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
To see the full history of Notices of Rulemaking and Official Notices for all provider types, please download from the manual “Other Policy-Related Notifications for All Provider Types” using the link above.
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.
Crosswalk | Date |
Aid Category to Benefit Plan crosswalk | 10/16/17 |
Dental-specific Benefit Plans Crosswalk | 1/18/24 |
Vision-specific Benefit Plans Crosswalk | 4/4/24 |
Archived Crosswalks | 4/4/24 |
RA Messages
Date | Subject |
---|---|
12/5/24-12/19/24 | Information on Pertussis (Whooping Cough) from Arkansas Department of Health (ADH) |
10/24/24-11/28/24 | Medicare Non-COBA Crossover Billing at the Detail Level |
10/3/24-10/17/24 | Respiratory Syncytial Virus (RSV) Vaccine/Monoclonal Changes |
10/3/24-10/17/24 | 2024/2025 Flu Vaccine Updates |
9/19/24-10/3/24 | COVID Rate Updates for 91304 and 91318-91322 |
9/5/24-10/3/24 | Pharmacy Vendor URL/Website Change |
8/22/24-9/5/22 | Procedure J9039 To Include Ages 1 Month – 999 Years |
8/1/24-10/3/24 | COVID Exemptions Are Being End Dated 9/30/2024 |
5/23/24-6/20/24 | Federal Ordering, Referring, Rendering, and Prescribing (ORP) Requirements |
5/9/24-5/23/24 | NCCI Inpatient Only Changes / Place of Service (POS) Denials |
3/28/24-4/25/24 | New PWK Segment Requirement for 837P and 837I Fee-For-Service Non-COBA Medicare Crossover Claims |
3/21/24-4/11/24 | Payment Error Rate Management (PERM) Requests |
3/7/24-4/4/24 | Ransomware Attack on Change Healthcare |
2/29/24-3/14/24 | Provider Guidance: Coordination of Benefits |
2/22/24-3/7/24 | Edit 3383 (ATTACHMENT REQUIRED FOR NON-COBA CROSSOVER CLAIMS) Retrospective Review Recoupment – EOMB |
2/22/24-3/28/24 | Annual Billing Conference on May 9, 2024 |
2/8/24-2/22/24 | Magellan Pharmacy Point of Sale System Will Be Down |
1/18/24-2/1/24 | Incorrect override of Edit 2502 – MEMBER COVERED BY MEDICARE B |
12/28/23-1/11/24 | CTs A, C and I Added to Edits 528 and 817 |
12/7/23-12/21/23 | Importance of Maintaining Current Contact Information With DHS |
11/30/23-12/14/23 | Diabetic Supplies Update |
11/30/23-12/14/23 | 340B Changes-System Update to Cutback |
11/23/23-12/7/23 | National Correct Coding Initiative (NCCI) Inpatient Only List Updated in System Retroactive to 1/1/2022 |
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.