7 a.m. to 9 p.m./ 7 days a week. Information about all the tools and resources needed to manage claim submission and receipt of payments. The Arkansas Department of Human Services (DHS) administers the Arkansas Medicaid program. HP – Arkansas Medicaid. We also offer commercial dental plans for private employers, individuals, and families. Other Arkansas Medicaid provides healthcare coverage for low-income individuals, including …. Fax is 501-682-1197. Empower was formed to create a Provider-owned Arkansas Shared Savings Entity (PASSE). DHS’s local county offices are the point of contact and primary resource for Medicaid beneficiaries and applicants. Claim Form Billing Instructions. : Visit your local county office during business hours for in-person assistance, Call the DHS Helpline at Those enrollees also may have a small payment they will have to make at the doctor’s office, known as a co-pay. Arkansas Works can help with insurance and check-ups, and we have state partners that can help you with the rest. In order to expedite your call, please have the following: Tax Identification number, NPI, member ID, DOB, billed amount and date of service available. Your inquiry will be reviewed and an Arkansas Total Care representative will contact you. The insurance is offered through qualified health plans from Arkansas BlueCross BlueShield, Arkansas Health & Wellness (Ambetter), and Qualchoice. Please fill out the below form. Email: Send Your Comments to the DHS Chief of Communications. Arkansas Works is a Medicaid program that offers eligible Arkansans private health insurance coverage. care, Arkansas Medicaid payment rates are 122 percent of Medicare services. Learn more about PASSE. If you have any questions or problems regarding your NPI, contact Provider Enrollment at (501) 376-2211 (local) or at (800) 457-4454 (toll free). Arkansas Works enrollees with special health needs may be better served through traditional Medicaid. MCNA is a premier dental benefits administrator that provides exceptional service to state agencies and managed care organizations for Medicaid, CHIP, and Medicare members. SPOTLIGHT & RELEASES The Qualified Medicare Beneficiary (QMB) program provides Medicare coverage of Part A and Part B premiums and cost sharing to low-income Medicare beneficiaries. arkansas medicaid claims address. To learn more about having Arkansas Works health Insurance. Home > Divisions & Shared Services > Division of Medical Services > Contact DMS, P.O. Electronic Media Claims Help Desk 1-800-456-1242. To reach Member Support Services, Grievances and Appeals, Complaints, and Compliance, please contact us at 1-866-282-6280 or TTY: 711. 2015 … HP Provider Representative assists providers with billing, reimbursement, provider …. This guide provides information about participation requirements for services submitted to Arkansas Medicaid and is designed to be used as a reference tool to identify and provide a description of fields listed on the CMS … Get help finding a job, earn your GED, or develop a new skill: Want to give back to the community and get experience? beneficiary's name, the beneficiary's Medicaid number, address and …. Arkansas Department of Health, serving Arkansas since 1999. Arkansas Medicaid If you are interested in submitting claims electronically to Arkansas Medicaid please follow these enrollment instructions. Arkansas – Medicaid.gov. Box 1437, Little Rock, AR 72203. The Arkansas Works program helps give eligible Arkansans a better quality of life. PDF download: The BreastCare Program – Arkansas Medicaid. In 2017, 7.7 million people (more than one out of eight people with Medicare) were in the QMB program. That will be decided based on information you give DHS on your application. Empower is a collaborative partnership made up of an array of service providers and will provide coordination with behavioral health, intellectual and developmental disability services as well as medical and pharmacy. Main Address/Telephone Number: 301 Technacenter Drive, Montgomery, AL 36117, (334) 215-0111: Provider Assistance Center (800) 688-7989 (Nationwide Toll-Free) or (334) 215-0111 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. If you have already reported your NPI number to Arkansas Medicaid, your NPI information has been successfully linked to your Arkansas Medicaid Provider number. It covers well-child checkups, eye exams, dental checkups and more. Medicaid Online; To view the website for Arkansas Medicaid online, click here. Arkansas Medicaid Pharmacy Program- www.medicaid.mmis.arkansas.gov CMS-1500 Claim Form This guide provides information about participation requirements for services submitted to Arkansas Medicaid and is designed to be used as a reference tool to identify and provide a description of fields listed on the CMS-1500 claim form. Home / Department of Human Services / Services / ARKids First; ARKids First ARKids First is a health insurance program that provides coverage for children across the state. Explanation of Check Refund Mail To: Arkansas Medicaid Refunds PO Box 8181 Little Rock, AR 72203 Provider Name Provider ID Number/ Taxonomy Code Refund Check Number Refund Check Date Refund Check Amount Information needed on each claim being refunded Claim 1 Claim 2 Claim 3 13-digit Claim Number (from RA) Beneficiary’s ID Number (from RA) Beneficiary’s Name (Last, First) Date(s) of … If you need assistance in any of the areas noted, you will need to contact the agency for Medicaid/CHIP in your state of residence or the state you have questions about in order to receive assistance. Ambetter from Arkansas Health & Wellness - Arkansas. Address: City: State: Zip Code: Arkansas. Some Arkansas Works enrollees must pay a monthly payment for their insurance, known as a premium. Search. Arkansas XIX Provider Assistance Center 1-800-457-4454. Contact Information Office Address Phone Division of Medical Services P.O. Introducing Arkansas Total Care - your partner for success Arkansas Total Care is committed to providing whole health solutions for people with IDD and Behavioral Health needs. Verify Eligibility Using the Portal (DDE) … PDF Map | Google Map. What if you have Supplemental Security Income (SSI)? To apply for an AR Medicaid electronic Submitter ID, please go to the following website and click on the link on the left side which says "Trading Partner" 501-212-8600 Toll free: 877-650-2362 Arkansas Medicaid Prescription Drug Program Prior Authorization Criteria ….. provider/documents/ for a complete list of drugs. Box 1437, Slot S401Little Rock, AR 72203-1437, Divisions & Offices:Donaghey Plaza,P.O. www.medicaid.state.ar.us. Little Rock, AR 72201 . Arkansas Works is a Medicaid program that offers eligible Arkansans private health insurance coverage. Our unique, person-centered approach ensures each individual receives comprehensive care coordination tailored specifically for them. 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. Director This efforl is important to CMS' commitment … – Medicaid.gov. Insurance plans through Arkansas Works cover health services such as wellness checkups, doctor visits, flu shots, and health tests that can help enrollees maintain or improve their health before a health situation becomes an emergency. Suite 400 . CMS-1500 Claim Form. Beneficiaries and applicants may also contact Client Assistance at (800) 482-8988. Whether you have to pay a premium or co-pay depends on your income. The insurance is offered through qualified health plans from Arkansas BlueCross BlueShield, Arkansas Health & Wellness (Ambetter), and Qualchoice. Finding a job you enjoy, staying active and connected to your community, and deciding to never stop learning also all play a role. To enroll, a non-bordering state provider must download an Arkansas Medicaid application and contract from the Arkansas Medicaid website and submit the application, contract and documentation, as outlined in Section 140.000 of this manual, along with a claim to Arkansas Medicaid Provider Enrollment. arkansas medicaid claim address. 303.100 Claim Inquiry Form 11-1-17 When a written response to a claim inquiry is preferred, use the Medicaid Claim Inquiry Form, CI-003, provided by the Arkansas Medicaid … PDF download: Prescription Drug Program Prior Authorization Criteria – Arkansas … Revised 2/27/2015. Arkansas.gov Governor Asa Hutchinson. About Summit Community Care. later than 12 months (or 1 full calendar year) after the date when the services were provided To learn more about having Arkansas Works health Insurance, click here. 500 President Clinton Avenue . Some Arkansas Works enrollees must pay a monthly payment for their insurance, known as a premium. 68069. If you have an urgent medical situation please contact your doctor. The Center for Medicaid and CHIP Services (CMCS) is committed to working in close partnership with states, as well as providers, families, and other stakeholders to support effective, innovative, and high quality health coverage programs. Using Medicaid with Medicare or other Medical Insurance, ARKids – Additional Resources That Can Help Your Family, Important Phone Numbers for ARKids First Program, PASSE – Care Coordination and Person Centered Service Plan, National Provider Identifier (NPI) Information, Practitioner Identification Number (PIN) Frequently Asked Questions, What’s New for Arkansas Medicaid Providers, Arkansas Juvenile Assessment & Treatment Center (AJATC), Office of Legislative & Intergovernmental Affairs, Office of Communications & Community Engagement, Electronic Visit Verification (EVV) Information. 1870 W. Rio Salado Parkway Tempe, AZ 85281. 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. These call centers can be reached Monday through Friday from 8 a.m. until 4:30 p.m. The primary claims resource, the claimsLink app, is available on Link, your gateway to UnitedHealthcare’s self-service tools. We’re a Provider-Led Arkansas Shared Savings Entity (PASSE). Ambetter from Arkansas Health and Wellness Member and Provider Services Phone Number: 877-617-0390. Delta Dental of Arkansas is a part of Delta Dental Plans Association. By Phone: 501-682-1001. By TDD: 501-682-8820. The Provider-led Arkansas Shared Savings Entity (PASSE) is a new model of organized care that will address the needs of certain Medicaid clients who have complex behavioral health and intellectual and developmental disabilities service needs. 68069. Contact Provider Services: Contact Provider Services for information or questions on benefits, claims, authorizations and billing inquiries. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Address: Donaghey Plaza, P.O. Health insurance is just one part of leading a healthy life. Ambetter Arizona Provider Services Phone Number: 866-796-0542. Arkansas Total Care announced an adjusted compensation fee schedule for DME services, effective January 1, 2021. 1-855-372-1084 1-80-482-5431 – Available Monday-Friday 8-4:30 p.m. 1-800 482-8988 or 501-682-8233 – Available Monday-Friday 8-4:30 p.m. 1-800-482-8988 en el estado/línea gratuita o 501-682-1661 local/fuera del estado de lunes a viernes 8 a.m. hasta las 4:30 p.m. Page 2. Empower is certified by the Arkansas Insurance Department as a Risk-Based Provider Organization. Box 1437, Little Rock, AR 72203, County Offices:Contact Your County Office, The Official Website of the State of Arkansas, Aging, Adult, & Behavioral Health Services, Find Substance Abuse or Mental Health Treatment, Find Home & Community Based Services for Adults & Seniors, Long-Term Services and Supports (LTSS) Medicaid Assistance, Agency Provider Certification for ARChoices in Homecare, Senior Community Service Employment Program, Challenging Your Background Check Results, Arkansas DHS Criminal Background Check Request Form, Financial Assistance and Resources for Providers, Report a Concern About a Child Care Center, Services for Older Youth or Former Foster Youth, Transitional Employment Assistance (TEA)/Work Pays, Title V: Children with Special Health Needs, Important Points About ARKids First and Medicaid. Help Desks / Support Centers (800) 457-4454 toll-free or (501) 376-2211 local Arkansas Payment Improvement Initiative
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