MedicaidPrior AuthMedium impact
Prior Authorization required on Procedure Codes A4224 and A4225
Arkansas Medicaid·AR · General Practice·Prior Authorization
Effective date
Jun 19, 2026
We identified it
Jun 19, 2026
Summary
Arkansas Medicaid now requires prior authorization for HCPCS procedure codes A4224 and A4225, effective immediately. Billing teams must obtain approval before submitting claims for these codes or face claim denials.
Action Required
Immediately: Billing team must update all billing software and claim submission workflows to require prior authorization for HCPCS codes A4224 and A4225 before claim submission. Notify providers and front desk staff to alert patients that prior auth will be needed for these procedures. Add a requirement to the encounter form or EHR to flag these codes for prior auth review. Contact Arkansas Medicaid at humanservices.arkansas.gov to understand the prior auth submission process and required documentation. Claims submitted without prior authorization will be denied.