016.06.06 Ark. Code R. 028 - Alternatives for Adults with Physical Disabilities Update #38

242.300 Billing Instructions - Paper Only

EDS offers providers several options for electronic billing. Providers of environmental accessibility adaptations/adaptive equipment services may bill electronically or on paper.

To bill for environmental accessibility adaptations/adaptive equipment services, use the CMS-1500 (formerly HCFA-1500). The numbered items correspond to numbered fields on the claim form. View a sample CMS-1500 form. The following instructions must be read and carefully followed so that EDS can efficiently process claims. Accuracy, completeness and clarity are important. Claims cannot be processed if applicable information is not supplied or is illegible. Claims should be typed whenever possible.

Completed claim forms should be forwarded to the EDS Claims Department. View or print EDS Claims Department contact information.

NOTE: A provider rendering services without verifying eligibility for each date of service does so at the risk of not being reimbursed for the services.

243.300 Billing Instructions - Paper Only

EDS offers providers several options for electronic billing. Attendant Care service providers may submit claims electronically or on paper.

To bill for attendant care services, use the Alternatives Attendant Care Provider Claim Form (AAS-9559). View a sample Alternatives Attendant Care Provider Claim Form (Form AAS-9559). The following instructions must be read and carefully followed so that EDS can efficiently process claims. Accuracy, completeness and clarity are important. Claims cannot be processed if applicable information is not supplied or is illegible. Claims should be typed whenever possible.

NOTE: A provider rendering services without verifying eligibility for each date of service does so at the risk of not being reimbursed for the services.

Notes

016.06.06 Ark. Code R. 028

6/1/2006