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Medicaid is a program that helps pay for medically necessary medical services for low-income Arkansans. It uses state and federal money to pay for those services. DHS runs the Medicaid program in Arkansas. Medicaid and Medicare are different programs.
If you try to submit a claim without an NPI number, it will probably be denied. And that doesnt just go for Medicare claimsits also the rule for private payers. So, if you want to get paid for your services, you better get one of these 10-digit identifiers ASAP.
To appeal, you must send a letter to DHS requesting an administrative hearing. You should have gotten a letter that told you about this decision. You must send your request for a hearing within 30 calendar days of the date on the letter or your request will be denied. You can use this form to make a request.
Arkansas Works is a Medicaid program that offers eligible Arkansans private health insurance coverage. The insurance is offered through qualified health plans from Arkansas BlueCross BlueShield, Arkansas Health Wellness (Ambetter), and Qualchoice.
On January 1, 2022, Arkansas Works was replaced by the Arkansas Health and Opportunity for Me program, or ARHOME. ARHOME will continue to offer health care coverage for eligible Arkansans. Just like with Arkansas Works, ARHOME uses Medicaid dollars to buy health care coverage for you from qualified health plans.
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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.
To obtain your National Provider Identifier, go to or call customer service at 800.465. 3203. Questions about the status of an NPI application may be emailed to customerservice@NPIEnumerator.com.
Mandatory benefits include services including inpatient and outpatient hospital services, physician services, laboratory and x-ray services, and home health services, among others. Optional benefits include services including prescription drugs, case management, physical therapy, and occupational therapy.
How do I request a paper NPI application to apply for an NPI from the enumerator by telephone? Call the NPPES Enumerator at 1-800-465-3203.
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.

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