MedicaidCoverageMedium impact
Coverage Added for J0174 and J0175
Arkansas Medicaid·AR · Pharmacy·Pharmacy
Effective date
Jun 5, 2026
We identified it
Jun 5, 2026
Summary
Arkansas has added coverage for HCPCS codes J0174 and J0175 (pharmacy procedure codes). The billing team must verify these codes are now covered and billable for Arkansas Medicaid claims effective immediately.
Action Required
By June 5, 2026: Billing team must update billing system to recognize J0174 and J0175 as covered codes for Arkansas Medicaid claims. Verify pharmacy staff and providers are aware these codes are now billable. Update internal coverage lookup tables and claim submission rules in billing software. Remove any blocking rules or denials previously in place for these codes. Test claim submissions for both codes before processing live claims. Failure to update systems may result in unnecessary claim denials or payment delays.