Helpful Information for Providers

Helpful Information for Providers

This page is intended for providers and not the general public. Providers may access this information by clicking here.

What’s New for Arkansas Medicaid Providers

Content Updated May 22, 2026


NET Providers Using Vendor Systems

Added 5/4/26
NET providers who utilize a vendor system must now use the following process when billing transportation to and from an ADDT/EIDT:
Loop 2300 – Claim Information, NTE (Claim Information)
NTE02: Enter ADDT/EIDT in the Description data element.

For additional details, please refer to the 837P_Companion_Guide.doc

For assistance, contact Gainwell Electronic Data Interchange:
1-800-457-4454 (toll-free) or 501-376-2211
Monday through Friday, 8:00 a.m. – 5:00 p.m.

Guidance for Nursing Home Leave of Absence (LOA)

Added 4/22/26
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.

CMS Moratorium on Newly Enrolling DME Supplier Types

Added 3/9/26
Arkansas Medicaid Provider Enrollment strongly urges all providers to stay current with all Medicare and Medicaid revalidation requests and monitor all notices closely.

Effective February 27, 2026, CMS implemented a six-month nationwide moratorium on new Medicare enrollment for certain Durable Medical Equipment (DME) supplier types to prevent fraud, waste, and abuse, which may be extended in additional six-month increments. While currently enrolled providers are unaffected, failure to complete Medicare or Medicaid revalidation could lead to termination as an Arkansas Medicaid provider and an inability to re-enroll during the moratorium. For more details, read the CMS Moratorium Q&A.

New Official Notices

View the latest official notices.

New RA Messages

Added 5/22/26
Arkansas Medicaid released a remittance advice message to Arkansas Department of Health (ADH), Certified Nurse-Midwife (CNM), Hospital, Nurse Practitioner, Pharmacy, and Physician providers. View the message regarding Age Coverage for 90678 Expanded.

Arkansas Medicaid released a remittance advice message to Physician providers. View the message regarding Coverage update for 0338T and 0339T.

Added 5/15/26
Arkansas Medicaid released a remittance advice message to Occupational Therapy, Physical Therapy, and Speech-Language Pathology Services providers. View the message regarding Physical Therapist Coverage for Nerve Conduction Study (NCS).

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 5/8/26
Arkansas Medicaid released a remittance advice message to Transportation providers. View the message regarding NET Providers Using Vendor Systems.

Arkansas Medicaid released a remittance advice message to Hospital and Physician providers. View the message regarding Units Per Day (UPD) Updated for J1628.

Added 5/1/26
Arkansas Medicaid released a remittance advice message to Area Health Education Center (AHEC), Federally Qualified Health Center (FQHC), Podiatrist, and Physician providers. View the message regarding NCCI Quarterly Update Identifies Claims Paid in Error.

Arkansas Medicaid released a remittance advice message to all providers. View the message regarding NPI and Medicaid ID Usage on Claims.

Arkansas Medicaid released a remittance advice message to Arkansas Department of Health and Physician providers. View the message regarding ARKids Copay Bypass.

Added 4/23/26
Arkansas Medicaid released a remittance advice message to Hospital and Nursing Home providers. View the message regarding Guidance for Nursing Home Leave of Absence (LOA).