RA messages dated April 16, 2020 - Arkansas



Messages for Remittance Advices dated April 16, 2020 – April 23, 2020

|TO: Eligible Professional and eligible hospital Providers |RE: Updated Program Year 2019 Attestation Deadline |

|The attestation deadline for Program Year 2019 is EXTENDED to April 30, 2020. Providers who attest by the April deadline will have until July 31, 2020 to finish incomplete applications for the incentive |

|payment. |

|TO: all Providers |RE: Provider Electronic Solutions (PES) Transition |

|DXC Technology’s Medicaid software, Provider Electronic Solutions (PES), enables health care providers to verify beneficiary eligibility, request prior authorizations, and submit claims electronically. |

|However, because PES software will be decommissioned, providers who use PES are strongly encouraged to transition to the Arkansas Medicaid HealthCare Provider Portal before their software becomes |

|obsolete. |

|TO: Physician, Independent Lab, and OBHS Providers |RE: Temporary Procedure Code Changes in Response to COVID-19 |

|In response to the COVID-19 pandemic, Arkansas Medicaid is making some lab and primary care procedure codes payable retroactively. These codes will be active in the claims processing system temporarily |

|and should only be performed with an order from the physician. |

|Pursuant to Executive Order 20-05 and as allowed under current Medicaid policy, DMS is lifting the requirement to have an established professional relationship before utilizing telemedicine for |

|physicians under the following conditions for the duration of the emergency declaration: |

|- The physician providing telehealth services must have access to a patient’s personal health record maintained by a physician. |

|- The telemedicine service may be provided by any technology deemed appropriate, including telephone, but it must be provided in real time (cannot be delayed communication). |

|- Physicians may use telemedicine to diagnose, treat, and, when clinically appropriate, prescribe a non-controlled drug to the patient. |

|To bill for these services, please use the appropriate billing procedure code with the “GT” modifier and Place of Service (POS) “02.” |

|Medicaid is also opening the virtual check-in CPT (code G2012) for sixty (60) days. The code will be turned on April 1, 2020 and will be retroactive to date of service March 18, 2020. |

|DMS is suspending the rule related to originating site requirements for certain behavioral health providers to provide certain counseling services. Any technology deemed appropriate may be used, |

|including telephones, but technology must utilize direct communication that takes place in real-time. Only the following services may be billed: • Individual Behavioral Health Counseling ▪ 90832, U4, |

|GT ▪ 90834, U4, GT ▪ 90837, U4, GT • Psychoeducation (H2027, U4, GT) |

|Read the full messages and affected codes at . |

|TO: Personal care Providers |RE: revised Personal Care fee schedule |

|The Personal Care fee schedule has been updated to reflect revised rates effective on and after dates of service January 1, 2020. |

If you need this material in an alternative format such as large print, please contact the Office of Rules Promulgation at (501) 320-6266.

Thank you for your participation in the Arkansas Medicaid Program. If you have questions regarding these messages, please contact the Provider Assistance Center at 1-800-457-4454 (toll-free) within Arkansas or locally and out-of-state at (501) 376-2211. Remittance Advices can be found using Search Payment History on the Arkansas Medicaid Provider Portal at .

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