Medicare providers

Medicare Advantage Provider Manual

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

View Medicare Advantage Provider Manual [pdf]

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.

2023 Prior Authorization List