016.06.02 Ark. Code R. § 036 - DMS-2002-W-4 - ARSenior Program
Arkansas Medicaid has received approval for a proposal submitted to the Centers for Medicare and Medicaid Services (CMS, formerly HCFA) to expand Medicaid services to certain Arkansas seniors age 65 and over. Information regarding the proposed change is included below. The implementation date for this program is November 1, 2002.
Providers are urged to verify at each encounter whether an individual is eligible to receive services through the program outlined in this notice by accessing the Arkansas Eligibility Verification and Claims Submission (AEVCS) system.
Arkansas seniors age 65 or over with household income of 75% or less of the federal poverty level (FPL) will be given the opportunity to receive services through the ARSenior Program.
The eligible individuals in the ARSenior Program will receive the full range of Medicaid services. They will be responsible for the same coinsurance and co-payments as individuals in regular Medicaid categories.
Providers will file claims for services for the Medicare and Medicaid eligibles using the current process for crossover claims. Claims denied by Medicare will not cross over. Claims for Medicaid covered services that are not covered by Medicare will be filed with Medicaid only. Some of the individuals in this program may not have Medicare. Claims for these individuals will be filed directly to Medicaid and will not be treated as crossover claims.
If you need this material in an alternative format, such as large print, please contact our Americans with Disabilities Act Coordinator at (501) 682-8307 (voice) or at (501) 682-6789 and 1-877-708 -8191 (TDD).
If you have questions regarding this notice, please contact the EDS Provider Assistance Center at In-State WATS 1-800-457 -4454, or locally and Out-of-State at (501) 376-2211.
Thank you for your participation in the Arkansas Medicaid Program.
Kurt Knickrehm, Director Department of Human Services
Notes
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