arkansas medicaid provider list

 

Arkansas Payment Improvement Initiative (866) 322-4696 toll-free or (501) 301-8311 local. New products in a reviewed drug class AFMC’s teams include experienced and knowledgeable physicians, former practice/office managers, registered nurses, billing specialists and hospital and long-term care administrators who know Medicaid inside and out. You can find out your waitlist number by email at DHS.DDS.Waiver.AU@dhs.arkansas.gov or by calling 501-683-0569. The Arkansas Medicaid Non-Emergency Transportation (NET) program, which is provided through Division of Medical Services (DMS), provides eligible Medicaid clients with transportation to the nearest qualified Medicaid provider. Provider Newsletter - Q2 2019 (PDF) Provider Newsletter - Q1 2019 (PDF) Get the latest alerts and news from Arkansas Health and Wellness. You can appeal Medicaid’s decision regarding “non-preferred” drugs if your doctor says nothing else can treat your condition. Click here to download the Arkansas Medicaid program’s list of “preferred” drugs. Arkansas Medicaid Has Made Improvements to Provider Enrollment Process Arkansas Medicaid Procedure Codes for Occupational, Physical, Speech-Language Therapy Effective September 1, 2019 Arkansas Medicaid Occupational, Physical and Speech Therapy Service Fee Schedule The patient-centered medical home quality assurance team works to ensure that PCMH-enrolled practices are meeting the metrics and activities of the program and that the program is making payments only to qualified practices. AFMC’s analytics team provides analytical support and leadership for Arkansas State Epidemiological Outcomes Workgroup (SEOW) through a contract with the Arkansas Department of Human Services’ Division of Behavioral Health Services (DBHS). The process for converting a traditional practice into a patient-centered medical home is not easy. AFMC’s MMIS Outreach team assists Medicaid providers with Medicaid policy and procedures. In an effort to work collaboratively with all our provider partners and the Arkansas Department of Health and Human Services, Arkansas Total Care has decided to delay these fee schedule changes until after April 1, 2021. Your source for commonly asked questions about healthcare coverage, claims procedures, policies and more. Provider will allow Ambetter to utilize practitioner performance data to improve quality and care. Bentonville AR. Our staff is knowledgeable and we know the importance of providers having a clear understanding of the billing process, enterprise structure and program requirements. Little Rock, AR 72204. Welcome to Arkansas Medicaid! ConnectCare is a program that assists Medicaid and ARKids First families in finding a medical home by linking them to a primary care physician (PCP) and dental care. URAC accredited in health utilization management, AFMC is the Arkansas Medicaid review agent. 644 Main Street. Medicaid Office Location; Arkansas Department of Human Services Donaghey Plaza South PO Box 1437 Slot S401 Little Rock, AR 72203; Medicaid Office Phone Number; The phone number to call the Arkansas Medicaid office is 800-482-5431 or in state call 501-682-8233. Our teams work with providers through telephone, personal office visits and secure HIPAA-compliant, electronic portals to improve the efficiency and quality of the health care your Medicaid clients receive. Overview. Arkansas … Below is a breakdown of aid categories in the Arkansas Medicaid program. Act 775 of the 2017 Arkansas Regular Session was signed into law by Arkansas Governor, Asa Hutchinson, on March 31, 2017. AFMC outreach specialists help practices navigate the Medicaid system and provide better care for their patients. That list can be accessed via the following link: https://dhs.arkansas.gov/dhs/portal/Exclusions/PublicSearch/. Our outreach specialists are policy experts, educators and practice specialists who work with all primary care physicians and certain specialists who accept Medicaid and ARKids First. If you apply and are approved for Medicaid, you can get these services while on the waiting list: State Directory. In Arkansas, the Arkansas Department of Human Services’ (DHS) Division of Medical Services (DMS) is the agency that administers the state’s Medicaid program. DHS updates this list regularly in an effort to include all Medicaid Excluded Providers placed on the list … We also provide listings for affordable dental clinics including medicaid dental offices. All Rights Reserved. All State Agencies. This directory provides a list of Superior Select Health Plan’s network providers and pharmacies. This Act, known as the “Medicaid Provider Led Organized Care Act,” is an innovative approach to organizing and managing the delivery of services for Medicaid beneficiaries with high medical needs. As a result, Arkansas is authorized to provisionally, temporarily enroll providers who are enrolled with another SMA or Medicare for the duration of the public health emergency. The Provider and Billing Manuals are incorporated as a part of Managed Care Standards. UPDATE: In 2020, the rules and steps related to applying for Medicaid are expected to remain the same. Transparency Data. Medical providers are liable for all fees paid to them by Arkansas Medicaid for services rendered by excluded individuals and are subject to audits and recoupment of any Medicaid funds paid for services. arkansas medicaid aid category list for 2016. ACCESS MONITORING REVIEW PLAN – 2016. We understand the daily challenges providers face. Join Our Network. Arkansas. 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. We serve participants in the Arkansas Medicaid Follow this link to learn more. 501-661-2165. For the most up-to-date Preferred Drug List visit https://arkansas.magellanrx.com/provider/documents Preferred Drug List Prescribers may request an override for non-preferred drugs by calling the Magellan Medicaid Administration (MMA) Help Desk at: Toll Free 1-800-424-7895 and choose the PDL option. Healthcare) provider identification number or fill out the applicable state-mandated … Social Security, Medicare and Medicaid Work for arkanSaS. View Provider Manual. 1. © 2017 Arkansas Department of Health. Information for those who provide health care services to Arkansas Medicaid clients. (479) 271-9944. ProfilePoints ™ measure the overall completeness of a provider's profile, including items like having a photo, a biography, insurance, payment options, etc. Health Facility Services. Provider will obtain Payor and Company’s approval for Member communication as required by the contract and applicable State and Federal Requirements. Our staff is knowledgeable and we know the importance of providers having a clear understanding of the billing process, enterprise structure and program requirements. 2015 Provider. Call the ConnectCare helpline: Toll-free 1-800-275-1131. Arkansas Medicaid Management Information System (MMIS) AFMC’s MMIS Outreach team assists Medicaid providers with Medicaid policy and procedures. AFMC’s Medicaid Quality Improvement program specialists work with physicians and clinics to design, develop and implement evidence-based practices to improve the quality of care delivered to patients. Arkansas: Medicaid & CHIP This category provides information about Medicaid and the Children's Health Insurance Program (CHIP), states’ health coverage programs for low-income children and adults. arkanSaS… This Preferred Drug List is subject to change without notice. Arkansas Code. Provider Relations Help Desk Info: 1-800-424-7895 Other versions supported: No other versions supported Other Transactions Supported Payer: Please list each transaction supported with the segments, fields, and pertinent information on each transaction. You will have to choose one of our network providers who are listed in this directory to be your Primary Care Provider … Arkansas Medicaid in order to enroll in the plan. Jul 9, 2015 … Social Security, Medicare and Medicaid Work for. Download the list of doctors in each county who see Medicaid patients. The Healthcare Provider Taxonomy Code Set is available from the … Arkansas – Medicaid.gov. Medication Assisted Treatment (MAT) is the use of medications in combination with counseling and behavioral therapies for the treatment of substance use disorders. ConnectCare has 3 components: Toll-Free Telephone Helpline, Dental Coordinated Care Program and Health Promotion and Outreach. 8 a.m. – 4:30 p.m. Spanish bilingual services available. 5800 W. 10th St., Suite 400. About Us. There are new measures to meet, new processes to implement and new metrics to track. www.medicaid.gov. Our team supports DBHS in its decision-making process regarding the delivery of prevention services. Stay Connected. The aim of Arkansas Medicaid coverage is to improve quality of life for everyone who resides in the state, from the old and young to the disabled and mentally ill. tains phone numbers where you can reach our staff for all your needs as one of our valued provider partners. Please note that the Department of Human Services maintains the list of excluded providers. 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. The specialists help ensure providers understand applicable DHS programs, program requirements and operations, new initiatives, Medicaid policy changes and best-practice guidelines. humanservices.arkansas.gov. Clinton AR. Elected Officials. For information, inquiries, feedback and comments contact us. Medical providers are responsible for checking this list as well as the federal list (located here) upon hiring and periodically thereafter. Dentists, Doctors and health care providers do not have to see Medicaid patients. PDF download: Arkansas – Medicaid.gov. AFMC’s practice transformation team can guide practices through the transition as well as aligning efforts with national quality initiatives and state payment improvement projects. AAP.org > Advocacy & Policy > AAP Health Initiatives > Healthy Foster Care America > State Medicaid Provider Directories Healthy Foster Care America Currently selected About Arkansas Medicaid Definition. (TDD: 1-800-285-1131) Monday through Friday. Agency WebTools. Transportation is provided only to and from Medicaid-covered services. View patient list; Login/Register; login/register. If you have questions about how to enroll, call Arkansas Medicaid Provider Enrollment at (501) 376-2211 or toll free at (800) 457-4454. Help Center. Designed by Elegant Themes | Powered by WordPress, Rural Communities Opioid Response Program, Substance Abuse Resource Assistance Coalition (SARAC), Arkansas State Epidemiological Outcomes Workgroup (SEOW), Arkansas Department of Human Services’ Division of Behavioral Health Services (DBHS), Arkansas Medicaid Management Information System (MMIS), Non-Emergency Transportation (NET) program, Patient-centered medical home – practice transformation, Patient-centered medical home – quality assurance, patient-centered medical home quality assurance team, Provider relations – policy and education. Provider Manual. AFMC is an National Committee for Quality Assurance (NCQA)-certified HEDIS/CAHPS survey vendor that conducts several surveys each year to measure client satisfaction with Medicaid programs and satisfaction levels of clients’ prenatal and delivery care. Jan 1, 2019 … expressly waived in this list, shall apply to the demonstration project beginning Manual …. Transaction Code Transaction Name B1 Claim Billing B2 Claim Reversal B3 Claim Re-Bill Effective September 1, 2020, Arkansas Medicaid supports beneficiaries with Opioid Use Disorder (OUD). Arkansas Medicaid Beneficiary Handbook – AFMC. AFMC HealthIT helps practices maximize incentive payments, implement electronic health records, achieve Meaningful Use, conduct security risk assessments, and adhere to security and HIPAA requirements. We look forward to working with you to improve the health of the community. The Medicaid program in Arkansas uses a list of covered drugs called a formulary. When prompted, select 0 for “Other Inquiries”, then option 3 for “Provider … Our Arkansas Medicaid dentist list should prove to be helpful for those in need of Medicaid dentits. (501) 745-8811. No co-payments are required, and there are no limits on the number of trips and no mileage caps. Arkansas Medicaid provides healthcare coverage for low-income individuals, including children, … The plan considers the availability of Medicaid providers,. To get detailed information about your health care coverage, please see your Evidence of Coverage. 1400 SE Walton Blvd. 501-661-2201. Thank you for your interest in becoming a Arkansas Health & Wellness network provider. AFMC’s DPSQA outreach specialists serve as the link between the Division of Provider Services and Quality Assurance (DPSQA) and the Medicaid provider community. State Employees. A full breakdown of points can be seen by providers with Doctor.com accounts when editing their profile on Doctor.com. Medical providers who are excluded from Arkansas Medicaid must not … Beavers Family Dentistry. Surveys also assess how clients perceive their own health. join our network. ... Arkansas Blue Cross and Blue Shield is an Independent Licensee of the Blue Cross and Blue Shield Association and is licensed to offer health plans in all 75 counties of Arkansas. 390 Factory Road. DME Compensation Schedule (PDF) Provider Newsletter. Donald Warren, DDS. Comprehensive Outpatient Rehabilitation Facilities, Hospitals (to include Critical Access Hospitals), Orthotists, Prosthetists, and Pedorthists, Cosmetology Forms, Reciprocity, and Military, Opening and Maintaining Barbershops and Hair Salons Webinar, Dental Hygiene Collaborative Care Permits, Applications for New Providers and Change of Ownership, CLIA (Clinical Laboratory Improvement Act), Health Facility Services - Complaint Form, Utilization Review & Construction Plan Review Program, Frequently Asked Questions - Radioactive Materials, Licensing Information for Radioactive Materials, Radiologic Technology Licensure Program ▾, Licensing Information-Radiologic Technology. Servicios bilingües de español estάn disponibles. …. Magellan Medicaid Administration Pharmacy Help Desk (800) 424-7895, Option 2 for Prescribers Arkansas Total Care is a Provider-Led Arkansas Shared Savings Entity (PASSE), a partnership between an insur-ance payer, a provider group, and a specialty services provider. Medicaid is a wide-ranging, jointly funded state and federal health care program for low-income individuals of all ages. Provider Enrollment Arkansas currently has the authority to rely upon provider screening that is performed by other State Medicaid Agencies (SMAs) and/or Medicare. Medicaid. JAN 1 5 2019 – Medicaid.gov. State/ Territory State/Territory Provider Enrollment Web Site Link Contact Phone Number(s) Email AK Alaska Provider Enrollment AL.