A. Limited services providers may be enrolled in the program to provide prior authorized or emergency services only.

Emergency services are inpatient or outpatient hospital services that a prudent layperson with an average knowledge of health and medicine would reasonably believe are necessary to prevent death or serious impairment of health and which because of the danger to life or health, must be obtained at the most accessible hospital available and equipped to furnish those services.

Source: 42 U.S. Code of Federal Regulations § 422.2 and § 424.101.

Prior authorized services are those that are medically necessary and are not available in Arkansas. Each request for these services must be made in writing, forwarded to Utilization Review Section and approved before the service is provided. An Arkansas Medicaid Provider Contract must be signed before reimbursement can be made. A provider number will be assigned upon receipt and approval of the application and contract. View or print Utilization Review contact information.

B. Limited services provider claims will be manually reviewed prior to processing to ensure that only emergency or prior authorized services are approved for payment. These claims should be mailed to the Arkansas Division of Medical Services, Program Communications Unit. View or print DMS Program Communications contact information.