Provider Resources
Coronavirus (COVID-19)
Currently we are experiencing some issues and long wait times with on our Teledoc and Referral lines. Please be patient with us as we work through this busy period.
To receive the fastest response on referrals, please submit authorization requests through our provider portal or via fax at: 1-833-632-6934
COVID-19 Resources:
- COVID-19 In-Home Care Guidance (PDF)
- CES Waiver Emergency Request Form (PDF)
- COVID-19 Extended Coverage Announcement (PDF)
- Supplemental Support Service (PDF)
Arkansas Total Care provides the tools and support you need to deliver the best quality of care.
Reference Materials
Attention: Arkansas Total Care announced an adjusted compensation fee schedule for DME services, effective January 1, 2021. In an effort to work collaboratively with all our provider partners and the Arkansas Department of Health and Human Services, Arkansas Total Care has decided to delay these fee schedule changes until after April 1, 2021.
- 2021 Provider Manual (PDF)
- Quick Reference Guide (PDF)
- Payspan (PDF)
- Secure Portal (PDF)
- Provider Education Member ID Card (PDF)
- How to Check Eligibility (PDF)
- ICF Billing Instructions (PDF)
- Incident Report (PDF)
- How to Use Secure Messaging (PDF)
- Codes Modifiers and Rates (PDF)
- Provider Waiver Manual (PDF)
- Lab Compensation Schedule (PDF)
- Arkansas Total Care announced an adjusted compensation fee schedule for DME services, effective January 1, 2021. In an effort to work collaboratively with all our provider partners and the Arkansas Department of Health and Human Services, Arkansas Total Care has decided to delay these fee schedule changes until after April 1, 2021. DME Compensation Schedule (PDF)
Provider Newsletter
- Provider Newsletter - Q1 2021 (PDF)
- Provider Newsletter - Q2 2019 (PDF)
- Provider Newsletter - Q1 2019 (PDF)
Medical Management
- Pre-Auth Needed?
- Prior Authorization 2019 Guidelines (PDF)
- How To Secure Prior Authorization (PDF)
- How To Submit Prior Authorization (PDF)
- Inpatient Prior Authorization Fax Form (PDF)
- Outpatient Prior Authorization Fax Form (PDF)
- Behavioral Health PA Guidelines (PDF)
- Waiver Treatment Plan Template Fillable Form (PDF)
- CES Waiver Emergency Request Form (PDF)
Waiver Services Authoriztion Form (PDF)
Claims and Claim Payment
- Second Delay Notice for DME Fee Change (PDF)
- Claims Payment Tool (PDF)
- Electronic Transactions (PDF)
- Claim Dispute Form (PDF)
Provider Credentialing
Attention: If you would like to become a provider within our network, please fill out the Become A Provider form. Or call us at 1-866-282-6280 or TTY: 711.
- Allied and Advance Practice Nurse Credentialing Application (PDF)
- Medical Doctor or Doctor of Osteopathy Credentialing Application (PDF)
- Arkansas Total Care Personal Care and Non-Licensed Atypical Roster
Arkansas Total Care Atypical Practitioner Roster FAQ (PDF) - Arkansas Total Care Atypical & HCBS Provider Application (PDF)
HEDIS Tips and Quick Guides
- CCS Cervical Cancer Screening Tips for Provider (PDF)
- CPT CATEGORY II CODES (PDF)
- Quality Quick Reference Guide (PDF)