Medicare providers

Medicare Advantage Provider Manual

Find out more about the provider standards for Medicare Advantage patients.

View Medicare Advantage Provider Manual

Medicare Advantage Terms and Conditions

Learn more about Medicare Advantage terms and conditions.

Out-of-State PFFS Terms and Conditions

Enter a plan prefix to learn more about terms and conditions for members who live outside of Arkansas.

Medicare Advantage Part B Drugs Coverage

Find our Medicare Part B drug coverage policies here. These policies apply to healthcare professional administered injectables (Buy & Bill).

Medicare Advantage Prior Authorization List

Access the full list of codes requiring Prior Authorization as well as Notification Authorization requirements.

2024 Prior Authorization List