MMIS

The Arkansas Department of Human Services (DHS) is pleased to announce the delivery of a new Arkansas Medicaid Management Information System (MMIS). Arkansas Medicaid providers and beneficiaries rely on a MMIS for provider enrollment, beneficiary eligibility and claims processing. If your pharmacy practice checks online Arkansas Medicaid patient eligibility or submits medical billing claims for durable medical equipment or immunizations, they will be processed through this new MMIS system. 

Key Points:

  • If you contract with a third-party vendor to help you with DME billing or immunization billing, the vendor will need to register with a Trading Partner ID instead of a Submitter ID. 

https://www.medicaid.state.ar.us/Download/Provider/Insider/TradingPartnerLtr.pdf

  • Pharmacy Prescription drug claims billed through Magellan will not change.  Pharmacies do not use the MMIS system for pharmacy claims billing.
  • Training Information and Registration for the new MMIS is found at the Arkansas Medicaid Frontline website found at https://www.medicaid.state.ar.us/provider/frontline.html
  • You can sign up to get MMIS communications through email at https://afmc.org/mmis-eblast-sign/
  • $ - Transaction fees for the new MMIS from Arkansas Medicaid are being reduced from 10 or 17 cents per transaction to 0 cents per transaction.
  • The new MMIS will attempt to provide more real time payment confirmation for services (30 minutes or less)
  • The MMIS transition guides (details, dates and timelines) for Portal Users, PES submitters and EDI-X12 Submitters can be viewed here:https://www.medicaid.state.ar.us/Download/Provider/Insider/AreYouReady.pdf