MedicaidPrior AuthMedium impact
Prior Authorization required on Procedure Codes A4224 and A4225
Arkansas Medicaid·AR · Endocrinology, Internal Medicine, General Practice·Prior Authorization
Effective date
Jul 1, 2026
We identified it
Jun 19, 2026
Summary
Effective July 1, 2026, Arkansas Medicaid (MEDSP contract) now requires Prior Authorization for insulin infusion catheter supplies (A4224) and insulin infusion pump syringes (A4225). Billing teams must obtain PA from Arkansas Foundation for Medical Care before processing claims for these codes or face claim denials.
Action Required
By June 30, 2026: Billing team must update billing system to flag procedure codes A4224 and A4225 as requiring prior authorization before submission. Create workflow reminder for staff to obtain PA from Arkansas Foundation for Medical Care (1-800-426-2234 or 479-649-8501) before processing claims. Update encounter templates or order entry systems to prompt providers that PA is required for these supplies under MEDSP contract. Document PA approval number in claim submission. Failure to obtain prior authorization will result in claim denials for Arkansas Medicaid patients.