Arkansas

high

AR DHS FEE Schedules

SUCCESS

Run Date and Time

Apr 01, 2026

1m 3s

Run Metrics

New0
Changed16
Unchanged29
Checked45

Fee Schedule Impacts

High7
Medium5
Low4

Run summary

This run for Arkansas Department of Human Services / AR_DHS_FEE_SCHEDULES identified 16 changed documents and 0 newly discovered documents. 7 item(s) are high priority.

High Impact (7)

ASC-fees.pdf

high

The document updates the Arkansas Medicaid Ambulatory Surgical Center Fee Schedule from 2025 to 2026, with changes in region code wage indices and additional coverage limitations.

Highlights

  • Wage index changes for regions 1-9.
  • Transition from 2025 to 2026 fee schedule.
  • Additional coverage limitations noted.
  • New region code added (9).

Reason

The update includes specific numeric changes to wage indices and introduces a new fee schedule for 2026, impacting reimbursement rates.

Watch items

2026 fee scheduleRegion code wage index changes

Radiology-fees.pdf

high

The document shows updates to the Arkansas Medicaid fee schedule with a new run date of 3/27/26. Several CPT codes have updated reimbursement rates, which could impact billing and reimbursement processes.

Highlights

  • Run date updated to 3/27/26.
  • CPT code 70471 now $429.18, previously not listed.
  • CPT code 70472 now $176.51, previously not listed.
  • CPT code 70473 now $271.58, previously not listed.

Reason

The document includes specific rate changes effective soon, impacting reimbursement.

Watch items

Run date 3/27/26CPT 70471 $429.18CPT 70472 $176.51CPT 70473 $271.58

NURSEPRA-fees.pdf

high

The document shows updates to the Arkansas Medicaid nurse practitioner fee schedule, with a new run date of 3/27/26. Several CPT codes have updated reimbursement rates, notably codes 70471, 70472, and 70473.

Highlights

  • Fee schedule run date updated to 3/27/26.
  • CPT code 70471 rate changed to $171.67.
  • CPT code 70472 rate changed to $70.60.
  • CPT code 70473 rate changed to $108.63.

Reason

The changes include specific reimbursement rate updates effective soon, impacting billing and payments.

Watch items

7047170472704733/27/26

LAB-fees.pdf

high

The document update reflects a change in the run date from 12/3/25 to 3/27/26, indicating a new fee schedule is in effect. Additionally, there is a rate change for CPT code 87494, which increased from $51.95 to $70.18.

Highlights

  • Run date changed to 3/27/26.
  • CPT code 87494 rate increased to $70.18.

Reason

The update includes a new effective date and a specific rate change, impacting reimbursement.

Watch items

Run date 3/27/26CPT code 87494 $70.18

TRANSP-fees.pdf

high

The document reflects updates to the Arkansas Medicaid transportation fee schedule, including changes to procedure codes and modifiers. Notably, new rates for certain codes like a0435 and a0999 have been added, and the document is effective as of 3/27/26.

Highlights

  • New rates for a0435 u4 ub $55.86, a0435 u5 ub $239.43, a0435 u6 ub $239.43
  • Run date updated to 3/27/26
  • Procedure codes with $0.00 are manually priced
  • Reimbursement rates are date-of-service effective

Reason

The document includes new reimbursement rates effective immediately, impacting billing and payments.

Watch items

a0435 u4 ub $55.86a0435 u5 ub $239.43a0435 u6 ub $239.43Run date 3/27/26

RURLHLTH-fees.pdf

high

The document update includes changes to reimbursement rates for specific CPT codes, with new rates for services provided by physicians, nurse practitioners, and certified nurse midwives. The effective date of the updated fee schedule is March 27, 2026.

Highlights

  • New rates for CPT codes 99203, 99204, 99205, 99212, 99213.
  • Effective date: March 27, 2026.
  • Rates differ by provider type (physician, nurse practitioner, midwife).

Reason

The update includes specific reimbursement rate changes effective soon, impacting billing and payments.

Watch items

9920399204992059921299213

PODIATR-fees.pdf

high

The document update adds two new procedure codes, 11103 and 11104, to the Arkansas Medicaid podiatrist fee schedule with specified maximum allowed amounts.

Highlights

  • Added procedure code 11103 with amount $58.41.
  • Added procedure code 11104 with amount $135.94.
  • Applies to provider type: 17 (podiatrist).

Reason

The addition of new procedure codes with specific reimbursement rates impacts billing and reimbursement processes immediately.

Watch items

1110311104
Medium Impact (5)

PROSTHET-fees.pdf

medium

The document update includes the addition of new procedure codes A4295 and A4296 with specified Medicaid maximum allowed amounts, and the introduction of code A4297. The run date has been updated to 3/27/26, indicating a future effective date.

Highlights

  • Added codes: A4295 ($2.43), A4296 ($7.78)
  • New code: A4297 ($9.99)
  • Run date updated to 3/27/26

Reason

The changes include new procedure codes and a future effective date, but the impact is limited to specific codes.

Watch items

A4295A4296A4297Run date 3/27/26

CNM-fees.pdf

medium

The document update primarily involves a change in the run date from 2/11/26 to 3/27/26, with no significant changes to reimbursement rates or procedure codes. A new CPT code 90481 with a rate of $40.00 has been added.

Highlights

  • Run date updated to 3/27/26.
  • New CPT code 90481 added with a rate of $40.00.
  • No changes in existing reimbursement rates.

Reason

The update includes a new CPT code and a date change, but no immediate reimbursement impact is evident.

Watch items

CPT code 90481Run date 3/27/26

ARKIDS-fees.pdf

medium

The document update reflects a change in the run date for the Arkansas Medicaid SCHIP vaccines fee schedule from 2/11/26 to 3/27/26, with no changes in the listed rates or codes.

Highlights

  • Run date changed from 2/11/26 to 3/27/26
  • No changes in procedure codes or rates

Reason

The change in the run date suggests an update to the schedule, but no rate or policy changes are evident.

Watch items

Run date 3/27/26

FQHC-fees.pdf

medium

The document update involves the Arkansas Medicaid FQHC fee schedule, with no changes to specific reimbursement rates. It emphasizes that the schedule may be updated at any time to correct discrepancies and that rates are effective as of the report date.

Highlights

  • No changes to specific reimbursement rates noted.
  • Fee schedule may be updated to correct discrepancies.
  • Rates are effective as of the report date.
  • Applies to Arkansas Medicaid FQHCs.

Reason

The document is current but lacks specific rate changes, indicating administrative updates.

HOMEHLTH-fees.pdf

medium

The document shows updates to the Arkansas Medicaid Home Health Fee Schedule, with new procedure codes A4295, A4296, and A4297 added, each with specific reimbursement rates. The effective date is indicated as 3/27/26.

Highlights

  • New codes added: A4295, A4296, A4297
  • Rates for new codes: A4295 $2.43, A4296 $7.78, A4297 $9.99
  • Effective date: 3/27/26
  • Provider type: 14

Reason

The changes include new procedure codes and rates, but the effective date is not imminent.

Watch items

A4295A4296A42973/27/26
Low Impact (4)

HOSPITAL-fees.pdf

low

The document update reflects a change in the run date of the Arkansas Medicaid outpatient hospital fee schedule from 2/11/26 to 3/27/26, with no changes in the listed rates or codes.

Highlights

  • Run date changed from 2/11/26 to 3/27/26.
  • No changes in Medicaid maximum allowed amounts.
  • No changes in revenue codes or provider types.

Reason

The update only changes the run date without affecting rates or policies, indicating low urgency for review.

PHYSICN-fees.pdf

low

The document update primarily involves a change in the run date from 2/3/26 to 3/27/26, with no changes to the reimbursement rates or coverage limitations. The fee schedule remains the same, indicating no immediate impact on reimbursement policies.

Highlights

  • Run date changed from 2/3/26 to 3/27/26.
  • No changes in reimbursement rates.
  • Coverage limitations remain unchanged.
  • No new or deleted CPT/HCPCS codes.

Reason

The update is primarily a date change with no impact on reimbursement rates or policies.

HEARING-fees.pdf

low

The document update involves a change in the run date from 3/26/24 to 3/27/26 for the Arkansas Medicaid hearing services fee schedule. No changes in procedure codes or rates are evident.

Highlights

  • Run date changed from 3/26/24 to 3/27/26.
  • No changes in procedure codes or rates detected.

Reason

The change is administrative (run date update) with no impact on reimbursement rates or policies.

FeeArchive.pdf

low

The document update involves a revision of archived fee schedules with a new revision date of 3/27/26. However, there are no specific changes to rates, codes, or effective dates that impact current or upcoming reimbursement policies.

Highlights

  • Archived fee schedules revised to 3/27/26.
  • No specific rate or policy changes identified.
  • Document appears to be archival with future dates.

Reason

The document is archival with no immediate impact on current policies or rates.