Skip to Content (Press Enter)

Medicare Advantage for providers


Access key Medicare Advantage provider resources, including standards of care, terms and conditions, prior authorization requirements, and Part B drug coverage policies to help support consistent, high‑quality care for members. 

Medicare Advantage provider manual

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

View manual (opens in a new window)

Medicare Advantage terms and conditions

Learn more about Medicare Advantage terms and conditions.

View terms

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.

Search PFFS terms

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).

View coverage policies

Medicare Advantage prior authorization list

Access the full list of codes requiring prior authorization, as well as notification authorization requirements.

Prior authorization list (opens in a new window)