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 |
|---|---|
| 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 |
| 10/12/23-10/26/23 | COVID-19 Vaccine & Vaccine Administration Changes |
| 9/21/23-10/5/23 | Prior Authorization (PA) Required for Procedure Code 69716 |
| 9/21/23-10/5/23 | Change Affecting Diabetic/Blood Sugar Testing Supply Benefits |
| 9/21/23-10/19/23 | 340B Providers and HRSA MEF File Information |
| 9/21/23-10/5/23 | Diagnosis Code Z52.3 Has Been Added to Procedure 38232 |
| 9/21/23-10/5/23 | J1427 Newly Covered and J1426 & J1429 Age Restriction Removed |
| 9/7/23-9/21/23 | Fix Went in for Claims Denying for Edit 4227 When Claims DOS Spanned Between July 2023 and August 2023 |
| 8/31/23-10/27/23 | Post-Payment Recoupments |
| 8/24/23-9/7/23 | Incorrect Override of Edit 2504 – MEMBER COVERED BY PRIVATE INSURANCE |
| 8/24/23-9/7/23 | Procedure Code J1411 Added to Once Per Lifetime Audit |
| 5/11/23-6/8/23 | Discontinue Submitting the Updated DMS-600 Form |
| 4/13/23-5/11/23 | Retrospective Review of Paid Claims – Medicare Advantage Crossover Claims- Edit 3383-(ATTACHMENT REQUIRED FOR NON-COBA CROSSOVER CLAIMS) |
| 4/13/23-4/27/23 | XDEA Waivers Are No Longer Required as of 12/29/2022 |
| 3/30/23-4/27/23 | Retrospective Review of Paid Claims – Medicare Advantage Crossover Claims- Edit 3383-(ATTACHMENT REQUIRED FOR NON-COBA CROSSOVER CLAIMS) |
| 3/16/23-4/13/23 | Medicaid Utilization Management Program (MUMP) process date updated to look at Admission Date on or after 01/01/2023 |
| 3/16/23-3/30/23 | Updated: CLIA Waived Codes with MOD QW |
| 3/2/23-3/30/23 | Preventative Screening Essential Health Benefits |
| 2/23/23-3/23/23 | Retrospective Review of Paid Claims – Medicare Advantage Crossover Claims- Edit 3383-(ATTACHMENT REQUIRED FOR NON-COBA CROSSOVER CLAIMS) |
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.
