Table of Contents

Arkansas School-Based Medicaid Billing:  Frequently Asked Questions, Training & Guidance

Joint Guidance

• Joint Guidance for Medicaid PASSE Beneficiaries

• Joint Guidance for Medicaid Beneficiaries Transition from EIDT to LEA

• Joint Guidance on the Family Educational Rights and Privacy Act (FERPA) and the Health Insurance Portability and Accountability Act (HIPAA)

• Joint Guidance on School-based Personal Care Prior Authorizations

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 Resources for ARMAC

• ARMAC Training Presentation

• ARMAC Training Presentation Slides

• ARMAC Roster Participant Recommendation

• ARMAC Participant Adjustment Form

• ARMAC Helpful Hints

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Resources for School Health Services Providers

• MITS Billing Manual - Digital Files

• Arkansas School-Based Medicaid Billing:  FAQ, Training & Guidance 

• Medicaid Abbreviations, Acronyms & Terms

• MITS Medicaid Billing Reference Sheet

• MITS Example Billing Sheets

• Online Application - Arkansas Medicaid Provider 

• Online Application Instructions- Arkansas Medicaid Provider

• NPI Registry Search

• Apply for NPI - National Plan and Provider Enumeration System (NPPES)

• NPI Application Instructions for LEA and Individual Providers

• School Billing Vendors

• MMIS Portal Password Reset Instructions

• MITS Medicaid Profiles & Profile Comparisons

• DHS AR Medicaid Provider Resources & MMIS Job Aids

• Timely Filing Notice

• PASSE Eligibility Portal 

• Medicaid Adjustment Form_HP-AR-004

• eQHealth:  Provider Education Resources Video Tutorials

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Resources for Direct Billing:  ABA Therapy

• Billing Manual - Therapy Files

• DMS 641 Treatment Prescription

• DMS 641 Initial Evaluation Referral

Resources for Direct Billing:  Therapy

• Billing Manual - Therapy Files

• SY DMS-640 Form 

• DMS-640 MITS Completed Example (printable)

• PASSE_Letter from DMS Director for Doctor to Sign DMS-640

• MITS Underperforming Formula Instructions

• Medicaid Rates 2023-24

• Therapy Cost Per Unit 4/1/2023 

• Medicaid Therapy Contractor Guidelines

• Most Commonly Used ICD-10 Codes

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Resources for Direct Billing:  EPSDT (Hearing & Vision Screening)

• Billing Manual - Hearing & Vision Files

• Hearing/Vision eSchoolPlus aid:  Instructions to check "Medicaid Permission" by mass entry

• Hearing/Vision Cognos aid:  Instructions to run the Cognos Summary Report for completed screenings

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Resources for Direct Billing:  Personal Care

• Billing Manual - Personal Care Files

• Medicaid School-Based Personal Care Program

• DMS-618 MITS Example Long Form  

• Acentra Health:  How to Submit a Prior Authorization Training

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Resources for Direct Billing:  Audiology

• Billing Manual - Audiology Files

• Audiology Billing Sheet

• Audiology Prescription Form DMS-7783

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Resources for Direct Billing:  School-Based Mental Health (SBMH)

• Billing Manual - SBMH Files

• School-Based Mental Health Manual and ADE Certification Application 

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Resources for Parents

• Billing Manual - Parental Consents and Resource Files

• Parent Fact Sheet for Medicaid in the Schools

• Parent Fact Sheet for Medicaid in the Schools (Spanish)

• Consent to Release Personal Identifiable Information Form

• Consent to Release Personal Identifiable Information Form (Spanish) 

• Consent to Release Personal Identifiable Information Annual Notice

• Consent to Release Personal Identifiable Information Annual Notice (Spanish)

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