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What’s New for Arkansas Medicaid Providers

Content Updated July 10, 2026

Prime Therapeutics Pharmacy Point of Sale System Will Be Down

Added 7/10/26
Prime Therapeutics will be performing updates to the pharmacy point of sale system beginning Saturday, July 18 at 11:50 PM CT lasting approximately 2 hours until 2:00 AM CT on July 19. The pharmacy point of sale claims system will be down during this time frame.

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.

Timing of Medicaid Provider Payments in July

Updated 6/19/26
We want to share important information about the timing of Medicaid provider payments in July.

Because Independence Day falls on a Saturday this year, the state holiday will be observed on Friday, July 3. As a result, first week provider payments, which would otherwise have issued on July 3, will now be paid on July 10. Providers should continue to bill as normal and will receive a Remittance Advice (RA) on the regular schedule.

Additionally, the new system, S/4HANA, will launch in July and replace the aging Arkansas Administrative Statewide Information System (AASIS). This is a major improvement that will ultimately benefit both internal users and external vendors. Both DHS and the Department of Finance and Administration have worked hard to ensure this transition occurs timely and we have every confidence that the system will be operating in time to make the July 10 payments.

As a reminder, Medicaid providers should expect payments on the following days:

• June 19
• June 26
• July 10

Thank you for your patience during this transition. We appreciate your partnership and look forward to continuing our work together.

Federal Revalidation Requirements From CMS

Added 6/12/26
With recent CMS guidelines shifting enrollment requirements for various provider types, Provider Enrollment encourages ALL providers to remain aware and watchful for revalidation letters and other notifications. Utilize the provider portal as a resource to remain current on changes that may impact your enrollment.

Guidelines from the Centers for Medicare and Medicaid Services (CMS) requires your provider type to revalidate. Look for the release of a revalidation letter in the coming weeks. Beginning May 26, 2026, providers can review their revalidation date in the Health Care Portal.

Who Must Revalidate

• Qualified Health Plan,
• Medicare Health Advantage Plans,
• DDS Non-Medicaid Providers, and
• Registered, Non-Credentialed Providers

These providers are required to complete a revalidation application to maintain continued enrollment. Future revalidation will be required every five (5) years for these Low Risk provider types moving forward.

Portal Updates

When logging into the portal on or after May 26, providers will see a revalidation link along with their assigned revalidation deadline date. Providers will have 90 days to complete revalidation, although Provider Enrollment encourages completion within 60 days as best practice in case of any processing delays.

Required Documentation

• W 9 (2024 version)
• IRS Letter
  • Required for the enrolling provider and any listed entity owners
• EFT Form and Bank Letter
  • Only required if updating EFT information

Please note:

• Provider Type 95: DO NOT upload form DMS-7708, Practitioner Identification Number Request. All required information will be captured when completing revalidation through the Health Care Portal.
• All revalidating providers are strongly encouraged to review and update their demographic information to prevent revalidation applications being returned for correction. Form DMS-673, Address Change Form, is available for download from the Provider Enrollment Information webpage (https://humanservices.arkansas.gov/wp-content/uploads/DMS-673.pdf) or in Section V of your provider manual.
• Failure to complete revalidation will result in termination as an Arkansas Medicaid provider.

For questions concerning revalidation, visit the Provider Enrollment Information webpage or contact Arkansas Medicaid Provider Enrollment at (800) 457 4454.

CMS Moratorium on Newly Enrolling Home Health and Hospice Provider Types

Added 6/1/26
Arkansas Medicaid Provider Enrollment strongly urges all providers to stay current with all Medicare and Medicaid revalidation requests and monitor all notices closely.

Effective May 13, 2026, the Centers for Medicare & Medicaid Services (CMS) established a six-month nationwide moratorium on new Medicare enrollments for specified Home Health and Hospice provider types. This initiative aims to mitigate fraud, waste, and abuse, and CMS retains the authority to extend the restriction in six-month increments.

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:
https://www.cms.gov/files/document/hh-hospice-moratorium-faqs.pdf

New Provider Manual Updates

Added 7/8/26
Arkansas Medicaid released a Section V all provider manuals update. View the SecV-6-26 transmittal letter. View form DMS-2608.

Added 6/30/26
Arkansas Medicaid released a Nurse Practitioner provider manual update. View the NURSEPRA-5-25 transmittal letter. View changes to the Nurse Practitioner provider manual.

Arkansas Medicaid released a PASSE provider manual update. View the PASSE-1-25 transmittal letter. View changes to the PASSE provider manual.

Arkansas Medicaid released a Physician provider manual update. View the PHYSICN-5-25 transmittal letter. View changes to the Physician provider manual.

Arkansas Medicaid released a new provider manual for Rehabilitative Occupational Therapy and Physical Therapy Services. View the REHABOTPT-New-25 transmittal letter. View the Rehabilitative Occupational Therapy and Physical Therapy Services provider manual.

Arkansas Medicaid released two Section I all provider manuals updates. View the SecI-2-25 transmittal letter. View changes to Section I of all provider manuals for SecI-2-25. View the SecI-3-25 transmittal letter. View changes to Section I of all provider manuals for SecI-3-25.

Arkansas Medicaid released two Section V all provider manuals updates. View the SecV-7-25 transmittal letter. View changes to Section V of all provider manuals for SecV-7-25. View contact information for DHS Office of Appeals and Hearings (Beneficiary Appeals). View contact information for ADH Office of Medicaid Provider Appeals. View the SecV-12-25 transmittal letter. View changes to Section V of all provider manuals for SecV-12-25. View form DMS-640A.

Arkansas Medicaid released a new provider manual for Targeted Case Management for Juveniles in Public Institutions. View the TCMJPI-New-25 transmittal letter. View the Targeted Case Management for Juveniles in Public Institutions provider manual.

Arkansas Medicaid released a Transportation provider manual update. View the TRANSP-1-25 transmittal letter. View changes to the Transportation provider manual.

Added 6/24/26
Arkansas Medicaid released a Hospital provider manual update. View the HOSPITAL-4-26 transmittal letter. View changes to the Hospital provider manual.

New Official Notices

View the latest official notices.

New RA Messages

Added 7/9/26
Arkansas Medicaid released a remittance advice message to Hospital, Nurse Practitioner, and Physician providers. View the message regarding Updated Coverage for Procedure Codes J1434 and J2468.

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 7/2/26
Arkansas Medicaid released a revised remittance advice message to Dental providers. View the message regarding Dental Rate Increase Retro Effective 9/1/2025.

Arkansas Medicaid released a revised remittance advice message to Ambulatory Surgical Center (ASC) and Hospital providers. View the message regarding Updated Codes Added to Outpatient Procedures Included in Primary Procedure Codes.

Arkansas Medicaid released a revised remittance advice message to Home Health and Prosthetics (DME) providers. View the message regarding Revalidations for Home Health and Prosthetics (DME).

Arkansas Medicaid released a revised remittance advice message to Nurse Practitioner and Physician providers. View the message regarding Procedure Codes 97110 UB and 97150 UB No Longer Covered Under MEDSV & NURSP Contract.

Added 6/26/26
Arkansas Medicaid released a revised remittance advice message to Arkansas Department of Health, Certified Nurse-Midwife (CNM), Hospital, Nurse Practitioner, Pharmacy, and Physician providers. View the message regarding Removing Med Review for Procedure 90678.

Added 6/19/26
Arkansas Medicaid released a revised remittance advice message to all providers. View the message regarding Timing of Medicaid Provider Payments in July.

Arkansas Medicaid released a remittance advice message to Hospital and Physician providers. View the message regarding Add Medical Review for Procedure J1413.

Arkansas Medicaid released a remittance advice message to Ambulatory Surgical Center, Hospital, Independent Radiology, Nurse Practitioner, Private Duty Nursing, and Physician providers. View the message regarding Radiology Rate Changes for 77387, 77407, and 77412 Retro Effective 1/1/2026.

Added 6/12/26
Arkansas Medicaid released a remittance advice message to all providers. View the message regarding Timing of Medicaid Provider Payments in July.

Arkansas Medicaid released a remittance advice message to Early Intervention Day Treatment (EIDT) and Provider-Led Arkansas Shared Savings Entity (PASSE) Program providers. View the message regarding EIDT Providers conducting Psychological or Neuropsychological Testing under the Diagnostic and Evaluation Services Manual.

Arkansas Medicaid released a remittance advice message to Qualified Health Plan, Medicare Health Advantage Plans, DDS Non-Medicaid Providers, And Registered, Non-Credentialed providers. View the message regarding Federal Revalidation Requirements From CMS.

Arkansas Medicaid released a remittance advice message to Federally Qualified Health Center (FQHC) and Physician providers. View the message regarding ARKids Copay Bypass.