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
3/6/20Adult Behavioral Health Services for Community Independence
1/1/21Adult Developmental Day Treatment
1/3/192016 Ambulatory Surgical Center
2/12/192017 Ambulatory Surgical Center
2/13/192018 Ambulatory Surgical Center
4/15/192019 Ambulatory Surgical Center
4/16/202020 Ambulatory Surgical Center
3/29/212021 Ambulatory Surgical Center
2/26/21ARKids First-B Screenings / SCHIP Vaccines
10/5/20Autism Waiver
10/5/20Autism Early and Periodic Screening, Diagnosis, and Treatment (EPSDT)
3/25/21Certified Nurse-Midwife
12/20/21Certified Registered Nurse Anesthetist
2/26/21Child Health Services/Early and Periodic Screening, Diagnosis, and Treatment (EPSDT)
3/17/21Critical Access Hospital
4/2/21Developmental Rehabilitation Services
1/1/21Early Intervention Day Treatment
3/17/21Early Intervention Day Treatment Academic Medical Centers Services
9/30/19End-Stage Renal Disease
12/20/21Family Planning Clinic
3/31/21Federally Qualified Health Center
3/31/21Hearing Services
4/17/19Home Health
3/14/19Hospice (October 1, 2017 – September 30, 2018)
7/19/19Hospice (October 1, 2018 – September 30, 2019)
10/1/19Hospice (October 1, 2019 – September 30, 2020)
10/1/20Hospice (October 1, 2020 – September 30, 2021)
4/27/21Independent Laboratory
5/3/21Independent Radiology
7/1/20Living Choices Assisted Living
8/26/20Nurse Practitioner
1/1/21Occupational Therapy, Physical Therapy, and Speech-Language Pathology Services
2/26/21Oral Surgeon
3/6/20Outpatient Behavioral Health Services
1/1/21Personal Care Services
10/21/20Portable X-Ray Services
12/20/21Primary Care Physician
9/16/19Private Duty Nursing
4/23/21Prosthetics (includes Durable Medical Equipment and Orthotics)
4/18/19Radiation Therapy Center
2/26/21Rehabilitative Hospital
1/19/16Rehabilitative Services for Youth and Children
2/26/21Rural Health Clinic
7/17/17School-Based Mental Health Services
4/27/16Targeted Case Management
4/17/19Ventilator Equipment
9/15/20Visual Care

Archived Fee Schedules

View or print archived fee schedules.

DMS Address

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

DMS Phone Number

Fax: 501-682-1197

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