Helpful Information for Providers

Helpful Information for Providers

What’s New for Arkansas Medicaid Providers

Content Updated September 17, 2021

DHS Prior Authorization Process Change

Added 9/1/21
The Arkansas Department of Human Services (DHS) continues to work to improve process efficiency. We have been in discussions with our provider community and understand the need for timely authorizations, especially with the requirements for Electronic Visit Verification (EVV). To provide more timely authorizations to providers under the ARChoices Waiver Program, the Division of Aging, Adult, and Behavioral Health Services (DAABHS) will be making changes in how it issues prior authorizations for ARChoices Attendant Care and Personal Care services.

Beginning on September 1, 2021, prior authorizations issued for ARChoices participants receiving Attendant Care and Personal Care services will cover a period of six (6) months. Providers will receive an authorization for the total number of units of service based on the Person-Centered Service Plan (PCSP) for two (2) six-(6) month periods. For example, participants who are authorized for 64 hours of personal care will receive an authorization for up to 1,536 units of personal care for the six (6)-month period.

This change reduces the time required to enter prior authorizations and will allow staff to process prior authorizations and any changes to prior authorizations in a timely manner. This lets providers submit claims more quickly and efficiently.

As a reminder, providers are responsible for the provision of services as authorized in the PCSP. Services provided outside of the authorized PCSP may be subject to recoupment upon review.

If you have any questions about this change, please contact DAABHS Prior Authorization Team Supervisor Zoe Kenney at zoe.kenney@dhs.arkansas.gov.

ARPA Reporting Forms for Nursing Facilities/Hospitals

Updated 9/1/21

Hospitals

Nursing homes

Billing Provider ID – Medicaid ID with NPI

Added 8/5/21
All Medicaid Providers: Arkansas Medicaid will begin using the Medicaid ID as a secondary provider ID for the Billing Provider only on all claims submissions. A new edit will be in effect with these changes which will deny claims when the NPI and Medicaid ID submitted are not associated to each other in the Arkansas Medicaid system. Claims denied due to Edit 1945, Multi Prov Locs for Billing Prov, may submit the Medicaid ID in the 2010BB loop where REF01 = G2 (Refer to the updated Companion Guides) on all 837 transactions (D, I, and P), in addition to the NPI. As of 8/31/21, this value will assist in identifying the billing provider to force the claim to process against the correct service location. This field is optional and should only be used for Medicaid ID. If any other data is in this field, it will cause claims to be denied.

Covid-19 Information from DHS

As the threat from COVID-19 continues, 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 Provider Manual Updates

Added 9/17/21
Arkansas Medicaid released a Section V all provider manuals update. View or print the SecV-8-21 transmittal letter.
View or print changes to form DMS-844, Arkansas Medicaid Patient-Centered Medical Home Practice Participation Agreement.
View or print changes to form DMS-846, Arkansas Patient-Centered Medical Home Program Practice Withdrawal Form.

New Official Notices

Added 9/8/21
Arkansas Medicaid released an official notice to all providers regarding Nurse Practitioner (NP) Procedure Codes Added (Retrospective). View or print ON-011-21.

Added 8/20/21
Arkansas Medicaid released an official notice to all providers regarding Additional (Third Dose) COVID-19 Vaccination Shots. View or print ON-010-21.

New RA Messages

Added 9/16/21
Arkansas Medicaid released an RA message to Hospital and Physician Providers. View the RA message regarding Procedure Codes added to the Primary Care Case Management Assignment Plan.

Arkansas Medicaid released an RA message to End-Stage Renal Disease (ESRD), Hospital, Rehabilitative Hospital, Rehabilitative Services for Persons with Physical Disabilities (RSPD), and Rural Health Clinic (RHC) Providers. View the RA message regarding Audit 5202 Bypass for Alternate and Interim Alternate Benefit Plans.

Arkansas Medicaid released an RA message to Federally Qualified Health Center (FQHC), Hospital, Independent Laboratory, Nurse Practitioner, Physician, and Rural Health Clinic (RHC) Providers. View the RA message regarding Annual Conversion in the 2nd Quarter codes for COVID.

Arkansas Medicaid released an RA message to Area Health Education Center (AHEC), Federally Qualified Health Center (FQHC), Hospital, Nurse Practitioner, and Physician Providers. View the RA message regarding Update Diagnosis Group 2003.

Arkansas Medicaid released an RA message to Hospital Providers. View the RA message regarding Remove Units per Day (UPD) for J3357.

Added 9/9/21
Arkansas Medicaid released an RA message to All Providers. View the RA message regarding Nurse Practitioner (NP) Procedure Codes Added (Retrospective).

Arkansas Medicaid released an RA message to ARChoices in Home Care Home and Community-Based 2176 Waiver, Attendant Care, and Personal Care Providers. View the RA message regarding DHS Prior Authorization Process Change.

Added 8/26/21
Arkansas Medicaid released an RA message to Hospital (Inpatient Only) and Inpatient Psychiatric Providers. View the RA message regarding Present on Admission (POA) Indicators for Diagnosis Codes.

Arkansas Medicaid released an RA message to Physician Providers. View the RA message regarding Configuration Update for Error Code 6793 – EOB 0792 (POST-OP CARE IS INCLUDED IN THE PAYMENT FOR THE SURGICAL PROCEDURE).

Arkansas Medicaid released an RA message to Home Health, Hospital, and Physician Providers. View the RA message regarding Claims Voided Incorrectly on the Medical Policy (MEDPOL) Tables.

Arkansas Medicaid released an RA message to Prosthetics Providers. View the RA message regarding Remove UPD from Medical Supplies And Home Health Provider Contracts For Audit 5234.

Arkansas Medicaid released an RA message to Independent Lab, Independent Radiology, Nurse Practitioner, Physician, Rehabilitative Hospital, and Rehabilitative Services for Persons with Physical Disabilities (RSPD) Providers. View the RA message regarding Place of Service (POS) 61 Added.

Arkansas Medicaid released an RA message to Prosthetics and Ventilator Equipment Providers. View the RA message regarding Updated Rates for DME, Ventilator Equipment, and Medical Services.

Arkansas Medicaid released an RA message to Hospital, Independent Laboratory, and Physician Providers. View the RA message regarding Add Missing Diagnosis to Diagnosis Group 2006.

Arkansas Medicaid released an RA message to Hospice, Hospital, Independent Laboratory, Independent Radiology, Nurse Practitioner, Physician, Podiatrist, Prosthetics, and Rural Health Providers. View the RA message regarding Update the PCP Exemption Rules to Bypass Error Code 1050 for Hospice Members.

Added 8/20/21
Arkansas Medicaid released an RA message to All Providers. View the RA message regarding COVID-19 Third Dose Vaccinations.

Arkansas Medicaid released an RA message to All Providers. View the RA message regarding Temporary Increase in Arkansas Medicaid Covid-19 Vaccination Administration Rate.

DMS Address

P.O. Box 1437, Slot S401
Little Rock, AR 72203-1437

DMS Phone Number

501-682-8292
Fax: 501-682-1197

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