Arkansas Administrative Code
Agency 016 - DEPARTMENT OF HUMAN SERVICES
Division 06 - Medical Services
Rule 016.06.05-006 - Official Notice DMS-2005-A-1, DMS-2005-AR-1, DMS-2005-HH-1, DMS-2005-G-1, DMS-2005-CA-1, DMS-2005-Z-1, DMS-2005-X-1, DMS-2005-II-1, DMS-2005-L-1, DMS-2005-SS-1, DMS-2005-KK-1, DMS-2005-R-1, DMS-2005-Y-1

A review of the CPT 2005 procedure codes has been completed, and the Arkansas Medicaid Program will begin accepting CPT 2005 procedure codes for dates of service on and after April 1, 2005. Please add this information to your Medicaid provider manual until revised manual sections have been included in future manual updates.

Procedure codes that are identified as deletions in the CPT 2005 (Appendix B) are non-payable for dates of service on and after April 1, 2005.

Effective for dates of service on and after April 1, 2005, the following CPT procedure codes require prior authorization for all approved types of service:

CPT procedure codes 78990 and 79900 have been deleted from CPT 2005. Effective for dates of service on and after April 1, 2005, when services represented by the deleted CPT procedure codes are furnished, providers must use the following HCPCS procedure codes, as applicable, when filing claims.

Effective for dates of service on and after April 1, 2005, the CPT procedure codes listed below are manually reviewed before payment. Providers must submit paper claims with supporting documentation, such as an operative report, sterilization consent form, etc.

Complete descriptions of CPT 2005 procedure codes are in the CPT 2005 book. Complete descriptions of replacement HCPCS procedure codes are in the HCPCS 2005 book. These books may be purchased from Ingenix online at http: / /www.ingenixonline.com/ or by calling 1-800-464 -3649.

Thank you for your participation in the Arkansas Medicaid Program.

Roy Jeffus, Director

If you need this material in an alternative format, such as large print, please contact our Americans with Disabilities Act Coordinator at (501) 682-6789 and 1-877-708 -8191. Both telephone numbers are voice and TDD.

If you have questions regarding this notice, please contact the EDS Provider Assistance Center at In-State WATS 1 - 800-457-4454, or locally and Out-of-State at (501) 376-2211.

Arkansas Medicaid provider manuals, official notices and remittance advice (RA) messages are available for downloading from the Arkansas Medicaid website: www, medicaid, state, or. us.