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Welcome to the Arkansas Medicaid Portal

A federal and state funded health care program that serves a wide range of individuals and families who meet certain eligibility requirements.

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Arkansas ALL - 11/07

Arkansas ALL
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Nov 07, 2023

Arkansas MONTHLY BULLETIN - 11/06

Arkansas MONTHLY BULLETIN

Nov 06, 2023

Arkansas ALERT - 11/05

Arkansas ALERT

Nov 05, 2023

Arkansas ALL - 11/04

Arkansas ALL

Nov 04, 2023

Arkansas WEEKLY NOTICE - 11/03

Arkansas WEEKLY NOTICE

Nov 03, 2023

Arkansas ALL - 10/22

Arkansas ALL

Oct 22, 2023

Arkansas ALERT - 10/21

Arkansas ALERT

Oct 21, 2023

Arkansas WEEKLY NOTICE - 10/20

Arkansas WEEKLY NOTICE

Oct 20, 2023

Arkansas MONTHLY BULLETIN - 10/19

Arkansas MONTHLY BULLETIN

Oct 19, 2023

Login to Portal

Select type of account and login to portal for further access

Beneficiary

Provider

Administrator

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You can download the latest forms, documents, guidelines and reports

Select Type of Documents

Adult Use of a C-II Stimulant Statement of Medical Necessity.pdf Sep 30, 2024 1:41:33 PM

Arkansas Medicaid Price Research Request Form.pdf Sep 30, 2024 2:51:30 PM

Arkansas Medicaid State Supplemental Rebate Contract Template.pdf May 26, 2023 11:17:32 AM

CRM-Attachment_ARRx_Synagis_PA_Form.pdf Oct 1, 2024 1:27:28 PM

Certified Behavioral Health Agencies (BHA).pdf May 26, 2023 11:32:09 AM

H.P. Acthar gel (corticotropin injection) Prior Authorization (PA) Request Form.pdf Sep 30, 2024 1:39:32 PM

Hepatitis C Virus Medication Therapy Request Form.pdf Jun 11, 2025 4:31:51 PM

Ingrezza or Austedo Statement of Medical Necessity.pdf Sep 30, 2024 2:10:43 PM

Medication Informed Consent Document for Behavioral or Psychiatric Conditions - Clients under 18 years of age.pdf Sep 30, 2024 2:16:49 PM

MedWatch Patient Information Request Form.pdf Sep 30, 2024 2:19:55 PM

NADAC Request for Medicaid Reimbursement Review Form.pdf May 26, 2023 11:28:40 AM

AR_Oncology_Medication_PA_Form.pdf Jun 12, 2025 7:13:18 PM

PA Request Form (General Request).pdf Jul 28, 2025 3:19:49 PM

Pharmacy Claim Inquiry Form.pdf Nov 13, 2024 4:13:53 PM

Selzentry (Maraviroc) Statement of Medical Necessity.pdf Sep 30, 2024 2:53:13 PM

Xolair (Omalizumab) Statement of Medical Necessity.pdf Sep 30, 2024 2:56:54 PM

Welcome to the Arkansas Medicaid Portal

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Annonces

Arkansas ALL - 11/07

Announcements

Arkansas MONTHLY BULLETIN - 11/06

Announcements

Arkansas ALERT - 11/05

Announcements

Arkansas ALL - 11/04

Announcements

Arkansas WEEKLY NOTICE - 11/03

Announcements

Arkansas ALL - 10/22

Announcements

Arkansas ALERT - 10/21

Announcements

Arkansas WEEKLY NOTICE - 10/20

Announcements

Arkansas MONTHLY BULLETIN - 10/19

Announcements

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