Helpful Information for Providers

Helpful Information for Providers

What’s New for Arkansas Medicaid Providers

Content Updated April 11, 2025


Upcoming Changes for Preferred Blood Glucose Meters

Attention Prescribers, DME providers, and Pharmacists:

Effective May 1, 2025, the following will be updated as a preferred option for Arkansas Medicaid.

  • Freestyle Blood Glucose Meters and corresponding strips

The following Abbott blood glucose meters will be added as preferred products:

  • FreeStyle Freedom Lite
  • FreeStyle Lite
  • FreeStyle Precision Neo
  • Precision Xtra

The following Abbott blood glucose test strips will be added as preferred products:

  • FreeStyle Insulinx
  • FreeStyle Lite
  • FreeStyle
  • Precision Xtra
  • FreeStyle Precision Neo

Effective May 1, 2025, the following will be updated as non-preferred options for Arkansas Medicaid.

  • OneTouch Verio Reflect and corresponding test strips
  • OneTouch Ultra2 and corresponding test strips
  • OneTouch Verio Flex and corresponding test strips

True Metrix Meters and strips will remain as preferred diabetic supplies. Beneficiaries currently using a OneTouch product will need a new prescription for either a FreeStyle or True Metrix product beginning on May 1, 2025.

For any questions, contact the Prime Therapeutics Help Desk at (800) 424-7895.

Provider Input Requested Regarding Medicaid Vaccine Rates, Vaccine Administration Rates, and Billing

DHS recently emailed a survey link (https://forms.office.com/g/9975Uewd3c) to obtain provider input and information regarding Medicaid vaccine rates, vaccine administration rates, billing, payer mix, and cost. DHS seeks this information to determine the adequacy of rates for vaccines and their administration.

DHS chose to perform rate review for vaccines and their administration separately from other rates due to the seasonal nature of administration, the variety of providers who perform this service, and the varied settings where administration can be performed. As such, these rates do not neatly fit into any one provider group for analysis. DHS believes reviewing vaccines and their administration independently is the best way to get an accurate picture of how vaccines are being provided in Arkansas. Thank you in advance for taking a few minutes out of your very busy day to help gather this information, and as always, please reach out with any questions at [email protected].

New Official Notices

View the latest official notices.

New RA Messages

Added 4/11/25
Arkansas Medicaid released a remittance advice message to Certified Nurse-Midwife and Nurse Practitioner providers. View the message regarding Update For 99402 FP UA UB.

Arkansas Medicaid released a remittance advice message to Nurse Practitioner providers. View the message regarding Nurse Practitioner Coverage for Antepartum Care.

Arkansas Medicaid released a remittance advice message to Federally Qualified Health Center providers. View the message regarding Updates to Several Procedure Codes for FQHCs.

Added 4/4/25
Arkansas Medicaid released a remittance advice message to Nurse Practitioner, Pharmacy, Physician, and Prosthetics providers. View the message regarding Upcoming Changes for Preferred Blood Glucose Meters.

Arkansas Medicaid released a remittance advice message to all providers. View the message regarding Updates to NDC Modifier Processing.

Arkansas Medicaid released a remittance advice message to all providers. View the message regarding Provider Input Requested Regarding Medicaid Vaccine Rates, Vaccine Administration Rates, and Billing.

Added 3/27/25
Arkansas Medicaid released a remittance advice message to Hospital and Physician providers. View the message regarding Coverage for Procedure Code 58674 – LAPS ABLTJ UTERINE FIBROIDS.

Added 3/21/25
Arkansas Medicaid released a remittance advice message to Hospital, Independent Lab, Nurse Practitioner, and Physician providers. View the message regarding Diagnosis Group 700 Updated.

Arkansas Medicaid released a remittance advice message to Area Health Education Center (AHEC); ARKids First-B; Early Intervention Day Treatment (EIDT); Occupational Therapy, Physical Therapy, and Speech-Language Pathology Services; Physician; and Visual Care providers. View the message regarding ARKids Hearing/Vision Screenings.

Added 3/13/25
Arkansas Medicaid released a remittance advice message to all Inpatient providers. View the message regarding MUMP Inpatient.

Added 3/7/25
Arkansas Medicaid released a remittance advice message to Prosthetics providers. View the message regarding Units Per Day (UPD) Updated for E2384 and E2387.

Arkansas Medicaid released a remittance advice message to Nurse Practitioner providers. View the message regarding Coverage for Procedure Codes 38220, 38221, and 38222.