MessagesforRemittanceAdvicesdatedJanuary 11, 2018 – January18, 2018

TO: All PROVIDERS / RE: ARWorks Eligibility Issue
You may have billed for an ARWorks client who lost eligibility in November 2017. This issue has been corrected, and you may now void the original claim and resubmit to the carrier.
TO: All PROVIDERS / RE: Electronic Funds Transfer – ACTION Required NOW!
All providers have been notified that Arkansas Medicaid will no longer produce and mail paper checks. Providers must now utilize electronic fund transfer (EFT), which allows your Medicaid payments to be directly deposited into your bank account. If you already receive your Medicaid payments by EFT, then no further action is required.
If you DO NOT receive EFT payments for Medicaid services you provide, you must take action NOW to ensure that you continue to receive Medicaid payments.
• Complete the Electronic Fund (EFT) Authorization for Automatic Deposit ( located in Section V of your provider manual.
• Return the completed EFT authorization form along with a voided check or letter from your bank reflecting the bank’s ABA number and your account number
before February 28, 2018 to
Medicaid Provider Enrollment Unit
DXC Technology
P.O. Box 8105
Little Rock, AR 72203-8105
If you do not take action by February 28, 2018, your provider number will be suspended until the EFT information is received.
TO: All providers / RE: Crossover Claims Pricing Update
Inpatient Crossover Claims
The new MMIS prices and pays inpatient crossover claims a little differently than the legacy system. The legacy MMIS paid coinsurance plus deductible for all crossover claims. The new MMIS pays the difference between the Medicaid Allowed amount and the Medicare Paid amount, up to but not exceeding the coinsurance plus deductible amount. Crossover claims will post an EOB 9915 – Pricing Adjustment – Medicare crossover claim cutback applied when the amount paid is adjusted to not exceed the coinsurance plus deductible amount.
Professional and Outpatient Crossover Claims
Professional and Outpatient crossover claims are still priced and paid according to coinsurance and deductible amounts.
TO: eligible hospital and eligible professional PROVIDERS / RE: Program Year 2017 Application Deadline
If you wish to apply for an EHR incentive payment for Program Year 2017, you must submit your application/attestation by March 31, 2018. A submitted application means that you have registered with the R&A, attested through MAPIR and completed the MAPIR application by clicking the Submit button. If you have questions or concerns, please contact the Arkansas Incentive Payment Team (AIPT) at .
TO: chiropractic PROVIDERS / RE: PCP referrals not required for chiropractic visits
For Dates of Service on and after 1/1/18, PCP referrals are no longer needed for chiropractic visits. Providers may see patients, but will hold their claims until amended policy goes into effect on 4/1/18.
When the MMIS claims processing system is updated and promulgation complete, another RA message will be released notifying chiropractic providers that all claims may be submitted directly to DXC via electronic or paper submission.
TO: dental and oral surgeon PROVIDERS / RE: Dental Prior Authorization Request Transition
Dental Prior Authorization (PA) requests with a Date Of Service (DOS) before 12/31/17must be sent to
Arkansas Department of Human Services Dental Unit
PO Box 1437 Slot S410
Little Rock, AR 72203
Dental PA requests with a DOS on or after 1/1/18 must be submitted to the appropriate Managed Care Organization (MCO).
PA requests will be returned to providers if
• the requests are submitted to Arkansas Medicaid without the date of service indicated, or
• the requests cannot be reviewed by 1/22/18 due to high volume of PA requests.
PA requests returned to the provider must be resubmitted to the respective MCO.

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).