Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 06 - Medical Services › Rule 016.06.14-001 - Updates to the Dental Provide Manual: Sections 215.000, 226.400, 262.400, and 500.00

Current through Register Vol. 49, No. 6, June, 2024
Section II
Dental
215.000
Child Health Services (EPSDT) Dental Screening
The Child Health Services (EPSDT) periodic and interperiodic
				dental screening exams consist of an inspection of the oral cavity by a
				licensed dentist. The purpose of the dental screening exams is to check for
				obvious dental abnormalities and to assure access to needed dental care.
				Regular screening exams should be perfonmed in accordance with the
				recommendations of the Child Health Services (EPSDT) periodicity
				schedule.
The Child Health Services (EPSDT) periodic dental screening
				exam is limited to two screening exams every six (6) months plus one (1) day
				for individuals under age 21. These benefits may be extended if documentation
				is provided that verifies medical necessity. See Section
				262.100 to view the procedure
				code for periodic dental screening exams.
Individuals under age 21 enrolled in the EPSDT Program may
				receive an interperiodic dental screening exam twice per SPY. Extension of
				benefits is available in cases of medical necessity.
View or
				print form ADA-J4S0
.
See Section
				262.100 for the interperiodic
				dental screening exam procedure code.
NOTE: ARKids First-B beneficiaries may also receive an
				interperiodic dental screening exam twice per SFY. There is no extension of
				benefits for ARKids First-B beneficiaries.
Extension of benefits requests, in addition to a narrative and
				any supporting documentation, should be submitted to the Division of Medical
				Services Dental Care Unit - ATTN Dental Extension of Benefits.
View or print the Division of Medical Services Dental Care
				Unit contact information
.
Infant oral health care examinations must be based on the
				recommendations of the American Academy of Pediatric Dentistry. Essential
				elements of an infant oral health care visit are a thorough medical and dental
				history, oral examination, parental counseling, preventive health education and
				determination of appropriate periodic re-evaluation. See Section
				201.500 for infomiation regarding
				the dentist's role in the EPSDT Program.
226.400
Prior Authorization for
			 Orthodontics
When requesting prior authorization for orthodontic services,
				the provider
must
complete and submit the Request for
				Orthodontic Treatment form (Form DMS-32-0), the ADA[GREATER THAN]i436 claim
				form for the orthodontic records and a written treatrnent p[an along with the
				orthodontic records.
View or print form DMS-32-0. View or
				print form ADA-J43Q
."
Mail the requested information to'thet)ivislon of Medical
				Services Dental Care Unit. For electronic submissions options, contact the
				Division of Medical Services Dental Care Unit.
View or print
				the Division of Medical iServices Dental Care Unit contact
				information.
262.400
Billing Instructions - ADA
			 Claim Fonm - Paper Claims Only
Dental providers must complete the ADA claim form when;
A. Billing for services when using the ADA
			 procedure codes
B. Requesting prior
			 authorization
C. Approving prior
			 authorization
D. Requesting prior
			 authorization for all orthodontic services For prior authorizations, tlie
			 provider should send the ADA claim form to the Arkansas Division of Medical
			 Services Dental Care Unit.
View or print the Division of
			 Medical Services Dental Care Unit contact information.
Claims submitted on paper will be paid only once a month. The
				only claims exempt from this process are those that require attachments or
				manual pricing.
The same ADA claim form on which the treatment plan was
				submitted to obtain prior authorization must be used to submit the claim for
				payment. If this Is done, the header information and the "Request for Payment
				for Services Provided" portions of the form are to be completed.
The provider should carefully read and adhere to the following
				instructions so that claims can be processed efficiently. Accuracy,
				completeness and clarity are important. Claims cannot be processed if
				applicable information is not supplied or is illegible. Claims should be typed
				whenever possible. Handwritten claims must be completed neatly and
				accurately.
If this fomn is being used to request Prior Authorization, it
				should be forwarded to the Division of Medical Services Medical Assistance
				Attention Dental Services.
View or print the Division of
				Medical Services Dental Unit contact information
.
Completed claim forms should be forwarded to the HP Enterprise
				Services Claims Department.
View or print the HP Enterprise
				Services Claims Department contact information
.
To bill for dental or orthodontic services, the ADA claim form
				must be completed. The following nunibered items correspond to the numbered
				fields on the claim form.
View or print form
				ADA-5430.
NOTE: A provider rendering services without verifying
				eligibility for each date of service does so at the risk of not being
				reimbursed for the services.
COMPLETION OF FORM
Field Number and Name
Instructions for Completion
HEADER INFORMATION
1. Type of Transaction
Check one of the following:
Statement of Actual Services
EPSDT/TitleXIX
Request for Predetennination/Preauthorization
2. Predetermination/
Preauthorization Number
If the procedure(s) being billed requires prior
						  authorization and authorization is granted by the Medicaid Dental Program,
						  enter the 10-digit PA control number assigned by the Medicaid Program.
INSURANCE COMPANY/DENTAL BENEFIT PLAN
						  INFORMATION
3. Company/Plan Name,
Address, City, State, Zip Code
Enter the canler's name and address.
OTHER COVERAGE
4. Dental'? Medical?
jCheck the applicable box and complete items 5-11. if
						  none, leave blank. (If both, complete 5-11 for dental pniy)
5. Name of
Policyholder/Subscriber in #4.
Enter Policyholder/Subscriber's name. Format: Last
						  name, first name.
6. Date of Birth
Enter Policyholder/Subscriber's date of birth. Format:
						  MM/DD/CCYY.
7. Gender
Check M for male or F for female.
8. Policyholder/Subscriber ID
Enter the Social Security number or ID number of the
						  Policyholder/Subscriber.
9. Plan/Group Number
Not required.
10. Patient's Relationship to Person Named in #5
Check one of the following:
Self Spouse
Dependent Other
11. Other Insurance
Company/Dental Benefit Plan Name, Address, City, State,
						  Zip Code
Enter the name and address of the other company
						  providing dental or medical coverage.
POLICYHOLDER/SUBSCRIBER INFORMA TION {For
						  Insurance Company Named in #3)
12. Policyholder/Subscriber Name {Last, First, Middle
						  Initial) 3uffix)/"Ad"dress;"City, State, Zip Code
Enter the name and address of the
						  policyholder/subscriberof the insurance identified in item 3.
13. Date of Birth
Enter the policyholder/subscriber's date of birth.
						  Format: MM/DD/CCYY.
14. Gender
Check M for male or F for female.
15. Policyholder/Subscriber ID
Enter the Social Security number or ID number of the
						  Policyholder/Subscriber.'
16. Plan/Group Number
Enter the plan or group number for the insurance
						  identified in item 3.
17. Employer Name
Not required.
PATIENT
						  INFORMATION
18. Relationship to
Policyholder/Subscriber in #12 Above.
Check one of the follovifing: Self Spouse
Dependent Child Other
19. Reserved for Future Use
20. Name (Last," Fiiit," Middle
						  ilnitial'Suffix),'Address, City, State, Zip Code
Enter last name, first name, middle initial, suffix,
						  address, city, state and Zip code.
21. Date of Birth
Enter the patient's date of birth. Format:
						  MM/DD/CCYY.
22. Gender
Check "M" for male or "F" forfemale.
23. Patient ID/Account # (Assigned by Dentist)
Enter the patient IID/Accdurit # assigned byth'e
						  dentist.'
RECORD OF SERVICES
						  PROVIDED
24. Procedure Date
Enter the date on which the procedure was performed.
						  Fomfiat: MM/DD/CCYY.
25. Area of Oral Cavity
Not required.
26. Tooth System
Not required.
27. Tooth Number(s) or Letter(s)
Required if applicable. List only one tooth number per
						  line.
28. Tooth Surface
Required if applicable. Enter one of the following: M -
						  Mesial D - Distal L - Lingual 1 - Incisal B - Buccal 0 - Occlusal L - Labial F
						  - Facial
29. Procedure Code
Required for Medicaid. These codes are listed in
						  Section 262.100 for beneficiaries under
						  age 21 or Section
						  262.200 for medically eligible
						  beneficiaries age 21 and older.
29aTDiag: Pointer
Diagnosis Code"Pointer. Enter A-D as applicable from
						  item 34a.'
29b"'Qtx?
Quantity. Indicates the riurhber of unitsof the
						  procedure code(s) listed in field 29i
30. Description
Required for Medicaid.
31. Fee
List the usual and customary fee.
31a. Other Fee(s)
Enter the total of payments previously received on thjs
						  claim from any private insurance. Do not include amounts previously paid by
						  Medicaid. Do not inclucle in this total the automatlcally deducted Medicaid or
						  ARKids First-B copayments.'
32. Total Fee
Required for Medicaid. Enter the total fee
						  charged.
33. Missing Teeth Inforrnation (Place an 'X' on each
						  missing tooth),
Draw an X through the number of each missing
						  toothl
34. Diagnosis Code List Qualifier
pntef B fo7lCD-9-CM oTAB foTlCD-10-CM.'
34aT biagnosirCo3e(s)'(Primary IBiagnosis in
						  "A")
[Eriterup to'four diagnosis codes in A-D. Enter the
						  Iprimary diagnosis in A.'
35. Remarks
Not required.
AUTHORIZATIONS
36. Agreement of responsibility
Patient or guardian must sign and date here.
37. Authorization of direct payment
Subscriber must sign and date here.
ANCILLARY CLAIM/TREATMENT
						  INFORMATION
38. Place of Treatment (e.g.
11=Office: 22=0/P Hospital) (Use "Place of Service
						  Codes for Professional Claims")
Enter the two-digit Place of Service Code for
						  Professional Claims, a HIPAA standard malritllned by the Centers for Medicare
						  and Medicaid Services.' Frequently used codes are:
11-Office
12-Home
21-lnpatlent Hospital
22-Outpatlent Hospital
31-Skllled Nursing Facility
32-Nursing Facility
The full list is available online at
httD://www.cms.qov/PhvsiciariFeeSched/DownJoad
s/Websife POS database.pdf.
39. Enclosures (Yor N)
If there are enclosures such as radiographs, oral
						  images or models, enter Y for Yes. _ If there are no lenclosur;es, enter N for
						  No.
40. Is Treatment for Orthodontics?
Check No or Yes. If No, skip Items 41 and 42. If Yes?
						  complete itemsjtl and 42]
41. Date Appliance Placed
Enter date appliance placed. Format: MM/DD/CCYY.
42. Months of Treatment Remaining
Enter months of orthodontic treatment remaining.
43. Replacement of Prosthesis
Check No or Yes. If Yes, complete item 44.
44. Date pf Prior Placement
Enter the date of prior placement of the prosthesis.
						  Format: MM/DD/CCYY.
45. Treatment Resulting from
Check one of the following, if applicable; Occupational
						  illness/injury Auto accident Other accident
If item 45 is applicable, complete item 46. If Item 45
						  is "Auto accident," also complete item 47.
46. Date of accident
Enter date of accident. Format: MM/DD/CCYY.
47. Auto Accident State
Enter two-letter abbreviation for state in which auto
						  accident occurred.
BILLING DENTIST OR DENTAL
g
jSubmiWng claim on behalf of tfie
V7/7Y
(Leave biahk'if 'dentist "oTdental entity
						  is hoi patient or insured/subscriber.)
48. Name, Address, City, State, Zip Code
Enter the name and address of the billing dentist or
						  dental entity.
49. NPI
Not required.
50. License Number
Optional.
51. SSNorTIN
Optional.
52. Phone Number
Enter the 10-digit telephone number of the billing
						  dentist or dental entity, beginning with area code.
52a. Additional Provider ID
Enter the Dentist or Oral Surgeon's 9-digit Arkansas
						  Medicaid billing provider number. The provider number should end with "08" for
						  an individual Dentist number or "31" for a Dental group. The pnDvider number
						  should end in "79" for an Individual Oral Surgeon number or "80" for an Oral
						  Surgeon group.
TREATING DENTiSTAND TREATMENT LOCATION
						  INFORMATION
53. Certifrcation
The provider or designated authorized Individual must
						  sign and date the claim form certifying that the services w/ere personally
						  rendered by the provider or under the provider's direction. "Provider's
						  signature" is defined as the provider's actual signature, a rubber stamp of the
						  provider's signature, an automated signature, a typevk/rltten signature or the
						  signature of an individual authorized by the provider rendering the service.
						  The name of a clinic or group is not acceptable.
54. NPI
Not required.
55. License Number
Optional.
56. Address, City, State, Zip Code
Enter the complete address of the treating
						  dentist.
56a. Provider Specialty Code
Indicates the type of dental professional who delivered
						  ihe treatment. The general code listed as "Dentisf _ may be used instead of any
						  of the other codes. For a complete list of codes, see the Provider Specialty
						  table in the instructions accompanying the ADA-J430 claim form.
View or
						  print form ADA-J430.'
57. Phone Number
Enter the 10-digit telephone number of the treating
						  dentist, beginning with area code.
58. Additional Provider ID
If the billing provider number In Field 52a is a group
						  or clinic ending in "31" for Dentists or "80" for Oral Surgeons, the individual
						  provider number must be entered for the provider rendering the service. The
						  provider number should end with "08" for an individual Dentist number or "79"
						  for an individual Oral Surgeon number.
Section V
FORMS
500.000
Claim Forms
Red-ink Claim Forms
The following is a list of the red-ink claim forms required by
				Arkansas Medicaid. The forms below cannot be printed from this manual for use.
				Information about where to get the forms and links to samples of the forms is
				available below. To view a sample form, click the form name.
Claim Type
Where To Get Them
Professional - CI\/IS-1500
Business Form Supplier
Institutional - CMS-1450*
Business Form Supplier
Visual Care-DMS-26-V
1-800-457-4454
Inpatient Crossover - HP-MC-001
1-800-457-4454
Lena Term Care Crossover -
						  HP-MC-002
1-800-457-4454
Outoatient Crossover - HP-MC-003
1-800-457-4454
Professional Crossover - HP-MC-004
1-800-457-4454
* For dates of service after 11/30/07 - ALL HOSPICE PROVIDERS
				USE ONLY FORM CMS-1450 (formerly UB-04) for billing.
Claim Forms
The following is a list of the non-red-ink claim forms required
				by Arkansas Medicaid. Information about where to get a supply of the forms and
				links to samples of the forms is available below. To view a sample form, click
				the form name.
Claim Type
Where To Get Them
Alternatives Attendant Care Provider Claim Form
						  -
Client Employer
AAS-9559
bentar-ADA-J430
Business Form Supplier
Arkansas Medicaid Forms
The forms below can be printed from this manual for use.
In order by form name:
Form Name
Form Link
Acknowledgement of Hysterectomy Information
DIVIS-2606
Address Change Form
DMS-673
Adjustment Request Form - Medicaid XIX
HP-AR-004
Adverse Effects Form
DMS-2704
AFMC Prescription & Prior Authorization Request for
						  iVledical Equipment Excluding Wheelchairs & Wheelchair Components
DMS-679A
Amplification/Assistive Technology Recommendation
						  Form
DMS-686
Application for WebRA Hardship Waiver
DMS-7736
Approval/Denial Codes for Inpatient Psychiatric
						  Services
DMS-2687
Arkansas Early Intervention Infant & Toddler
						  Program Intake/Referral/Application for Services
DDS/FS#0001.a
ARKids First Mental Health Services Provider
						  Qualification Form
DMS-612
Authorization for Automatic Deposit
autodeposit
Authorization for Payment for Services Provided
MAP-8
Certification of Need - Medicaid Inpatient Psychiatric
						  Services for Under Age 21
DMS-2633
Certification of Schools to Provide Comprehensive EPSDT
						  Services
CSPC-EPSDT
Certification Statement for Abortion
DMS-2698
Change of Ownership Information
DMS-0688
Child Health Management Services Enrollment
						  Orders
DMS-201
Child Health Management Services Discharge Notification
						  Form
DMS-202
CHMS Benefit Extension for Diagnosis/Evaluation
						  Procedures
DMS-699A
CHMS Request for Prior Authorization
DMS-102
Claim Correction Request
DMS-2647
Consent for Release of Information
DMS-619
Contact Lens Prior Authorization Request Form
DMS-0101
Contract to Participate in the Arkansas Medical
						  Assistance Program
DMS-653
DDTCS Transportation Log
DMS-638
DDTCS Transportation Survey
DMS-632
Dental Treatment Additional Information
DMS-32-A
Disclosure of Significant Business Transactions
DMS-689
Disproportionate Share Questionnaire
DMS-628
Early and Periodic Screening, Diagnosis and Treatment
						  (EPSDT) Prescription/Referral For Medically Necessary Services/Items Not
						  Specifically Included in the Medicaid State Plan
DMS-693
Early Childhood Special Education Referral Form
ECSE-R
EPSDT Provider Agreement
DMS-831
Explanation of Check Refund
HP-CR-002
Gait Analysis Full Body
DMS-647
Home Health Certification and Plan of Care
CMS-485
Hospital/Physician/Certified Nurse Midwife Referral for
						  Newborn Infant Medicaid Coverage
DCO-645
Inpatient Psychiatric Medicaid Agency Review Team
						  Transmittal Sheet
DMS-2685
Individual Renewal Form for School-Based
						  Audiologists
DMS-7782
Lower-Limb Prosthetic Evaluation
DMS-650
Lower-Limb Prosthetic Prescription
DMS-651
Media Selection/E-Mail Address Change Form
HP-MS-005
Medicaid Claim Inquiry Form
HP-CI-003
Medicaid Form Request
HP-MFR-001
Medical Equipment Request for Prior Authorization &
						  Prescription
DMS-679
Medical Transportation and Personal Assistant
						  Verification
DMS-616
Mental Health Services Provider Qualification Form for
						  LCSW, LMFT and LPC
DMS-633
Notice Of Noncompliance
DMS-635
NPI Reporting Form
DMS-683
Occupational, Physical and Speech Therapy for Medicaid
						  Eligible Beneficiaries Under Age 21 Prescription/Referral
DMS-640
Ownership and Conviction Disclosure
DMS-675
Personal Care Assessment and Service Plan
DMS-618Enalish DMS-618SDanish
Practitioner Identification Number Request Form
DMS-7708
Prescription & Prior Authorization Request For
						  Nutrition Therapy & Supplies
DMS-2615
Primary Care Physician Managed Care Program Referral
						  Form
DMS-2610
Primary Care Physician Participation Agreement
DMS-2608
Primary Care Physician Selection and Change Form
DMS-2609
Procedure Code/NDC Detail Attachment Form
DMS-664
Provider Application
DMS-652
Provider Communication Form
AAS-9502
Provider Data Sharing Agreement - Medicare Parts C
						  & D
DI\/IS-652-A
Provider Enrollment Application and Contract
						  Package
ApDiication Packet
Quarterly Monitoring Fomn
AAS-9506
Referral for Audiotogy Services - School-Based
						  Setting
DMS-7783
Referral for Certification of Need Medicaid Inpatient
						  Psychiatric Services for Under Age 21
DMS-2634
Referral for Medical Assistance
DMS-630
Request for Appeal
DMS-840
Request for Extension of Benefits
DMS-699
Request for Extension of Benefits for Clinical,
						  Outpatient, Laboratory and X-Ray Services
DMS-671
Request for Extension of Benefits for Medical Supplies
						  for Medicaid Beneficiaries Under Age 21
DMS-602
Request for Molecular Pathology Laboratory
						  Services
DMS-841
Request For Orthodontic Treatment
DMS-32-0
Request for Private Duty Nursing Services Prior
						  Authorization and Prescription - initial Request or Recertification
DIVIS-2692
Request for Targeted Case Management Prior
						  Authorization for Beneficiaries Under Age 21
DMS-601
Research Request Form
HP-0288
Service Log - Personal Care Delivery and Aides
						  Notes
DMS-873
Steriiization Consent Form
DMS-615Enqli5h DMS-615 Spanish
Sterilization Consent Form - Information for Men
PUB-020
Sterilization Consent Form - Information for
						  Women
PUB-019
Upper-Limb Prosthetic Evaluation
DMS-648
Upper-Limb Prosthetic Prescription
DMS-649
Vendor Performance Report
VendorDerformreoort
Verification of Medical Services
DMS-2618
In order by form number:
AAS-9502
DMS-2618
DMS-618
DMS-664
ECSE-R
AAS-9506
DMS-2633
Ennlish
DMS-671
HP-0288
AAS-9559
DMS-2634
DMS-618 Spanish
DMS-675
HP-AR-004
Address
DWIS-2647
DMS-619
DMS-673
HP-CI-003
Chanqe
DMS-2685
niuiQ COD
DMS-679
HP-CR-002
AutodeDosit
DMS-2687
DMS-630
DMS-679A
HP-MFR-001
CMS-485
DMS-26g2
DMS-632
DMS-683
HP-MS-005
CSPC-EPSDT
DMS-2698
nuiQ coo
DMS-686
MAP-8
DCO-645
DMS-2704
DMS-635
DMS-689
Performance
DDS/FS#0001.a
DMS-32-A
DMS-638
DMS-693
Report
DMS-0101
niui«s-'i5_n
DMS-640
Provider
DMS-0688
DMS-601
DMS-640 DMS-(i47
DMS-699A
Enrollment Application
DMS-102
DMS-602
DMS-648
DMS-7708
and Contract
DMS-201
DMS-612
DMS-649
DMS-7736
PUB-019
DMS-202
DMS-615
DM$-650
DMS-7782
PUB-020
DMS-2606
Enqlish
DMS-7783
DMS-2608
DMS-615
DMS-651
DMS-831
DMS-2609
Spanish
DMS-652
DMS-840
DMS-2610
DMS-616
DMS-652-A
DMS-841
DMS-2615
DMS-653
DMS-873
Arkansas Medicaid Contacts and Links
Click the link to view the information.
American Hospital
				Association
Americans with Disabilities Act
				Coordinator
Arkansas Department of Education, Health and
				Nursing Services Specialist
Arkansas Department of Education, Special
				Education
Arkansas Department of Human Services.
				Division of Aging and Adult Services
Arkansas Department of Human Services.
				Appeals and Hearings Section
Arkansas Department of Human Services.
				Division of Behavioral Health Services
Arkansas Department of Human Services.
				Division of Child Care and Early Childhood Education, Child Care Licensing
				Unit
Arkansas Department of Human Services.
				Division of Children and Family Services. Contracts Management
				Unit
Arkansas Department of Human Services.
				Children's Services
Arkansas Department of Human Services, Division of
				County Operations, Customer Assistance Section
Arlransas Department of Human Services, Division of
				Medical Services
Arkansas DHS, Division of IVIedical Services
				Director
Arkansas DHS. Division of IWedical Services,
				Benefit Extension Requests, UR Section
Arkansas DHS. Division of IWedical Services, Dental
				Care Unit
Arkansas DHS, Division of Medical Services, HP
				Enterprise Services Provider Enrollment Unit
Arkansas DHS. Division of Medical Services,
				Financial Activities Unit
Arkansas DHS. Division of Medical Services, Hearing
				Aid Consultant
Arkansas DHS. Division of Medical Services. Medical
				Assistance Unit
Arkansas DHS. Division of Medical Services, Medical
				Director for Clinical Affairs
Arkansas DHS. Division of Medical Services.
				Pliarmacy Unit
Arkansas DHS. Division of Medical Services. Program
				Communications Unit
Arkansas DHS. Division of Medical Services. Program
				Integrity Unit (PI)
Arkansas DHS. Division of Medical Services.
				Provider Reimbursement Unit
Arkansas DHS. Division of Medical Services.
				Third-Party Liability Unit
Arkansas DHS. Division of Medical Services. UR/Home
				Health Extensions
Arkansas DHS, Division of Medical Services.
				Utilization Review Section
Arkansas DHS. Division of Medical Services. Visual
				Care Coordinator
Arkansas Department of Health
Arkansas Department of Health. Health Facility
				Services
Arkansas Department of Human Services, Accounts
				Receivable
Arkansas Foundation For Medical
				Care
Arkansas Hospital Association
ARKids First-B
ARKids First-B ID Card Example
Central Child Health Services Office
				fEPSDT)
ConnectCare Helpline
County Codes
CPT Ordering
Dental Contractor
HP Enterprise Services Claims
				Department
HP Enterprise Services EDI Support Center (formerly
				AEVCS Help Desk)
HP Enterprise Services Inquiry
				Unit
HP Enterprise Services Manual
				Order
HP Enterprise Services Pharmacy Help
				Desk
HP Enterprise Services Provider Assistance Center
				(PAC)
HP Enterprise Services Supplied
				Forms
Example of Beneficiary Notification of Denied
				ARKids First-B Claim
Example of Beneficiary Notification of Denied
				Medicaid Claim
First Connections Infant & Toddler Program.
				Developmental Disabilities Services
Flow Chart of Intake and Prior Authorization
				Process For Intervention/Treatment
Health Care Declarations
ICD-9-CM. CPT. and HCPCS Reference Book
				Ordering
Immunizations Registry Help
				Desk
Medicaid ID Card Example
Medicaid Managed Care Services
				(MMCS)
Medicaid Reimbursement Unit Communications
				Hotline
Medicaid Tooth Numbering System
National Supplier Clearinghouse
Partners Provider Certification
Primary Care Physician (PCP) Enrollment Voice
				Response System
Provider Qualifications. Division of Behavioral
				Health Services
QSource of Arkiansas
Select Optical
Standard Register
Table of Desirable Weights
U.S. Government Printing Office
ValueQptions
Vendor Performance
				Report