MedicaidReimbursementHigh impact
Dental Rate Increase Retro Effective 9/1/2025 for Services Rendered to Individuals with Developmental Disabilities (IDD)
Arkansas Medicaid·AR · Dentistry, Oral & Maxillofacial Surgery·Coding
Effective date
Sep 1, 2025
We identified it
Aug 28, 2026
Summary
The Arkansas Department of Human Services increased dental reimbursement rates for 60 specific dental procedure codes effective retroactively to September 1, 2025, for patients identified with Intellectual and Developmental Disabilities (IDD). Billing teams must verify IDD status in the provider portal and expect retroactive claim adjustments back to 9/1/2025 after claims analysis is completed.
Action Required
REQUIREMENTS: (1) Immediately: Billing team must verify IDD status for all patients in the provider portal under Eligibility > Other Details > Plan. Patients with 'Intellectual and Developmental Disability' designation qualify for the increased rates. (2) Before submitting future claims for IDD patients: Update billing system fee schedules to reflect new rates for the 60 listed D-codes (D0120, D0140, D0150, etc.). (3) Claims submitted 9/1/2025–8/27/2026: Be prepared for retroactive adjustments. The state will perform claims analysis and adjust all eligible claims back to 9/1/2025 at a future date; no action required but reconciliation may occur. (4) Contact Provider Assistance Center at (800) 457-4454 or (501) 376-2211 if questions arise about member IDD status or rate verification.