Arkansas Payer Configuration and Requirements Tables

The payer configuration table is a valuable resource to help you understand the specific requirements for each payer contract as they relate to the integration process. By referencing this table, you can ensure the correct configuration of payer contracts, maintain compliance, and streamline workflows. Use this topic as a quick reference to verify the scope of each payer’s requirements and to facilitate a smooth integration process.

Payer Configurations and Requirements Arkansas Total Care Empower Health Solutions
835s Availability Not in Scope Not in Scope
Billing Required Required Required
Communications Module Availability Available Available
DX Code is Payer or Provider Managed Provider Managed Payer Managed
EVV Required Required Required
Payer GPS Tolerance 660 ft 660 ft
Missed Visits Required Required Required
POC Compliance Required Not in Scope Not in Scope
Rate is Payer or Provider Managed Payer Managed Payer Managed
Referring Physician Required Not in Scope Not in Scope