Arkansas

high

AR DHS FEE Schedules

SUCCESS

Run Date and Time

Feb 20, 2026

1m 39s

Run Metrics

New41
Changed0
Unchanged5
Checked46

Fee Schedule Impacts

High32
Medium6
Low3

Run summary

Run: e4275bdb-51dc-495d-8300-314259809316 Status: ok Started: 2026-02-20T03:46:42.793403+00:00 Finished: 2026-02-20T03:48:22.285556+00:00 Source: Arkansas Department of Human Services Hub: AR_DHS_FEE_SCHEDULES IMPORTANT NEW_DOC (Current/Upcoming) - 1 - Effective 2026-01-07 - The document provides updated Medicaid reimbursement rates for specific procedure codes related to child health services and immunizations under the EPSDT program in Arkansas. Rates are specified for various codes with modifiers, effective from a run date of January 7, 2026. URL: https://humanservices.arkansas.gov/wp-content/uploads/EPSDT-fees.pdf HISTORICAL DISCOVERIES NEW_DOC (Historical) - 1 - Effective 2016-01-19 - The document provides a fee schedule with specific Medicaid reimbursement rates for various procedure codes, effective as of January 19, 2016. It includes details on maximum allowed amounts for each code and notes that rates are date-of-service effective. URL: https://humanservices.arkansas.gov/wp-content/uploads/RSYC-fees.pdf OTHER NEW_DOC (Unknown date) - 39 - The document provides updated Medicaid reimbursement rates for various radiation therapy procedure codes in Arkansas. It includes specific rates for different modifiers and notes that reimbursement will be the lesser of the billed amount or the Medicaid maximum. The run date is 10/14/24, indicating future applicability. URL: https://humanservices.arkansas.gov/wp-content/uploads/RTC-fees.pdf - The document provides updated Medicaid maximum allowed amounts for various procedure codes under the Arkansas Medicaid Visual Care Fee Schedule. It specifies that these rates are effective based on the date of service and includes a list of procedure codes with their corresponding rates. URL: https://humanservices.arkansas.gov/wp-content/uploads/VISUAL-fees.pdf - The document provides a new fee schedule for Arkansas Medicaid Federally Qualified Health Centers (FQHCs), detailing specific procedure codes and their corresponding maximum allowed amounts. It includes updates for family planning services and other procedures. URL: https://humanservices.arkansas.gov/wp-content/uploads/FQHC-fees.pdf - The document provides updated Medicaid reimbursement rates for various procedure codes for children, effective as of the report date. Rates are specified for each procedure code, indicating changes in the maximum allowed amounts. URL: https://humanservices.arkansas.gov/wp-content/uploads/DENTAL-fees.pdf - The document provides updated Medicaid fee schedules for anesthesia and surgical procedures, with specific rates for assistant surgeons and surgeons. Anesthesia codes are listed with a $0.00 rate, while surgical procedure rates vary. The document includes a disclaimer about coverage limitations and does not guarantee payment. URL: https://humanservices.arkansas.gov/wp-content/uploads/PHYSICN-fees.pdf - The document provides updated Medicaid reimbursement rates for specific procedure codes, including 96112, 96113, and t1027, effective as of the report date. It notes that these rates are subject to change and do not guarantee payment. URL: https://humanservices.arkansas.gov/wp-content/uploads/DTS-fees.pdf - The document provides updated reimbursement rates for Arkansas Medicaid diagnostic and evaluation services, effective as of the report date. Specific rates for procedure codes such as 96112, 96113, and others are listed. The schedule is date-of-service effective, meaning rates apply based on the claim's service date. URL: https://humanservices.arkansas.gov/wp-content/uploads/DIAGEVAL-fees.pdf - The document provides updates to the Arkansas Medicaid Independent Radiology Fee Schedule, including specific procedure codes and their associated maximum allowed amounts. Notably, several codes have a maximum allowed amount of $0.00, indicating no reimbursement for those services. URL: https://humanservices.arkansas.gov/wp-content/uploads/Radiology-fees.pdf - The document provides updated Medicaid maximum allowed amounts for specific procedure codes (e.g., T1019, T1020) with various modifiers. It includes a disclaimer about coverage limitations and payment conditions. URL: https://humanservices.arkansas.gov/wp-content/uploads/PERSCARE-fees.pdf - The document provides updated Medicaid reimbursement rates for various procedure codes, effective as of the report date. Rates include $28.80 for codes 90791 and 90887, and $49.44 for codes 92521 to 92524. URL: https://humanservices.arkansas.gov/wp-content/uploads/EIDTAMC-fees.pdf - The document provides updated Medicaid reimbursement rates for specific procedure codes, including H2019 and Q3014, under the Arkansas Medicaid Autism Waiver Fee Schedule. Rates are effective as of the report date and may change to correct discrepancies. URL: https://humanservices.arkansas.gov/wp-content/uploads/AUTISM-fees.pdf - The document provides updated Medicaid reimbursement rates for various procedure codes, effective as of the report date. It includes specific rates for codes such as 90791, 90792, and 90832, among others. URL: https://humanservices.arkansas.gov/wp-content/uploads/CNSLSERV-fees.pdf - The document provides a new fee schedule for Arkansas Medicaid ventilator equipment, listing specific procedure codes and their maximum allowed amounts. It includes a disclaimer that these rates do not guarantee payment and may be updated to correct discrepancies. URL: https://humanservices.arkansas.gov/wp-content/uploads/VENT-fees.pdf - The document provides updated Medicaid reimbursement rates for specific procedure codes related to applied behavior analysis therapy. Rates are effective as of the report date and may change at any time. URL: https://humanservices.arkansas.gov/wp-content/uploads/ABATHERAPY-fees.pdf - The document provides updated Medicaid maximum allowed amounts for various procedure codes, including specific rates for codes such as 70030, 70100, and others. It is part of the Arkansas Medicaid Rehabilitative Hospital Fee Schedule and includes a disclaimer about coverage limitations. URL: https://humanservices.arkansas.gov/wp-content/uploads/REHABHSP-fees.pdf - The document provides updated Medicaid fee schedules for various procedure codes, including specific rates for codes such as 0090U and 84436. The schedule is for Arkansas Medicaid nurse practitioners and includes a run date of January 20, 2026. URL: https://humanservices.arkansas.gov/wp-content/uploads/NURSEPRA-fees.pdf - The document provides updated Medicaid reimbursement rates for specific procedure codes, effective as of the report date. It includes rates for codes such as b4034, b4035, and b4103, among others. URL: https://humanservices.arkansas.gov/wp-content/uploads/HYPER-fees.pdf - The document provides updated Medicaid fee schedules for anesthesia and surgical procedures, with specific rates listed for each procedure code. Anesthesia codes are listed with a maximum allowed amount of $0.00, while various surgical procedure codes have specific reimbursement amounts. URL: https://humanservices.arkansas.gov/wp-content/uploads/ORALSURG-fees.pdf - The document provides updated Medicaid reimbursement rates for various therapy services, effective as of the report date. It includes specific rates for procedure codes such as 92507, 92508, and 97110. URL: https://humanservices.arkansas.gov/wp-content/uploads/THERAPY-fees.pdf - The document appears to be an archived fee schedule with revisions noted up to 2026. It includes various service categories with historical and future effective dates, but lacks specific rate or policy changes. URL: https://humanservices.arkansas.gov/wp-content/uploads/FeeArchive.pdf - The document provides updated Medicaid reimbursement rates for specific procedure and revenue codes, effective as of the report date. It includes condition codes and maximum allowed amounts for various services under the Arkansas Medicaid ESRD fee schedule. URL: https://humanservices.arkansas.gov/wp-content/uploads/ESRD-fees.pdf - The document provides updated Medicaid reimbursement rates for chiropractic services in Arkansas, effective as of the report date. Specific rates are listed for procedure codes 76499, 98940, 98941, 98942, and q3014. URL: https://humanservices.arkansas.gov/wp-content/uploads/CHIRO-fees.pdf - The document provides updated Medicaid maximum allowed amounts for various revenue and procedure codes, effective for Arkansas Medicaid outpatient hospital services. The fee schedule includes specific rates but notes that these do not guarantee payment or coverage. URL: https://humanservices.arkansas.gov/wp-content/uploads/HOSPITAL-fees.pdf - The document provides a fee schedule for Arkansas Medicaid targeted case management, listing specific procedure codes and their maximum allowed amounts. It includes various modifiers and notes that the schedule does not guarantee payment or coverage. URL: https://humanservices.arkansas.gov/wp-content/uploads/TCM-fees.pdf - The document provides updated Medicaid fee schedules for Arkansas, including specific procedure codes and their maximum allowed amounts. It includes details for certified nurse-midwives and various immunization codes with associated fees. URL: https://humanservices.arkansas.gov/wp-content/uploads/CNM-fees.pdf - The document provides updated Medicaid maximum allowed amounts for various procedure codes, specifically for Arkansas Medicaid podiatrist fee schedule. It includes detailed rates for numerous codes but notes that these do not guarantee payment or coverage. URL: https://humanservices.arkansas.gov/wp-content/uploads/PODIATR-fees.pdf - The document provides updated Medicaid maximum allowed amounts for various procedure codes, specifically for Arkansas Medicaid's private duty nursing fee schedule. It includes detailed rates for numerous codes but does not guarantee payment or coverage. URL: https://humanservices.arkansas.gov/wp-content/uploads/PDN-fees.pdf - The document provides updated Medicaid fee schedules for Arkansas Rural Health Clinics, detailing specific reimbursement rates for various procedure codes and modifiers. URL: https://humanservices.arkansas.gov/wp-content/uploads/RURLHLTH-fees.pdf - The document provides a new fee schedule for Arkansas Medicaid, listing specific procedure codes with their corresponding maximum allowed amounts. The schedule includes various vaccines with rates ranging from $0.00 to $15.45, effective for the SCHIP vaccines fee schedule. URL: https://humanservices.arkansas.gov/wp-content/uploads/ARKIDS-fees.pdf - The document provides updated Medicaid reimbursement rates for various procedure codes, effective as of the report date. It includes specific rates for transportation services under Arkansas Medicaid. URL: https://humanservices.arkansas.gov/wp-content/uploads/TRANSP-fees.pdf - The document provides updated Medicaid reimbursement rates for various procedure codes, including specific amounts for codes like Q3014 and S5100. It notes that these rates are effective as of the report date but may change to correct discrepancies. URL: https://humanservices.arkansas.gov/wp-content/uploads/ARCHOICES-fees.pdf - The document provides updated Medicaid maximum allowed amounts for various procedure codes related to hearing services in Arkansas, effective for claims based on the date of service. It includes specific rates for codes such as 92507, 92508, and others, with modifiers and different pricing for technical and professional components. URL: https://humanservices.arkansas.gov/wp-content/uploads/HEARING-fees.pdf - The document provides a new fee schedule for Arkansas Medicaid Living Choices Assisted Living, including specific rates for procedure codes Q3014 and T2031. It notes that the rates are effective as of the report date and may change to correct discrepancies. URL: https://humanservices.arkansas.gov/wp-content/uploads/LCAL-fees.pdf - The document provides an updated Arkansas Medicaid hospice fee schedule, detailing specific reimbursement rates for various hospice services. It includes county-specific wage factors and outlines the calculation method for Medicaid payments. URL: https://humanservices.arkansas.gov/wp-content/uploads/HOSPICE-fees.pdf - The document provides updated Medicaid reimbursement rates for various procedure codes, effective as of the report date. It includes specific rates for portable x-ray services in Arkansas. URL: https://humanservices.arkansas.gov/wp-content/uploads/PORTX-fees.pdf - The document provides updated Medicaid maximum allowed amounts for various procedure codes under the Arkansas Medicaid Home Health Fee Schedule. It includes specific rates for numerous codes but does not address coverage limitations or guarantee payment. URL: https://humanservices.arkansas.gov/wp-content/uploads/HOMEHLTH-fees.pdf - The document provides updated Medicaid fee schedules for prosthetics and durable medical equipment, listing specific procedure codes and their maximum allowed amounts. It includes detailed rates for various codes, indicating changes in reimbursement amounts. URL: https://humanservices.arkansas.gov/wp-content/uploads/PROSTHET-fees.pdf - The document provides updated Medicaid reimbursement rates for specific procedure codes, effective as of the report date. Rates are specified for codes such as 92507, 92508, and 97110, among others. The schedule is date-of-service effective and may be updated to correct discrepancies. URL: https://humanservices.arkansas.gov/wp-content/uploads/EIDT-fees.pdf - The document provides updated Medicaid maximum allowed amounts for various procedure codes, including specific rates for independent lab services in Arkansas. Notable changes include rates for codes such as 0003u at $950.00 and 0037u at $3,500.00. URL: https://humanservices.arkansas.gov/wp-content/uploads/LAB-fees.pdf

High Impact (32)

LAB-fees.pdf

high

The document provides updated Medicaid maximum allowed amounts for various procedure codes, including specific rates for independent lab services in Arkansas. Notable changes include rates for codes such as 0003u at $950.00 and 0037u at $3,500.00.

Highlights

  • Procedure code 0003u: $950.00
  • Procedure code 0037u: $3,500.00
  • Procedure code 0090u: $1,950.00
  • Procedure code 0153u: $0.00
  • Procedure code 83825 tc: $23.22

Reason

The document includes specific numeric rate changes for Medicaid reimbursement, which are likely to impact billing and payments immediately.

Watch items

0003u0037u0090u0153u83825 tc

EIDT-fees.pdf

high

The document provides updated Medicaid reimbursement rates for specific procedure codes, effective as of the report date. Rates are specified for codes such as 92507, 92508, and 97110, among others. The schedule is date-of-service effective and may be updated to correct discrepancies.

Highlights

  • Procedure code 92507: $29.02
  • Procedure code 92508: $7.92
  • Procedure code 97110: $29.02
  • Rates effective as of report date
  • Date-of-service effective schedule

Reason

The document includes specific reimbursement rates effective immediately, impacting claims processing.

Watch items

925079250897110Effective date: report date

PROSTHET-fees.pdf

high

The document provides updated Medicaid fee schedules for prosthetics and durable medical equipment, listing specific procedure codes and their maximum allowed amounts. It includes detailed rates for various codes, indicating changes in reimbursement amounts.

Highlights

  • Updated Medicaid fee schedule for prosthetics/DME.
  • Specific rates for procedure codes like A4206, A4221, L0454, L0486, etc.
  • Provider type: 16, Arkansas Medicaid.
  • Rates do not guarantee payment; coverage limitations apply.

Reason

The document contains specific numeric rate changes for Medicaid reimbursement, which are likely to impact billing and payments immediately.

Watch items

A4206 $0.19A4221 $22.62L0454 $331.07L0486 $1,702.56

HOMEHLTH-fees.pdf

high

The document provides updated Medicaid maximum allowed amounts for various procedure codes under the Arkansas Medicaid Home Health Fee Schedule. It includes specific rates for numerous codes but does not address coverage limitations or guarantee payment.

Highlights

  • Updated Medicaid maximum allowed amounts for procedure codes.
  • Applies to Arkansas Medicaid Home Health Fee Schedule.
  • Includes specific rates for codes like a4206, a4217, a4310, etc.
  • Does not address coverage limitations or guarantee payment.

Reason

The document contains specific numeric rate changes that are likely to impact reimbursement.

Watch items

a4206 $0.19a4217 $4.67a4310 $5.90a4561 u1 $22.19a5102 $25.82

PORTX-fees.pdf

high

The document provides updated Medicaid reimbursement rates for various procedure codes, effective as of the report date. It includes specific rates for portable x-ray services in Arkansas.

Highlights

  • New Medicaid rates for procedure codes 70100 to 71120.
  • Rates effective as of the report date.
  • Includes portable x-ray fee schedule for Arkansas.
  • Rates are date-of-service effective.

Reason

The document contains specific reimbursement rate changes effective immediately, impacting billing and claims processing.

Watch items

70100710467104771100Run date 10/16/24

HOSPICE-fees.pdf

high

The document provides an updated Arkansas Medicaid hospice fee schedule, detailing specific reimbursement rates for various hospice services. It includes county-specific wage factors and outlines the calculation method for Medicaid payments.

Highlights

  • Updated Arkansas Medicaid hospice fee schedule.
  • Includes county-specific wage factors.
  • Details reimbursement rates for hospice services.
  • Outlines calculation method for Medicaid payments.

Reason

The document contains specific reimbursement rates and calculation methods that are currently applicable, impacting payments.

Watch items

Routine home care rate: $152.55Continuous home care rate: $52.48Inpatient respite care rate: $341.91General inpatient care rate: $761.91

LCAL-fees.pdf

high

The document provides a new fee schedule for Arkansas Medicaid Living Choices Assisted Living, including specific rates for procedure codes Q3014 and T2031. It notes that the rates are effective as of the report date and may change to correct discrepancies.

Highlights

  • Procedure code Q3014: $2.54
  • Procedure code T2031: $86.73
  • Provider type: 94
  • Rates effective as of report date
  • Rates may change to correct discrepancies

Reason

The document includes specific reimbursement rates effective immediately, impacting provider payments.

Watch items

Q3014T2031Provider type 94

HEARING-fees.pdf

high

The document provides updated Medicaid maximum allowed amounts for various procedure codes related to hearing services in Arkansas, effective for claims based on the date of service. It includes specific rates for codes such as 92507, 92508, and others, with modifiers and different pricing for technical and professional components.

Highlights

  • Updated Medicaid rates for hearing services in Arkansas.
  • Specific rates for procedure codes 92507, 92508, 92521, etc.
  • Includes modifiers and technical/professional component pricing.
  • Effective based on the date of service.
  • Run date: 3/26/24.

Reason

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

Watch items

92507 $21.7692508 $5.9492521 ua $49.4492537 26 $32.7792540 26 $102.91

ARCHOICES-fees.pdf

high

The document provides updated Medicaid reimbursement rates for various procedure codes, including specific amounts for codes like Q3014 and S5100. It notes that these rates are effective as of the report date but may change to correct discrepancies.

Highlights

  • Updated Medicaid rates for procedure codes like Q3014, S5100, and others.
  • Rates effective as of the report date.
  • Includes specific amounts, e.g., S5165 at $7,500.00.
  • Mentions potential changes to correct discrepancies.

Reason

The document contains specific rate changes effective immediately, impacting reimbursement.

Watch items

Q3014 $2.54S5100 $2.47S5165 $7,500.00

TRANSP-fees.pdf

high

The document provides updated Medicaid reimbursement rates for various procedure codes, effective as of the report date. It includes specific rates for transportation services under Arkansas Medicaid.

Highlights

  • Procedure code 93041: $6.60
  • Procedure code a0120 u1: $6.06
  • Procedure code a0422: $19.06
  • Procedure code a0431: $2,733.10
  • Provider type: 15, Arkansas Medicaid transportation fee schedule

Reason

The document contains specific reimbursement rate changes effective immediately, impacting billing and payments.

Watch items

93041a0120 u1a0422a0431Provider type: 15

ARKIDS-fees.pdf

high

The document provides a new fee schedule for Arkansas Medicaid, listing specific procedure codes with their corresponding maximum allowed amounts. The schedule includes various vaccines with rates ranging from $0.00 to $15.45, effective for the SCHIP vaccines fee schedule.

Highlights

  • New fee schedule for Arkansas Medicaid vaccines.
  • Rates range from $0.00 to $15.45.
  • Includes specific procedure codes (e.g., 90622 at $0.00).
  • Effective for SCHIP vaccines fee schedule.
  • Does not guarantee payment or coverage.

Reason

The document lists specific rate changes for Medicaid vaccines, which are effective and impact reimbursement.

Watch items

90622 at $0.0090612 at $15.45Run date 2/11/26

RURLHLTH-fees.pdf

high

The document provides updated Medicaid fee schedules for Arkansas Rural Health Clinics, detailing specific reimbursement rates for various procedure codes and modifiers.

Highlights

  • New fee schedule for Arkansas Medicaid Rural Health Clinics (RHC).
  • Includes specific rates for procedure codes like 0240U, 59425, 90635, 90636, etc.
  • Rates vary by provider type and modifiers, e.g., 'rhc-physician' and 'rhc-nurse practitioner'.
  • Example rates: 0240U at $142.63, 59425 rhc-physician at $48.62, 90651 rhc at $215.02.

Reason

The document contains specific reimbursement rates for Medicaid services, impacting billing and payments.

Watch items

0240U59425906359063690651

PDN-fees.pdf

high

The document provides updated Medicaid maximum allowed amounts for various procedure codes, specifically for Arkansas Medicaid's private duty nursing fee schedule. It includes detailed rates for numerous codes but does not guarantee payment or coverage.

Highlights

  • Updated Medicaid maximum allowed amounts for procedure codes.
  • Applies to Arkansas Medicaid private duty nursing fee schedule.
  • Includes specific rates for codes like a4206, a4221, a4310, etc.
  • Document does not guarantee payment or coverage.

Reason

The document contains specific numeric rate changes that are likely to impact reimbursement.

Watch items

a4206a4221a4310a4356a5102

PODIATR-fees.pdf

high

The document provides updated Medicaid maximum allowed amounts for various procedure codes, specifically for Arkansas Medicaid podiatrist fee schedule. It includes detailed rates for numerous codes but notes that these do not guarantee payment or coverage.

Highlights

  • Updated Medicaid maximum allowed amounts for procedure codes.
  • Specific to Arkansas Medicaid podiatrist fee schedule.
  • Includes detailed rates for codes like 10060, 10061, 10120, etc.
  • Notes that rates do not guarantee payment or coverage.

Reason

The document contains specific numeric rate changes that are likely to impact reimbursement.

Watch items

10060 $55.6010061 $167.2010120 $63.7311000 $65.2727808 $223.97

CNM-fees.pdf

high

The document provides updated Medicaid fee schedules for Arkansas, including specific procedure codes and their maximum allowed amounts. It includes details for certified nurse-midwives and various immunization codes with associated fees.

Highlights

  • Procedure codes with specific rates listed.
  • Includes family planning and immunization codes.
  • Arkansas Medicaid certified nurse-midwife fee schedule.
  • Rates for codes like 0442u, 10060, 90625, 90651, etc.
  • No coverage limitations detailed.

Reason

The document contains specific rate changes for Medicaid services, impacting reimbursement immediately.

Watch items

0442u10060119769062590651

CHIRO-fees.pdf

high

The document provides updated Medicaid reimbursement rates for chiropractic services in Arkansas, effective as of the report date. Specific rates are listed for procedure codes 76499, 98940, 98941, 98942, and q3014.

Highlights

  • Procedure code 76499: $37.94
  • Procedure codes 98940, 98941, 98942: $30.51 each
  • Procedure code q3014: $2.54
  • Provider type: 18
  • Run date: 7/11/25

Reason

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

Watch items

76499989409894198942q3014

ESRD-fees.pdf

high

The document provides updated Medicaid reimbursement rates for specific procedure and revenue codes, effective as of the report date. It includes condition codes and maximum allowed amounts for various services under the Arkansas Medicaid ESRD fee schedule.

Highlights

  • Revenue codes 820, 830, 831, 839, 841, 851 with specific rates.
  • Procedure codes 84132, 85014, 90371 with specific rates.
  • Condition codes 73 (self-care) and 74 (home) noted.
  • Rates effective as of the report date, 3/27/24.
  • Manual pricing for codes with $0.00 maximum.

Reason

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

Watch items

Revenue code 820Procedure code 84132Condition code 73Condition code 74Run date 3/27/24

RTC-fees.pdf

high

The document provides updated Medicaid reimbursement rates for various radiation therapy procedure codes in Arkansas. It includes specific rates for different modifiers and notes that reimbursement will be the lesser of the billed amount or the Medicaid maximum. The run date is 10/14/24, indicating future applicability.

Highlights

  • Updated Medicaid rates for radiation therapy codes.
  • Includes specific rates for modifiers 'r9' and 'ra tc'.
  • Reimbursement is the lesser of billed amount or Medicaid maximum.
  • Run date is 10/14/24, indicating future applicability.

Reason

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

Watch items

Run date 10/14/24Procedure code 76145Procedure code 77014Procedure code 77280Procedure code 77301

THERAPY-fees.pdf

high

The document provides updated Medicaid reimbursement rates for various therapy services, effective as of the report date. It includes specific rates for procedure codes such as 92507, 92508, and 97110.

Highlights

  • Procedure code 92507: $29.02
  • Procedure code 92508: $7.92
  • Procedure code 92607: $111.38
  • Procedure code 97110: $29.02

Reason

The document contains specific rate changes effective immediately, impacting reimbursement.

Watch items

92507925089260797110

ORALSURG-fees.pdf

high

The document provides updated Medicaid fee schedules for anesthesia and surgical procedures, with specific rates listed for each procedure code. Anesthesia codes are listed with a maximum allowed amount of $0.00, while various surgical procedure codes have specific reimbursement amounts.

Highlights

  • Anesthesia codes (e.g., 00100) have $0.00 allowed amount.
  • Surgical codes (e.g., 31601) have specific reimbursement rates.
  • Run date is 9/10/25.
  • Provider type: 79, Arkansas Medicaid oral surgery fee schedule.
  • Coverage limitations are not addressed in the fee schedule.

Reason

The document includes specific reimbursement rates and a future effective date, indicating an imminent impact on billing and reimbursement.

Watch items

00100 anesthesia31601 surgeonRun date 9/10/25

HYPER-fees.pdf

high

The document provides updated Medicaid reimbursement rates for specific procedure codes, effective as of the report date. It includes rates for codes such as b4034, b4035, and b4103, among others.

Highlights

  • Updated rates for procedure codes b4034, b4035, b4036, b4103, b4148, b4149, b4150, b4152, b4153, b4154, b4155.
  • Rates are effective as of the report date.
  • Applies to Arkansas Medicaid hyperalimentation fee schedule.
  • Provider type: 33.
  • Rates are subject to coverage limitations and eligibility requirements.

Reason

The document contains specific rate changes effective immediately, impacting reimbursement.

Watch items

b4034b4035b4103b4148b4155

REHABHSP-fees.pdf

high

The document provides updated Medicaid maximum allowed amounts for various procedure codes, including specific rates for codes such as 70030, 70100, and others. It is part of the Arkansas Medicaid Rehabilitative Hospital Fee Schedule and includes a disclaimer about coverage limitations.

Highlights

  • Updated Medicaid rates for procedure codes 70030, 70100, etc.
  • Part of Arkansas Medicaid Rehabilitative Hospital Fee Schedule.
  • Includes disclaimer on coverage limitations.

Reason

The document contains specific numeric rate changes for Medicaid reimbursement, which are likely to impact billing and payments.

Watch items

70030 $15.0070100 $16.0070110 $26.0070120 $23.0070130 $35.00

ABATHERAPY-fees.pdf

high

The document provides updated Medicaid reimbursement rates for specific procedure codes related to applied behavior analysis therapy. Rates are effective as of the report date and may change at any time.

Highlights

  • Procedure code 97151: $20.00
  • Procedure code 97153: $15.00
  • Procedure code 97155: $22.50
  • Procedure code 97156: $20.00
  • Rates are effective as of the report date.

Reason

The document includes specific rate changes for Medicaid reimbursement that are currently effective.

Watch items

97151971539715597156

CNSLSERV-fees.pdf

high

The document provides updated Medicaid reimbursement rates for various procedure codes, effective as of the report date. It includes specific rates for codes such as 90791, 90792, and 90832, among others.

Highlights

  • Rates effective as of report date.
  • Includes codes 90791, 90792, 90832, 90834, 90837, 90846.
  • Specific rates provided for each code and modifier combination.
  • Manual pricing for codes with $0.00 maximum.

Reason

The document contains specific rate changes effective immediately, impacting reimbursement.

Watch items

9079190792908329083490837

AUTISM-fees.pdf

high

The document provides updated Medicaid reimbursement rates for specific procedure codes, including H2019 and Q3014, under the Arkansas Medicaid Autism Waiver Fee Schedule. Rates are effective as of the report date and may change to correct discrepancies.

Highlights

  • H2019 U1: $15.62
  • H2019 U2: $12.75
  • Q3014: $2.54
  • T1999: $1,000.00
  • T2024 U3: $26.10
  • T2025 U1: $26.10

Reason

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

Watch items

H2019Q3014T1999T2024T2025

EIDTAMC-fees.pdf

high

The document provides updated Medicaid reimbursement rates for various procedure codes, effective as of the report date. Rates include $28.80 for codes 90791 and 90887, and $49.44 for codes 92521 to 92524.

Highlights

  • Procedure code 90791 with modifiers U1, U9: $28.80
  • Procedure code 90887: $28.80
  • Procedure code 92521 with modifier UA: $49.44
  • Procedure code 96130: $70.51
  • Rates effective as of report date

Reason

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

Watch items

90791908879252196130Effective as of report date

Radiology-fees.pdf

high

The document provides updates to the Arkansas Medicaid Independent Radiology Fee Schedule, including specific procedure codes and their associated maximum allowed amounts. Notably, several codes have a maximum allowed amount of $0.00, indicating no reimbursement for those services.

Highlights

  • Procedure codes 0633T to 0637T have $0.00 maximum allowed amounts.
  • Codes like 75989 and 76000 have specific reimbursement rates listed.
  • The document specifies that listed amounts do not guarantee payment.
  • Coverage limitations and other factors may affect final payment.

Reason

The document includes specific rate changes and zero reimbursement for certain codes, impacting provider billing and reimbursement.

Watch items

0633T0634T0635T0636T0637T

DIAGEVAL-fees.pdf

high

The document provides updated reimbursement rates for Arkansas Medicaid diagnostic and evaluation services, effective as of the report date. Specific rates for procedure codes such as 96112, 96113, and others are listed. The schedule is date-of-service effective, meaning rates apply based on the claim's service date.

Highlights

  • Procedure code 96112 U6: $108.00
  • Procedure code 96113 U6: $54.00
  • Procedure code 96130: $70.51
  • Procedure code 96130 U4: $81.49
  • Run date: 7/1/25

Reason

The document includes specific reimbursement rates effective immediately, impacting billing and claims.

Watch items

9611296113961309613196136

DTS-fees.pdf

high

The document provides updated Medicaid reimbursement rates for specific procedure codes, including 96112, 96113, and t1027, effective as of the report date. It notes that these rates are subject to change and do not guarantee payment.

Highlights

  • Procedure code 96112: $108.00
  • Procedure code 96113: $54.00
  • Procedure code t1027: $18.00
  • Procedure code t1027 ub: $15.00
  • Rates effective as of report date

Reason

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

Watch items

9611296113t1027t1027 ub

DENTAL-fees.pdf

high

The document provides updated Medicaid reimbursement rates for various procedure codes for children, effective as of the report date. Rates are specified for each procedure code, indicating changes in the maximum allowed amounts.

Highlights

  • Updated Medicaid rates for child procedures.
  • Rates effective as of the report date.
  • Specific procedure codes with new rates listed.
  • Rates are date-of-service effective.

Reason

The document contains specific reimbursement rate changes effective immediately, impacting billing and claims.

Watch items

procedure code 10061procedure code 10121procedure code 11440procedure code 41114procedure code 42145

FQHC-fees.pdf

high

The document provides a new fee schedule for Arkansas Medicaid Federally Qualified Health Centers (FQHCs), detailing specific procedure codes and their corresponding maximum allowed amounts. It includes updates for family planning services and other procedures.

Highlights

  • New fee schedule for Arkansas Medicaid FQHCs.
  • Includes specific procedure codes and rates.
  • Covers family planning and other services.
  • Rates for providers like physicians and nurse practitioners.

Reason

The document contains specific rate changes for Medicaid services that are likely to impact reimbursements immediately.

Watch items

0090u11976 fp5812087075 fp87426

VISUAL-fees.pdf

high

The document provides updated Medicaid maximum allowed amounts for various procedure codes under the Arkansas Medicaid Visual Care Fee Schedule. It specifies that these rates are effective based on the date of service and includes a list of procedure codes with their corresponding rates.

Highlights

  • Updated Medicaid maximum allowed amounts for procedure codes.
  • Rates are effective based on the date of service.
  • Includes specific rates for codes like 10060, 10061, 10140, etc.
  • Clarifies that listed amounts do not guarantee payment or coverage.

Reason

The document contains specific numeric rate changes for Medicaid reimbursement, which are effective immediately based on the date of service.

Watch items

10060 $55.6010061 $167.2010140 $67.1411440 $80.3065778 $1,496.69
Medium Impact (6)

HOSPITAL-fees.pdf

medium

The document provides updated Medicaid maximum allowed amounts for various revenue and procedure codes, effective for Arkansas Medicaid outpatient hospital services. The fee schedule includes specific rates but notes that these do not guarantee payment or coverage.

Highlights

  • Revenue codes with updated rates: 250, 360, 361, 369, 450, 451, 459, 509, 512, 622, 720, 760, 820, 830, 831.
  • Procedure codes with updated rates: 67229, 67250, 67255, 67311, 67312, 67314, 67316, 67318, 67320, 67331, 67332, 67334, 67335, 67340, 67343, 67345, 67346, 67400, 67405, 67412, 67413, 67414, 67415, 67445, 67500, 67505, 67515, 67516, 67550, 67560, 67570, 67700, 67710, 67715, 67800, 67801, 67805, 67808, 67810, 67820, 67825, 67830, 67835, 67840, 67850, 67875, 67880, 67882, 67900, 67901, 67902.
  • Run date of the fee schedule: 2/11/26.
  • The schedule does not address coverage limitations or guarantee payment.

Reason

The document contains updated rates but lacks an imminent effective date, reducing urgency.

Watch items

Revenue code 250Procedure code 67229Run date 2/11/26

NURSEPRA-fees.pdf

medium

The document provides updated Medicaid fee schedules for various procedure codes, including specific rates for codes such as 0090U and 84436. The schedule is for Arkansas Medicaid nurse practitioners and includes a run date of January 20, 2026.

Highlights

  • Procedure code 0090U: $1,950.00
  • Procedure code 0153U: $0.00 with modifiers
  • Procedure code 84436: $8.90
  • Provider type: Arkansas Medicaid nurse practitioner
  • Run date: January 20, 2026

Reason

The document contains updated fee schedules with specific rates, but the effective date is not imminent.

Watch items

0090U0153U84436Run date: 1/20/26

VENT-fees.pdf

medium

The document provides a new fee schedule for Arkansas Medicaid ventilator equipment, listing specific procedure codes and their maximum allowed amounts. It includes a disclaimer that these rates do not guarantee payment and may be updated to correct discrepancies.

Highlights

  • New fee schedule for ventilator equipment.
  • Specific procedure codes with maximum allowed amounts listed.
  • Disclaimer on coverage limitations and payment guarantees.
  • Run date noted as 2/3/26.

Reason

The document contains new rate information but lacks an imminent effective date, suggesting limited urgency.

Watch items

procedure code e0465procedure code e0467run date 2/3/26

PERSCARE-fees.pdf

medium

The document provides updated Medicaid maximum allowed amounts for specific procedure codes (e.g., T1019, T1020) with various modifiers. It includes a disclaimer about coverage limitations and payment conditions.

Highlights

  • Procedure code T1019 with modifiers U3, U4, U5, and no modifier listed with specific rates.
  • Procedure code T1020 with modifiers U1 to UA listed with specific rates.
  • Provider type: 32, Arkansas Medicaid Personal Care Fee Schedule.
  • Disclaimer on coverage limitations and payment conditions.
  • Run date: 1/1/21.

Reason

The document lists specific rates for procedure codes but lacks an imminent effective date or clear indication of immediate impact.

Watch items

T1019T1020Run date 1/1/21

EPSDT-fees.pdf

medium

The document provides updated Medicaid reimbursement rates for specific procedure codes related to child health services and immunizations under the EPSDT program in Arkansas. Rates are specified for various codes with modifiers, effective from a run date of January 7, 2026.

Highlights

  • Updated Medicaid rates for EPSDT services.
  • Specific rates for procedure codes 90371 to 90684.
  • Rates range from $13.14 to $15.45.
  • Effective run date: January 7, 2026.
  • Applies to Arkansas Medicaid child health services.

Reason

The document contains specific rate updates but the effective date is not imminent, reducing urgency.

Watch items

90371906119061290619Run date 1/7/26

PHYSICN-fees.pdf

medium

The document provides updated Medicaid fee schedules for anesthesia and surgical procedures, with specific rates for assistant surgeons and surgeons. Anesthesia codes are listed with a $0.00 rate, while surgical procedure rates vary. The document includes a disclaimer about coverage limitations and does not guarantee payment.

Highlights

  • Anesthesia codes listed with $0.00 rate.
  • Surgical procedure rates provided for assistant surgeons and surgeons.
  • Coverage limitations disclaimer included.
  • Run date noted as 2/3/26.

Reason

The document contains updated fee schedules but lacks immediate effective dates or significant reimbursement-impacting changes.

Watch items

00100 anesthesia59020 surgeon59100 assistant surgeonRun date 2/3/26
Low Impact (3)

RSYC-fees.pdf

low

The document provides a fee schedule with specific Medicaid reimbursement rates for various procedure codes, effective as of January 19, 2016. It includes details on maximum allowed amounts for each code and notes that rates are date-of-service effective.

Highlights

  • Fee schedule effective date: 1/19/16
  • Includes procedure codes like 96101, 90791, 90832
  • Rates are date-of-service effective
  • Maximum allowed amounts specified for each code

Reason

The document is historical with an effective date in 2016, indicating archival status.

TCM-fees.pdf

low

The document provides a fee schedule for Arkansas Medicaid targeted case management, listing specific procedure codes and their maximum allowed amounts. It includes various modifiers and notes that the schedule does not guarantee payment or coverage.

Highlights

  • Procedure codes T1016 and T1017 listed with maximum amounts.
  • Modifiers U1 to U7, UA, UB, UC affect reimbursement rates.
  • Maximum amounts range from $4.25 to $103.12.
  • Run date of the document is 4/27/16.

Reason

The document appears historical with a run date from 2016, indicating it is likely archival.

FeeArchive.pdf

low

The document appears to be an archived fee schedule with revisions noted up to 2026. It includes various service categories with historical and future effective dates, but lacks specific rate or policy changes.

Highlights

  • Archived fee schedules revised up to 2026.
  • Includes categories like adult behavioral health and ambulatory surgical centers.
  • Lists historical and future effective dates.
  • No specific rate or policy changes detailed.

Reason

The document is primarily archival with no specific rate or policy changes indicated.