Medicaid, ARHOME, and ARKids Beneficiaries

Watch for your renewal form, fill it out, and return it to Arkansas Medicaid right away to avoid losing Medicaid coverage if you are eligible.

Fee Schedules

Fee Schedules

The fee schedules do not address the various coverage limitations routinely applied by Arkansas Medicaid before final payment is determined (e.g., client and provider eligibility, benefit limits, billing instructions, frequency of services, third party liability, age restrictions, prior authorization, co-payments/coinsurance where applicable). Procedure codes and/or fee schedule amounts listed do not guarantee payment, coverage or amount allowed.

Although every effort is made to ensure the accuracy of this information, discrepancies may occur. These fee schedules may be changed or updated at any time to correct such discrepancies. The reimbursement rates reflected in these fee schedules are in effect as of the run date for the report. The reimbursement rate applied to a claim depends on the claim’s date of service because Arkansas Medicaid’s reimbursement rates are date-of-service effective. These fee schedules reflect only procedure codes that are currently payable. Any procedure code reflecting a Medicaid maximum of $0.00 is manually priced.

Please note that Arkansas Medicaid will reimburse the lesser of the amount billed or the Medicaid maximum. For disclaimers specific to the provider type, please refer to the disclaimer text in each fee schedule file. For a full explanation of the procedure codes and modifiers listed here, refer to your Arkansas Medicaid provider manual.

Current Fee Schedules

The following fee schedules are available for providers.

Run DateFee Schedule
10/12/22Adult Behavioral Health Services for Community Independence
10/18/22Adult Developmental Day Treatment
7/12/232023 Ambulatory Surgical Center
10/31/23ARKids First-B Screenings / SCHIP Vaccines
10/5/20Autism Waiver
10/5/20Autism Early and Periodic Screening, Diagnosis, and Treatment (EPSDT)
11/17/23Certified Nurse-Midwife
11/8/23Certified Registered Nurse Anesthetist
10/31/23Child Health Services/Early and Periodic Screening, Diagnosis, and Treatment (EPSDT)
11/13/23Critical Access Hospital
11/1/23Developmental Therapy Services
10/18/22Early Intervention Day Treatment
10/20/22Early Intervention Day Treatment Academic Medical Centers Services
11/1/23End-Stage Renal Disease
11/8/23Family Planning Clinic
10/31/23Federally Qualified Health Center
11/6/23Hearing Services
8/2/23Home Health
11/7/23Hospice (October 1, 2023 – September 30, 2024)
11/16/23Independent Laboratory
11/16/23Independent Radiology
1/1/22Living Choices Assisted Living
11/14/23Nurse Practitioner
9/15/22Occupational Therapy, Physical Therapy, and Speech-Language Pathology Services
11/21/23Oral Surgeon
3/6/20Outpatient Behavioral Health Services
1/1/21Personal Care Services
11/1/23Portable X-Ray Services
11/8/23Primary Care Physician
8/10/23Private Duty Nursing
11/20/23Prosthetics (includes Durable Medical Equipment and Orthotics)
11/1/23Radiation Therapy Center
10/27/23Rehabilitative Hospital
1/19/16Rehabilitative Services for Youth and Children
11/20/23Rural Health Clinic
7/17/17School-Based Mental Health Services
4/27/16Targeted Case Management
8/1/22Ventilator Equipment
4/4/23Visual Care

Archived Fee Schedules

View or print archived fee schedules.