Information for those who provide health care services to Arkansas Medicaid beneficiaries. Eligibility is determined based on income, resources, Arkansas residency, and other requirements. Medicaid is a program that helps pay for medically necessary medical services for needy and low-income persons. Covered services also vary among categories. Arkansas Medicaid Definition. Inclusion in this document does not guarantee market availability and products Medicaid. Medicaid and Medicare are different programs. The Department of Human Services (DHS) runs the Medicaid program in Arkansas.
Medicaid is a wide-ranging, jointly funded state and federal health care program for low-income individuals of all ages. Copyright © 2020 State of Arkansas.
Medicaid reimburses health care providers for covered medical services provided to eligible needy individuals in certain categories. The Prescription Drug unit
Prescribers may request an override for non-preferred drugs by calling the Magellan Medicaid Administration (MMA) Help Desk at: Toll Free 1- 800-424-7895 and choose the PDL option. Categories are summarized below under the two headings of "Aged, Blind and Disabled" and "Children and Family".TTY: 1-800-285-1131 or dial 711 for Arkansas Relay Service Covered services also vary among categories. Welcome to Arkansas Medicaid! What are Medicaid and ARKids First? It uses state and federal government money. Prescription Drug Program Prior Authorization Criteria Revised 7/1/2020 This document is an informational listing of the medications requiring a Prior Authorization through the Arkansas Medicaid Pharmacy Program, and a description of the associated criteria. In Arkansas, the Arkansas Department of Human Services’ (DHS) Division of Medical Services (DMS) is the agency that administers the state’s Medicaid program. 213.200 Prescription Refill Limit 2-1-16 Refills are reimbursable under the Arkansas Medicaid Pharmacy Program only if they are specifically authorized on the original prescription or if authorized by the prescribing provider at a later date and recorded by the pharmacist on the original prescription …
The Prescription Drug unit is responsible for assuring that medically necessary pharmaceutical therapy is provided to Arkansas Medicaid beneficiaries. Prescription Drugs. Pharmacy Extension of Benefit Prior Authorization (PA) Criteria The Arkansas Medicaid Pharmacy Program will consider extensions of the prescription drug monthly benefit limit up to a maximum of six (6) prescriptions per calendar month for recipients age 21 and older for medically necessary maintenance medications. Medicaid reimburses health care providers for covered medical services provided to eligible needy individuals in certain categories. Eligibility is determined based on income, resources, Arkansas residency, and other requirements. This Preferred Drug List is subject to change without notice.
All Rights Reserved. It seeks to deliver these services cost effectively while complying with all state and federal requirements.
As the threat from COVID-19 continues, important information on what DHS is doing about coronavirus as well as reliable, up-to-date information about how the virus is affecting the State can be found on the DHS website. Categories are summarized below under the two headings of \"Aged, Blind and Disabled\" and \"Children and Family\". Arkansas Medicaid PA edits approved at the Arkansas Medicaid DUR Board October 16, 2019 meeting and PDL changes approved by the PDL Review Committee meeting November 13, 2019 10/30/19 Special Memorandum from DMS Pharmacy Program - Updates and Information