(800) 457-4454 View the RA message regarding Early Intervention / First Connection Providers. • You can apply for Medicaid, ARKids First or the Arkansas Works Program. View the RA message regarding New MACs with Effective Dates of 12/15/2020. • If you are not eligible for any of the above coverage, your information will be transferred to the Federally Facilitated Health Insurance Marketplace to determine your eligibility for tax credits to help Security Notice. Beneficiary Information These counts do not include the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Health Plan Survey 5.0H – Child Version Including Medicaid … As the threat from COVID-19 continues, important information on what DHS is doing about coronavirus as well as reliable, up-to-date information about how the virus is affecting the State can be found on the DHS website. Arkansans ages 19-64 who have a household income of up to 138 percent of Federal Poverty Level (FPL) for their household size may be eligible for Arkansas Works. Additionally, there will be a question asking if the application is for a personal care aide, which should be indicated as ‘yes,’ even if you are providing attendant care or respite. The Provider-led Arkansas Shared Savings Entity (PASSE) is a new model of organized care that will address the needs of certain Medicaid beneficiaries who have complex behavioral health and intellectual and developmental disabilities service (PDF, new window). DMS has issued the following guidance related to certain behavioral health providers using technology for direct communication that takes place in real-time to provide certain counseling services. To ensure accurate billing and payment for claims that do not cross over from the Medicare Coordination of Benefits Agreement (COBA) process, you will need to enter information for each service provided on the detail lines of the claim. Information for those who provide health care services to Arkansas Medicaid beneficiaries. Any technology deemed appropriate may be used, including telephones, but technology must utilize direct communication that takes place in real-time. Empower was formed to create a Provider-owned Arkansas Shared Savings Entity (PASSE). These codes will be active in the claims processing system temporarily and should only be performed with an order from the physician. DMS issues the following guidance and policy related to physicians use of telemedicine. The insurance is offered through qualified health plans from Arkansas BlueCross BlueShield, Arkansas Health & Wellness (Ambetter), and Qualchoice. URAC accredited in health utilization management, AFMC is the Arkansas Medicaid review agent. Search. View the RA message regarding Crossover Claim Edit Changes and Reprocessing. You also have access to your healthcare information. You are about to access a secured resource. eQHealth Solutions, the QIO-like organization for the Arkansas Department of Human Services (DHS), provides utilization and quality control peer review for outpatient behavioral health services to qualifying Arkansas Medicaid beneficiaries. Please send comments or suggestions on accessibility to arkwebmasterdl@dxc.com. (PDF, new window), Added 11/3/20 eQHealth also provides utilization and quality control peer review for inpatient psychiatric services for Arkansas Medicaid … View or print the SecV-4-19 transmittal letter. Empower is a collaborative partnership made up of an array of service providers and will provide coordination with behavioral health, … (800) 482-8988 in-state toll-free or (501) 682-8233 local and out-of-state. Help. The Division of Medical Services will provide public notice and allow input processes for its intent to submit written applications, renewals or amendments to any 1115(a) demonstration waiver projects that will be sent to the Centers of Medicare View or print changes to Section I all provider manuals. Updated 8/4/20In response to the COVID-19 outbreak in Arkansas and consistent with CMS’s coverage and payment for COVID-19 diagnostic testing, DMS is covering the linked laboratory services (PDF, new window). Forgot Password? Phone: (800) 482 - 8988. Added 3/20/20In response to the COVID-19 pandemic, Arkansas Medicaid is making some lab and primary care procedure codes payable retroactively. DMS is covering the linked laboratory services. Sign On. General Information Arkansas Medicaid has released the Final Rule for State Plan #2019-0009, TRANSP-1-19, and SecV-2-19 all provider manuals update. Understand Arkansas Medicaid’s organization and services. Arkansas Medicaid reserves the right to monitor and/or limit access to this resource at any time. Welcome to Arkansas Medicaid! (Word, new window), Arkansas Medicaid released a Section V all provider manuals update. From Little Rock to Fayetteville, Jonesboro to Hot Springs, explore these Arkansas health insurance options and more that may be available now. Pursuant to Executive Order 20-05 and as allowed under current Medicaid policy, DMS is lifting the requirement to have an established professional relationship before utilizing telemedicine for physicians under the following conditions for the duration of the emergency declaration: To bill for these services, please use the appropriate billing procedure code with the “GT” modifier and Place of Service (POS) “02.”. Medicare plans Health insurance for individuals who are 65 or older , or those under 65 who may qualify because of a disability or another special situation. In response to this declaration and the need for social distancing, DMS has issued the following guidance related to certain behavioral health providers using technology for direct communication that takes place in real-time to provide certain counseling services. Your guide to applying for and using Medicaid benefits in Arkansas. 1. Connect to Front Line for the latest alerts and important information about the new MMIS provider portal. AR Medicaid Front Line. Thank you in advance for your cooperation and compliance. View or print the SecV-4-19 transmittal letter. Some Arkansas Works enrollees must pay a monthly payment for … Added 11/20/20 Added 4/8/20As the threat from COVID-19 continues, important information on what the Arkansas Department of Human Services (DHS) is doing about coronavirus (COVID-19) as well as reliable, up-to-date information about how the virus is affecting the State can be found on the DHS website. (PDF, new window), Arkansas Medicaid has released a Final Rule for Electronic Visit Verification (EVV) Implementation. Crossover Claim Edit Changes and Reprocessing Arkansas Department of Human Services (501) 682-1001. TTY: 1-800-285-1131 or dial 711 for Arkansas Relay Service. and Medicaid Services. Current Demonstration Waiver Projects English: Español: Contact Us. View or print Final Rule for EVV. From there, you can log in or register a new account. (501) 301-8311 Lost / non-receipt of Medicaid cards 2. Added 10/23/20 Arkansas Department of Human Services (501) 682-1001. The Arkansas Medicaid application process is an opportunity for residents who cannot afford health insurance to obtain medical coverage. Empower Healthcare Solutions, LLC (Empower) is a Provider-led Arkansas Shared Savings Entity (PASSE). A reminder here is that these are the Americans who work all of the jobs Americans rely on, so that we can use drive-thrus and eat things, walk into stores and buy things, and rush … (Word, new window) T1027: Individual Therapeutic Therapy by a Developmental Therapist, T1027 UB: Individual Therapeutic Therapy by a Developmental Therapist Assistant. (Word, new window) Arkansas Health & Wellness offers many convenient and secure tools to assist you. HealthCare.gov General Information. (HTML, new window). Added 3/19/20As you know, the Governor declared a public health emergency on March 12, 2020, due to the Coronavirus (COVID-19) outbreak in Arkansas. To enter our secure portal, click on the login button. If you need assistance, please see the information below: If you do not have access to a printer, please call 1-800-482-8988 (Toll-free Client Assistance Helpline) to have a Voter Registration Application mailed to you. local and out-of-state, Arkansas Payment Improvement Initiative Only the following services may be billed: To learn more, see all COVID-19 related memorandums posted below. This will allow the aide to reset password without calling the help desk. Provider Information When completing an application, the enrollment type is atypical, provider type is 95 — registered, non-credentialed provider and the specialty code is NT — registered, non-credentialed. This new model of care was developed to address the overall health care needs of Medicaid beneficiaries who have complex behavioral health or intellectual and developmental disability (IDD) service needs. DMS is suspending the rule related to originating site requirements for certain behavioral health providers to provide certain counseling services. in-state toll-free or Starting 12/01/2020 and after, First Connections providers must use the new procedure codes listed below to bill Developmental Therapy and Developmental Therapy Assistant services. ARKids B (copayment required) Program Coverage Limits Prior Authorization Copayment*; Ambulance (emergency only) Medical necessity: None: $10 per trip: Ambulatory Surgical Center Section 12006(a) of the 21st Century Cures Act (HTML, new window) mandates that states implement Electronic Visit Verification (EVV) for all Medicaid personal care services (PCS) that require an in-home visit by a provider. Google Map | Contact Us We expect all these claims will be reprocessed by December 31, 2020. We also conduct reviews and prior authorizations for Child Health Management Services and therapy and personal care for Medicaid clients under the age of 21. (PDF, new window), Added 10/16/20 Lost / non-receipt of Medicaid cards 2. 1. The Personal Care, Attendant Care and Respite Aides should submit their applications via the Provider Portal (HTML, new window) beginning April 29, 2020. View or print Final Rule SPA20-0017, HYPER-1-19, and PROSTHET-3-19. Arkansas Health & Wellness (Ambetter) Qualchoice Who can get Arkansas Works insurance through the Medicaid program? Size of householdIncome limit 1 $15,800 2 $21,307 3 $26,813 4 $32,319 5 $37,825 6 $43,331 7 $48,851 8 $54,384 If your household has more than eight members, then add $5,533 for each additional person to find out your income eligibility guidelines for Medicaid … needs. and welcomes comments or suggestions on access improvements. The code will be turned on April 1, 2020 and will be retroactive to date of service March 18, 2020. Arkansas Medicaid is committed to making its website accessible to all users Physicians may use telemedicine to diagnose, treat, and, when clinically appropriate, prescribe a non-controlled drug to the patient. Arkansas Medicaid has released a Final Rule for State Plan Amendment 2020-0017, Hyperalimentation, and Prosthetics provider manual updates. Effective 11/30/2020, the procedure code 97530, which has been used by First Connection providers to bill Developmental Therapy and Developmental Therapy Assistant services, will be end-dated. Learn more about current demonstration waiver projects, Affordable Care Act Information for the Public, CMS Health Care Independence Program Quarterly Reports, Division of Developmental Disabilities Services Requested Documents (including HCBS Waivers Annual Reports), Evaluation Designs for 1115(a) Demonstration Waivers. Please have your Medicaid … Medication Assisted Treatment (MAT) is the use of medications in combination with counseling and behavioral therapies for the treatment of substance use disorders.Follow this link … Google Map | Contact Us When completing whether online or paper; the aides personal email address will be needed. We’re a Provider-Led Arkansas Shared Savings Entity (PASSE). Claims that previously denied for edit 559 since it was implemented on November 7, 2019 will be reprocessed after December 2, 2020. (Word, new window), Added 10/26/20Arkansas Medicaid released an RA message to Developmental Rehabilitation Services (Early Intervention Only) Providers. (Word, new window), National Codes Crosswalk to Arkansas EOB Codes, National Correct Coding Initiative (NCCI) Inpatient Only Procedure Codes and NCCI Information, X12.org—Health Care Claim Status Category Codes, Email the Arkansas Incentive Payment Team, Email the Payment Improvement Initiative Team, National Association of Health Care Assistants (NAHCA), National Plan and Provider Enumeration System (NPPES), Action Required - New Procedure Codes for Developmental Therapy and Developmental Therapy Assistant Services, Electronic Visit Verification (EVV) Requirements for Participation, Important Information From DHS About the COVID-19 Public Health Emergency, Temporary Procedure Code Changes in Response to COVID-19, Telemedicine Requirements for Certain Behavioral Health Providers During the COVID-19 Public Health Emergency, Telemedicine Requirements for Physicians during the COVID-19 Public Health Emergency, Section 12006(a) of the 21st Century Cures Act. (Word, new window), Added 11/19/20Arkansas Medicaid released an RA message to All Providers. Google Map | Contact Us Child Quality Measure Data. In six states that reported Medicaid enrollees, Walmart again topped the list, with 10,350 employees, followed by McDonald’s with 4,600. Learning how to apply for Medicaid in AR is beneficial for families who meet the eligibility requirements to receive Medicaid benefits.It is important for prospective applicants to understand what will be on the AR Medicaid … View or print changes to Section V all provider manuals. Access Arkansas is a service of the Arkansas Department of Human Services. We work with the Arkansas Medicaid Program to help individuals with developmental disabilities or behavioral health needs keep track of their health and maintain their independence. TTY: 1-800-285-1131 or dial 711 for Arkansas Relay Service. View the RA message regarding Early Intervention / First Connection Providers. Follow the guidelines below to see if you qualify for Medicaid in Arkansas. TTY: 1-800-285-1131 or dial 711 for Arkansas Relay Service. Paper application processing will be delayed due to staffing shortages caused by COVID-19. (Word, new window), Arkansas Medicaid released an RA message to Pharmacy Providers. Learn more about current demonstration waiver projects. About Summit Community Care. These services include Personal Care, Attendant Care, and Respite provided under the Medicaid State Plan and under Home and Community Based Services waivers to individuals in the home. While paper applications (Word, new window) are still accepted, it is strongly encouraged for all providers to submit their applications electronically. View the RA message regarding Crossover Claim Edit Changes and Reprocessing. Arkansas Medicaid released an official notice to all providers regarding 4th Quarter 2020 Healthcare Common Procedure Coding System Level II (HCPCS) Code, Current Procedural Terminology (CPT), and ASC Code Conversion. View or print changes to Section I all provider manuals. A new window will open. According to information provided by the State, under the Arkansas Health Care Independence Demonstration, the State will use premium assistance to purchase qualified health plans (QHPs) offered in the individual market through the Marketplace for individuals eligible for coverage under Title XIX of the Social …