Provider Handbook
PROVIDER HANDBOOK FOR ARKANSAS PROVIDERS (PDF)
1.1 Welcome
1.2 Purpose
1.3 Background
1.4 Arkansas Service Center
1.5 Compliance
1.2 Purpose
1.3 Background
1.4 Arkansas Service Center
1.5 Compliance
2.1 Inpatient
2.2 Outpatient
2.2 Outpatient
3.1 Acute Inpatient
3.2 RSPMI
3.3 SBMH
3.4 LMHP
3.5 RSYC
3.2 RSPMI
3.3 SBMH
3.4 LMHP
3.5 RSYC
4.1 Acute Inpatient Services
4.2 Residential
4.3 Outpatient
4.4 General Prior Authorization Procedures
4.5 Medicaid Eligibility Verification
4.2 Residential
4.3 Outpatient
4.4 General Prior Authorization Procedures
4.5 Medicaid Eligibility Verification
5.1 Acute Inpatient
5.2 Inpatient Residential
5.3 RSPMI Outpatient
5.2 Inpatient Residential
5.3 RSPMI Outpatient
6.1 Determination Notifications
7.1 Discharges
7.2 Claims Payment
7.2 Claims Payment
8.1 Inpatient
8.2 Outpatient
8.2 Outpatient
9.1 Care Coordination Inpatient
9.2 Who are the Beneficiaries Serviced by the Care Coordination Program?
9.3 Functions of Care Coordination
9.2 Who are the Beneficiaries Serviced by the Care Coordination Program?
9.3 Functions of Care Coordination
10.1 Grievances Procedure
10.2 Fair Hearing & Appeals Process
10.3 Reconsiderations
10.2 Fair Hearing & Appeals Process
10.3 Reconsiderations
11.1 Inpatient
11.2 RSPMI
11.2 RSPMI
Appendix A Resources
Appendix B Service Codes and Descriptions
Appendix C Clinical Guidelines
Appendix D Certification of Need
Appendix B Service Codes and Descriptions
Appendix C Clinical Guidelines
Appendix D Certification of Need
ValueOptions® Participating Provider Handbook
Note: Please reference the ValueOptions® Participating Provider Handbook to review policies and procedures as well as administrative processes germane to all ValueOptions® providers.
Note: Please reference the ValueOptions® Participating Provider Handbook to review policies and procedures as well as administrative processes germane to all ValueOptions® providers.
Arkansas Medicaid/Medicare Provider Manual
Note: Please reference the Arkansas Medicaid/Medicare Provider Manual to review specific Medicaid/Medicare processes and procedures.
