Government

How to Get Credentialed with Medicaid in Arkansas

Network: Open
60-90 Days CAQH Required

Quick Overview

Timeline

60 - 90 days

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

Arkansas-Specific Requirements

Arkansas Medicaid is administered by the DHS Division of Medical Services (fiscal agent Gainwell) through the Arkansas Medicaid Healthcare Provider Portal. The federal application fee is collected before contract execution, but individual providers and groups of individual providers are not required to pay (institutional providers pay the CMS-set fee unless already paid elsewhere). Revalidation occurs every 5 years — submit at least 60 days before the due date. Arkansas's managed-care model for intensive behavioral-health and developmental-disability needs is the PASSE; providers serving those members contract with a PASSE separately from state enrollment.

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Arkansas.

2

Complete Your CAQH ProView Profile

Medicaid requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org and attest within 120 days.

3

Submit Your Application

Submit your completed enrollment package to Medicaid.

4

Track & Follow Up

Credentialing typically takes 60-90 days. Monitor your application status and respond promptly to requests for additional information.

Free Consultation

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Our specialists handle the entire Medicaid enrollment process: applications, follow-ups, and approvals in Arkansas.

Key Credentialing Terms

CAQH
The Council for Affordable Quality Health Care, an organization that maintains a universal provider database (CAQH ProVi...
Credentialing
The process of verifying a healthcare provider's qualifications, training, licensure, and professional background to ens...
Effective Date
The date on which a provider's enrollment or network participation becomes active, allowing them to begin billing a paye...
NPI
The National Provider Identifier is a unique 10-digit identification number issued by CMS to healthcare providers, requi...
Primary Source Verification
The process of verifying a provider's credentials directly from the original issuing source, such as medical schools, li...
Provider Enrollment
The process by which a healthcare provider applies to participate in an insurance payer's network, allowing the provider...
Re-credentialing
The periodic process, typically occurring every three years, in which a provider's credentials are re-verified to ensure...

Credentialing Checklist

Make sure you have everything ready before applying to Medicaid.

View Physician Credentialing Checklist →

Contact Information

Medicaid Provider Enrollment

National

1-877-267-2323

Mon-Fri 9am-5pm ET

CMS Provider Services

National

1-877-267-2323

State Medicaid Agency Directory

National

1-877-267-2323

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Reviewed by the PayerReady Credentialing Team

Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.

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