Arkansas Department of Human Services

Division of Aging and Adult Services
Provider QA

One of the main functions of the DAAS-QA Unit is to perform Medicaid provider audits.   The purpose of these audits is to determine the nature and extent of services billed to the Medicaid Program and to verify that Medicaid policies and procedures are being followed.  The following is a brief summary of the audits performed by DAAS QA and some guidance as to what providers may expect from an audit.

Field Audit:

  • A field audit includes an on-site review and record request at the provider facility and/or provider’s office.
  • No advance notice is required for an on-site review and record request per Arkansas Medicaid Policy §142.300.
  • A provider has the right to request reconsideration and/or an appeal within thirty (30) calendar days of notice of the final audit report.
  • A reconsideration report will be issued to the provider to follow up with their reconsideration.
  • Within ten (10) days of receipt of a reconsideration report that upholds all or part of a final audit report, the provider has the right to appeal.
  • For more detailed information on the time frames and requirements for reconsideration and/or appeal, see the link below and Arkansas Medicaid Provider Manual §160.000. (We need a hyper link like the one below to the exact same sections this ones says OMIG on it and we need our own one to not redirect them)

Desk Audit:

  • DAAS-QA Unit also performs desk audits. These may include a mailed request for provider records.
  • A mailed record request will include a timeframe for submitting these records to the DAAS-QA Unit.
  • The same timeframes and reconsideration/appeal process described above will apply to a desk audit.

This information is intended only to assist Medicaid providers in understanding the audit process and is subject to change.  No statutory or policy requirement(s) are in any way altered by any statement(s) contained herein. In the event of a conflict between statements in the information contained herein and either statutory or policy requirements, the requirements of the statutes and policy govern.  A Medicaid provider's legal obligations are determined by the applicable federal and state law and Medicaid policy.
For more information on reconsideration and appeals, please click here.

DHS Division of Aging and Adult Services | P.O. Box 1437 - Slot S-530 | Little Rock, AR 72203-1437 | 501.682.2441 | eMail
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