A PASSE claim is not a standard Arkansas Medicaid professional claim. Physical-health Arkansas Medicaid is billed on the state's Medicaid program. A Provider-led Arkansas Shared Savings Entity covers certain behavioral-health and developmental-disability members. That PASSE is the payer for those members. Sending the claim to fee-for-service Medicaid is the wrong door.
A PASSE claim is not a standard Arkansas Medicaid professional claim.
Physical-health Arkansas Medicaid is billed on the state's Medicaid program. A Provider-led Arkansas Shared Savings Entity covers certain behavioral-health and developmental-disability members. That PASSE is the payer for those members. Sending the claim to fee-for-service Medicaid is the wrong door.
Medicare Part A and Part B for an Arkansas practice go to Novitas Solutions, Jurisdiction H, the same contractor as Texas, Louisiana, Oklahoma, and Mississippi. Tennessee is across the river and uses Palmetto GBA, Jurisdiction J.
Arkansas is not a no-fault auto state. A work injury follows the Arkansas Workers' Compensation Commission and the employer's carrier. It is not billed on an Arkansas Medicaid payer ID.
The billing mistake on Arkansas behavioral-health visits is treating every Medicaid member as fee-for-service. The card has to be read for a PASSE before the claim is built. Medicare does not go to that PASSE.
A Provider-led Arkansas Shared Savings Entity pays certain behavioral-health and developmental-disability Medicaid members. That claim is not a fee-for-service Arkansas Medicaid claim.
Novitas Solutions, Jurisdiction H. Tennessee uses Palmetto GBA, Jurisdiction J.
The fee is a percentage of net collections. The written rate follows volume, specialty, and how much of the cycle you hand over. There is no setup fee, and the agreement is month to month. The state is not a surcharge. How pricing is set.
