In Arkansas, ValueOptions® serves as the QIO-like organization, responsible for assisting the State of Arkansas Department of Human Services Division of Medical Services in administering the state’s mental health care delivery system. Under this agreement, ValueOptions® operates two contracts.
ValueOptions® provides utilization review (UR) for prior authorization through a free, secure, web-enabled system, for inpatient services for beneficiaries who are under 21 years of age as well as for outpatient services for children, adolescents and adults. The organization also provides UR for substance abuse services for beneficiaries ages 9 through 20 and pregnant females.
In addition to UR services, ValueOptions® provides Care Coordination for beneficiaries who have complex care needs. The Care Coordination program focuses on beneficiaries under the age of 21 and serves as a support to the family in coordination of services. The Care Coordinators are resource experts in their assigned regions and work to assure that adequate and appropriate assessments are conducted and that systems come together to provide tailored services based on the needs of the beneficiary.
The Arkansas Engagement Center staff with ValueOptions® provides outreach and training through onsite visits or web-based training for all Providers as well as manages grievances from beneficiaries and their families. In addition, Inspection of Care Review Teams conduct onsite IOC reviews for all inpatient and outpatient providers annually.
If you are a client and you have questions about your benefits, please contact the Division of Medical Services (DMS) at the following toll-free numbers: