Enrollment for the Arkansas Medicaid Patient-Centered Medical Home (PCMH) Program is Open Until October 31

New requirement for enrollment eligibility: The practice must have at least 150 attributed beneficiaries at the time of enrollment.

If you are currently enrolled in PCMH, you should have received an application form with a list of current participating providers.  Providers who are currently enrolled with your PCMH practice do not have to be listed on the new application, nor is a signature required. However, a signature is required for any new provider(s) included in the enrollment application.

To enroll, the Arkansas Medicaid Patient-Centered Medical Home practice participation agreement form (DMS-844) can be accessed on the  AHIN portal or the Payment Initiative website.

The application process and enrollment requirements are available for review here.

Please submit a complete and accurate application to ARKPCMH@dxc.com. Applications submitted via fax will not be accepted.

Contact your AFMC outreach specialist or DXC at ARKPCMH@dxc.com or call 501-301-8311 for any questions.