Get AR Medicaid Prior Authorization Request 2020-2024

Medicare claims must be filed no later than 12 months (or 1 full calendar year) after the date when the services were provided. If a claim isn't filed within this time limit, Medicare can't pay its share.

Usually, expensive radiology services like ultrasounds, CAT scans, and MRIs, require pre-authorization. However, procedures like the Screening Test (ST)/ Outpatient Treatment (OT)/Physical Therapy (PT) and initial evaluation do not require prior authorization.

Arkansas Medicaid requires that some surgical procedures be authorized by AFMC prior to the performance of the procedure. Procedures can require authorization regardless of whether they are performed on an inpatient or outpatient basis.

If you have questions about how to enroll, call Arkansas Medicaid Provider Enrollment at (501) 376-2211 or (800) 457-4454. When prompted, select 0 for Other Inquiries, then option 3 for Provider Enrollment. We've created a step-by-step video guide to walk you through the online provider enrollment process.

Arkansas Medicaid requires that some surgical procedures be authorized by AFMC prior to the performance of the procedure. Procedures can require authorization regardless of whether they are performed on an inpatient or outpatient basis.

Requests for correction or review must be submitted to the Arkansas Medicaid fiscal agent within the 12-month timely filing deadline. Adjustment requests cannot be processed if more than 12 months have passed since the date of service.

Many procedure codes require prior authorization (PA) before reimbursement will be made by the Medicaid program. Retroactive authorization is not normally granted on a routine basis. However, it is possible to obtain such approval on a case-by-case basis.

KIDMED claims must be filed within 60 days from the date of service. Claims for recipients who have Medicare and Medicaid coverage must be filed with the Medicare fiscal intermediary within 12 months of the date of service in order to meet Medicaid's timely filing regulations.

Medicare claims must be filed no later than 12 months (or 1 full calendar year) after the date when the services were provided. If a claim isn't filed within this time limit, Medicare can't pay its share.

While you have an obligation to file claims in a timely manner, you cannot do so without the patient providing correct information. If the claim is denied because the patient did not provide accurate information, but you acted in good faith, you should balance bill the patient.

Usually, expensive radiology services like ultrasounds, CAT scans, and MRIs, require pre-authorization. However, procedures like the Screening Test (ST)/ Outpatient Treatment (OT)/Physical Therapy (PT) and initial evaluation do not require prior authorization.

Typically, a Medicaid application takes 3 to 6 months to process, unless a disability determination needs to be made. The process time can also increase if the required documentation is not provided promptly. The Department of Human Services is responsible for administering the Medicaid program in Arkansas.