarding Place of Service Update for Procedure Codes 97597, 97598, and 97602.
Added 9/18/26
Arkansas Medicaid released a remittance advice message to Pharmacy providers. View the message regarding Prime Therapeutics Pharmacy Point of Sale System Will Be Down.
Added 9/11/26
Arkansas Medicaid released a remittance advice message to Ambulatory Surgical Center (ASC) providers. View the message regarding ASC Missing or Overlapping Rate Segments.
Added 9/10/26
Arkansas Medicaid released a remittance advice message to Pharmacy providers. View the message regarding Prime Therapeutics Pharmacy Point of Sale System Will Be Down.