All four of these requirements must be met to be eligible for enrollment as a PCMH

  • The Provider entity must be one of the following:
    • An individual Primary Care Physician (PCP) (Medicaid Provider Types 01 or 03)
    • A physician group of Primary Care Providers who are affiliated with a common group Medicaid identification number (Provider Types 02 or 04)
    • A Rural Health Clinic (Medicaid Provider Type 29) as defined by the Rural Health Clinic Provider Manual, Section 201.000
    • An Area Health Education Center (AHEC) (Medicaid Provider Type 69)
  • The practice must include PCPs enrolled in the ConnectCare Primary Care Case Management program
  • The practice may not participate in the PCCM Shared Savings Program established under AR Act 1453 of 2013
  • The practice must have at least 150 attributed beneficiaries at the time of enrollment

PCMH Manual and Supplemental Materials

2021 PCMH Program Policy Addendum2021 PCMH PCP List
2019 -2020 PCMH Manual2020 PCMH Program Policy Addendum
2019 PCMH Program Policy Addendum
2020 PCMH PCP List
2019 PCMH PCP List
2018 PCMH Manual2018 PCMH Program Policy Addendum2018 PCMH PCP List

Additional Resources

Practice Participation Agreement/Update Change Form
DMS 845
Pooling Request Form
DMS 846
Practice Withdrawal Form
2019 Report Guide2020 Pooled Report Guide
2019 Pooled Report Guide

Provider Inquiries and Assistance

DXC Technology – APII Help Desk
Phone: APII help desk: 501.301.8311 or 866.322.4696  
Fax: 501.374.0549
General Inquiries: ARKPII@dxc.com
Enrollment applications only: ARKPCMH@dxc.com

Arkansas Foundation for Medical Care
Phone: 501.212.8600
Fax: 501.375.1201
Email: PCMH@afmc.org
Website: www.AFMC.org

Arkansas Foundation for Medical Care, Practice Transformation
Rhelinda McFadden, RN CPHIT, CPEHR
Manager, PCMHPT/Quality Consultant
1020 West 4th Street, Suite 200
Little Rock, Arkansas 72201
Phone: 501.212.8733
Fax: 501.375.0705
Email: rmcfadden@afmc.org 
Email: pcmhpt@afmc.org 
Website: www.afmc.org

Other Contacts

Advanced Health Information Network (AHIN)
Telephone: 501-378-2336 or 855-822-2446 
Email: customersupport@ahin.net
Website: https://secure.ahin-net.com/ahin/Session/logon

Arkansas Chapter
American Academy of Pediatrics

Kristen Pfeifer
Quality Improvement Manager
#1 Children’s Way, Slot 900
Little Rock, Arkansas 72202
Phone: 415.902.3927 
Email: kristen_pfeifer@yahoo.com 
Website: www.arkansasaap.org

Arkansas Chapter American Academy of Family Physicians 
Carla Coleman 
500 Pleasant Valley Dr. Suite #102
Little Rock, AR  72227
Phone: 501.223.2272
Email: ARAFP@sbcglobal.net
Website: www.ArkansasAFP.org

Arkansas Office of Health Information Technology (OHIT)
Jan Bartlett, JD
HIT Policy Director
Phone: 501.410.1990  
Email: Janis.barlett@hit.arkansas.gov
Website: www.ohit.arkansas.gov

DMS Address

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

DMS Phone Number

Fax: 501-682-1197

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