Tip: Arkansas Medicaid Provider and Plan Resources
- Kenley Money
- Kathleen Hart (Unlicensed)
Number | 0059 |
|---|---|
Submitting Entity (SE) | 99MCD1 |
Add Date | Nov 17, 2020 |
Update Date | Dec 20, 2024 |
Update | Dropped bad links |
Description | Understanding Arkansas Medicaid plans as well as provider and services relationships. |
Active/Resolved | Active |
Action / Resolution | https://medicaid.mmis.arkansas.gov/Download/Provider/Insider/MMIS_BenefitPlans.pdf - This link provides information about Arkansas Medicaid plans to help the data users understand under what plan services were provided. For example, if a data user wanted to understand which Medicaid members were eligible for pharmacy benefits before finding the related services, they would need to find members with full benefits by looking at the legacy state aid category/IC benefit plan description look up table in the referenced link. This information should be aligned with ME040 and ME164A in the Member data. Additional information about the differences between full and partial benefits is also included in the MCD provider manual at the links below.
Specific types of Medicaid provider manuals (i.e., AHECs; Ambulatory Surgical Center) can be found here: Provider Manuals and Other Provider Notifications - Arkansas Department of Human Services |
Category 1 | Medicaid |
Category 2 | Providers |
Tip / Issue | Tip |