Dental Providers:

During the initial transition from Managed Care to Fee-for-Service (FFS), providers were temporarily allowed to request retroactive reviews after a procedure or service was performed.

At this time, procedures that require prior authorization are to be requested prior to the service being performed. Retroactive reviews that are requested after a service is performed should be limited to the following scenarios:
• Child Sedation
• Emergency dental care
• Retroactive Eligibility

If you have questions regarding which procedures require prior authorization, please visit Arkansas Medicaid Website and refer to the Dental Procedure Code Table.

More information about Dental services and Authorization requirements can be found on the Medicaid Frequently Asked Questions page and the Acentra Health Dental Services page.

If you have any questions, please reach out to one of the teams below.

Acentra Health Provider Relations: arkansaspr@acentra.com
AFMC Dental Provider Relations: dentalpr@afmc.org
Medicaid Dental Services: dentalproviderquestions@dhs.arkansas.gov