Prosthetics Frequently Asked Questions
What do I need to send in for reconsideration?
A reconsideration request must be submitted within 35 calendar days from the date of the letter. If you disagree with the decision and you have further documentation to support admission/continuation, you may request reconsideration. A written request for reconsideration, a copy of the partial approval/denial letter and additional supporting documentation must be submitted.
Where do I send the prior authorization/reconsideration request?
Prior authorization/reconsideration requests can be sent to:
Arkansas Foundation for Medical Care
Attn: Ami Winters
PO Box 180001
Fort Smith, AR 72918
Can I fax a prior authorization/reconsideration request?
No; requests must be mailed.
What do I do if the beneficiary’s Medicaid number changes during an authorized date range?
If you are unable to bill using the beneficiary’s new Medicaid number, please submit a request asking that the Medicaid number be changed. The request should include the beneficiary’s old Medicaid number, new Medicaid number and the prior authorization number(s) that will need to correspond with the new Medicaid number. An approval listing will be mailed out to you with the next day’s mail showing that the new Medicaid number has been linked to the prior authorization(s). Allow 48 to 72 hours before you start billing with the new Medicaid number.
What if the Medicaid beneficiary’s name is misspelled on the authorization?
Please submit a request asking that the name be corrected. The request should include the beneficiary ’s Medicaid number and the applicable prior authorization number.
What if the Medicaid beneficiary’s name is changed during an authorized date range?
Please submit a request asking that the name be corrected. The request should include the beneficiary’s Medicaid number, the applicable prior authorization number and documentation supporting the legal change of the beneficiary’s name
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