MessagesforRemittanceAdvicesdatedOctober5 –October 12, 2017

to: All providers / RE: New Crossover Forms
The current proprietary crossover claim forms will no longer be used beginning 10/16/17 andPAPER claims received on the current crossover claim formswill be returned for resubmission using the new process. Thisprocess requires submitting the new EOMBattachment - Form DMS-600, along with your crossover claim and the original EOMB.This change is for submitting crossovers on PAPERonly.
to: All providers / RE: Electronic Funds Transfer Requirement Coming Soon
By November 1, 2017, providers will be required to submit information for Electronic Funds Transfer (EFT/Automatic Deposit). In anticipation of this requirement, we are asking Providers to submit their account information using the current Provider Enrollment form at Arkansas Medicaid appreciates your compliance with this early request.
To: hospital and physician providers / RE: z code crosswalk
Effective for dates of service on and after 11/1/17, local HCPCS procedure codes beginning with alpha character "Z", will no longer be valid. Provider program manuals have been updated to include the new national HCPCS procedure code and any required modifiers for billing AR Medicaid. For dates of service prior to 11/1/17, paper billing is required for these procedure codes. For more information, see
TO: Eligible Professionals and Eligible Hospitals / RE: MAPIR Offline Beginning 10/1/17
Due to the new MMIS system conversion, the MAPIR application will be offline starting 10/1/17, until further notice. Payment processing will be delayed during this timeframe. If you have questions or concerns, please contact the Arkansas Incentive Payment Team (AIPT) at .
to: pharmacy providers / RE: NEW CAP RATES
New CAP rates will be implemented 11/1/17. For more information, please visit the Medicaid Pharmacy website at
TO: All Providers / RE: REGISTRATION FOR NEW SYSTEM IS OPEN THROUGH 10/13/17
Please visit for more details.

Ifyouneedthismaterialinanalternativeformatsuchaslargeprint,pleasecontacttheProgramDevelopmentandQualityAssuranceUnitat(501)320-6429.

ThankyouforyourparticipationintheArkansasMedicaidProgram.Ifyouhavequestionsregardingthesemessages,pleasecontacttheProviderAssistanceCenterat1-800-457-4454(toll-free)withinArkansasorlocallyandout-of-stateat(501)376-2211.

RemittanceAdvicescannotbeforwarded.NotifytheArkansasMedicaidProgramofanyaddresschange,indicatingallprovidernumbersaffectedbythechange.Thisnotificationmustincludetheprovider’soriginalsignature(nofacsimilesaccepted).