Provider Manual
The following sections of the Arkansas Medicaid provider manual apply to all provider types. For information specific to your provider type, refer to Section II of that provider manual.
- Section I – General Medicaid Policy
- Section III – Billing Information
- Section IV – Glossary
- Section V – Forms and Contacts
Aid Categories to Benefit Plans Crosswalks
Aid Categories currently found in Section I [124.000] of your provider manual are now known as “Benefit Plans.” Benefit plans will eventually replace aid categories in Section I. Until these changes have been promulgated and incorporated into Medicaid policy, we offer the following crosswalks to assist you.
- Aid Category to Benefit Plan crosswalk.
- Dental-specific Benefit Plans Crosswalk.
- Vision-specific Benefit Plans Crosswalk.
Notices of Rule Making
| Date | Number | Subject |
|---|---|---|
| None | – | – |
Official Notices
| Date | Number | Subject |
|---|---|---|
| 1/14/22 | ON-001-22 | COVID-19 Oral Antivirals |
| 12/22/21 | ON-028-21 | COVID UPDATE: Updated Laboratory Diagnostic Testing for COVID-19 |
| 12/13/21 | ON-027-21 | COVID-19 UPDATE: Booster Dose of Pfizer COVID-19 Vaccination Shot |
| 12/8/21 | ON-026-21 | New Process for Adult Maltreatment Registry Background Check Requests |
| 11/24/21 | ON-025-21 | COVID-19 – UPDATED: Monoclonal Antibody Administration for Treatment of COVID-19 |
| 11/22/21 | ON-024-21 | 2021 Fourth (4th) Quarter Healthcare Common Procedure Coding System Level II (HCPCS) Code and Current Procedural Terminology (CPT) |
| 11/15/21 | ON-020-21 | Vaccine Added to MMIS/interChange: VAXEIS (DTAP-IPV-HIB-HEPB) |
| 11/9/21 | ON-019-21 | COVID-19 – Pfizer Pediatric Vaccination Shots (Ages 5-11 Years Old) |
| 11/8/21 | ON-018-21 | COVID-19 – Moderna Low-Dose Booster |
| 11/8/21 | ON-017-21 | UPDATE: Laboratory Diagnostic Testing for COVID-19 |
| 11/5/21 | ON-015-21 | COVID-19 – J&J Vaccine Booster |
| 8/25/20 | ON-011-21 | Nurse Practitioner (NP) Procedure Codes Added (Retrospective) |
| 8/19/21 | ON-010-21 | Additional (Third Dose) COVID-19 Vaccination Shots |
| 8/9/21 | ON-009-21 | 2021 Third (3rd) Quarter Healthcare Common Procedure Coding System Level II (HCPCS) Code and Current Procedural Terminology (CPT) |
| 8/6/21 | ON-008-21 | Temporary Increase in Arkansas Medicaid COVID-19 Vaccination Administration Rate |
| 5/26/21 | ON-004-21 | Prior Authorization Suspensions |
| 4/1/21 | ON-002-21 | 2021 Second Quarter Healthcare Common Procedure Coding System Level II (HCPCS) Code and Current Procedural Terminology (CPT) |
| 2/18/21 | ON-001-21 | 2021 Annual Healthcare Common Procedure Coding System Level II (HCPCS) Code, Current Procedural Terminology (CPT), and ASC Code Conversion |
RA Messages
| Date | Subject |
|---|---|
| 12/23/21-1/13/22 | COVID UPDATE: Updated Laboratory Diagnostic Testing for COVID-19 |
| 12/16/21-1/13/21 | COVID-19 UPDATE: Booster Dose of Pfizer COVID-19 Vaccination Shot |
| 12/9/21-1/6/22 | New Process for Adult Maltreatment Registry Background Check Requests |
| 12/2/21-12/16/21 | Weekend ARIES and COLA updates |
| 11/25/21-12/23/21 | Procedure Codes For Administration Of Monoclonal Antibodies To Treat COVID-19 |
| 11/25/21-12/2/21 | Denied Claims for Summit Community Care PASSE Clients on November 23 |
| 11/25/21-12/16/21 | 2021 Fourth (4th) Quarter Healthcare Common Procedure Coding System Level II (HCPCS) Code and Current Procedural Terminology (CPT) |
| 11/18/21-12/2/21 | Vaccine Added to MMIS/interChange: VAXEIS (DTAP-IPV-HIB-HEPB) |
| 11/11/21-12/2/21 | COVID-19 – Pfizer Pediatric Vaccination Shots (Ages 5-11 Years Old) |
| 11/11/21-12/2/21 | UPDATE: Laboratory Diagnostic Testing for COVID-19 |
| 11/11/21-12/2/21 | COVID-19 – Moderna Low-Dose Booster |
| 11/4/21-11/25/21 | COVID-19 – J&J Vaccine Booster |
| 11/4/21-12/30/21 | Hours of Operation to Change for Gainwell Call Centers |
| 10/28/21-11/11/21 | Update to Copayment Temporarily Suspended |
| 10/14/21-10/21/21 | Magellan Point of Sale Downtime and Portal Downtime |
| 9/9/21-10/7/21 | Nurse Practitioner (NP) Procedure Codes Added (Retrospective) |
| 8/19/21-9/16/21 | Temporary Increase in Arkansas Medicaid Covid-19 Vaccination Administration Rate |
| 8/19/21-9/16/21 | COVID-19 Third Dose Vaccinations |
| 8/5/21-9/30/21 | Billing Provider ID – Medicaid ID with NPI |
| 8/5/21-8/18/21 | reCAPTCHA |
| 5/27/21-6/10/21 | Prior Authorization Suspensions |
| 4/1/21-4/15/21 | ARIES Communication |
| 3/11/21-3/25/21 | DME Rate Changes Effective January 1, 2021 |
| 3/11/21-4/8/21 | CARES Act Funding for Personal Protective Equipment (PPE) and Facility Cleaning |
| 2/11/21-3/11/21 | Prior Authorization Letters Location Change |
| 2/11/21-3/11/21 | Faxed EFT Forms Will Not be Accepted Beginning February 15, 2021 |
| 12/3/20-12/31/20 | Gainwell Technologies |
| 11/19/20-12/17/20 | Crossover Claim Edit Changes and Reprocessing |
Provider Notification Research Log
This Excel spreadsheet is being developed to locate provider notifications using various search criteria. Please note that this is a draft; some functionality may not yet be available.
