The following documents are available for this provider type. See also All Providers.

Provider Manual

Notices of Rule Making


Official Notices

1/14/22ON-001-22COVID-19 Oral Antivirals
12/22/21ON-028-21COVID UPDATE: Updated Laboratory Diagnostic Testing for COVID-19
12/13/21ON-027-21COVID-19 UPDATE: Booster Dose of Pfizer COVID-19 Vaccination Shot
12/8/21ON-026-21New Process for Adult Maltreatment Registry Background Check Requests
11/24/21ON-025-21COVID-19 – UPDATED: Monoclonal Antibody Administration for Treatment of COVID-19
11/22/21ON-024-212021 Fourth (4th) Quarter Healthcare Common Procedure Coding System Level II (HCPCS) Code and Current Procedural Terminology (CPT)
11/15/21ON-020-21Vaccine Added to MMIS/interChange: VAXEIS (DTAP-IPV-HIB-HEPB)
11/9/21ON-019-21COVID-19 – Pfizer Pediatric Vaccination Shots (Ages 5-11 Years Old)
11/8/21ON-018-21COVID-19 – Moderna Low-Dose Booster
11/8/21ON-017-21UPDATE: Laboratory Diagnostic Testing for COVID-19
11/5/21ON-015-21 COVID-19 – J&J Vaccine Booster
8/25/20ON-011-21Nurse Practitioner (NP) Procedure Codes Added (Retrospective)
8/19/21ON-010-21Additional (Third Dose) COVID-19 Vaccination Shots
8/9/21ON-009-212021 Third (3rd) Quarter Healthcare Common Procedure Coding System Level II (HCPCS) Code and Current Procedural Terminology (CPT)
4/1/21ON-002-212021 Second Quarter Healthcare Common Procedure Coding System Level II (HCPCS) Code and Current Procedural Terminology (CPT)
2/18/21ON-001-212021 Annual Healthcare Common Procedure Coding System Level II (HCPCS) Code, Current Procedural Terminology (CPT), and ASC Code Conversion

RA Messages

12/16/21-12/23/21 Procedure Code J2357 (Xolair) Rate Update
12/16/21-12/23/21 COVID-19 – Add Rules for Procedure Codes 0071A, 0072A, and 91307
12/9/21-12/30/21Extension Of Benefits For Acute Crisis Units And Substance Abuse Detoxification, And Telemedicine For Specific Services
11/25/21-12/2/21ICD10 Surgical Procedure Group for Inpatient Stays
11/11/21-11/18/21Procedure code J9271
11/4/21-11/11/21Bypass PCP Edit When DOS Equals PCP Enrollment Date or Enrollment Date Plus 1 Day
10/7/21-10/14/21Procedure Codes Added to the Nurse Practitioner Provider Contract
10/7/21-10/14/21Add COVID Antibodies
9/16/21-9/23/21Procedure Codes added to the Primary Care Case Management Assignment Plan
9/16/21-9/23/21Audit 5202 Bypass for Alternate and Interim Alternate Benefit Plans
9/16/21-9/23/21Annual Conversion in the 2nd Quarter codes for COVID
9/16/21-9/23/21Update Diagnosis Group 2003
9/16/21-9/23/21Remove Units per Day (UPD) for J3357
8/26/21-1/6/22Present on Admission (POA) Indicators for Diagnosis Codes
8/26/21-9/2/21Claims Voided Incorrectly on the Medical Policy (MEDPOL) Tables
8/26/21-9/2/21Add Missing Diagnosis to Diagnosis Group 2006
8/26/21-9/2/21Update the PCP Exemption Rules to Bypass Error Code 1050 for Hospice Members
8/5/21-8/12/21Error Code 3388
8/5/21-8/12/21Audit 5105 – Bypass if COVID Diagnosis
7/29/21-8/5/21Q5111 – Identify Any Claim that Denied Due to No PA on File
7/29/21-8/5/21Add Procedure Codes 22864 and 22855 to the Outpatient Provider Contract
7/22/21-7/29/21Billing and Reimbursement Data Added for U0003 and U0004
7/22/21-7/29/21Place of Service 19 Added (Off Campus – Outpatient Hospital)
7/15/21-7/22/21Prior Authorization Processing
7/8/21-7/22/21Radiopharmaceutical Procedures to JCode/NDC Bypass
7/8/21-7/22/21Medical Supply Contract for A9575 and A9500
7/8/21-7/22/21Diagnosis Codes – Payable on Crossover Claims
7/8/21-7/15/21Diagnosis Group Included Incorrect Diagnosis Codes
7/2/21-7/8/21COVID Administration Vaccine Rate Change
7/2/21-7/8/21Bypass Copay for Given Procedure Codes
7/2/21-7/8/21COVID-19 Diagnosis Codes Added
7/2/21-7/8/21Cost Share ARKIDS B
7/2/21-7/8/21Date of Death Correction
7/1/21-7/15/21Mass Adjustment for Tobacco Funds and Inpatient Days
5/20/21-6/10/21Emergency Department Services Facility Report Released for Calendar Year 2020
12/17/20-12/31/20Swing Beds (Rev Code 194) Payable In Critical Access Hospital
12/3/20-12/31/20Medicaid Policies Regarding Hospital Services During Public Health Emergency
10/15/20-10/29/20Recoupment Due To Missing Procedure Codes T1015 And 97750 For Audit 5202 History Claim Configuration — Claims Paid Incorrectly

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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