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Medicare Advantage for providers


Access key Medicare Advantage provider resources, including standards of care, terms and conditions, prior authorization requirements, and Part B drug coverage policies to help support consistent, high‑quality care for members. 

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Medicare Advantage provider manual

Find out more about the provider standards for Medicare Advantage patients.

View manual

Medicare Advantage terms and conditions

Learn more about Medicare Advantage terms and conditions.

View terms

Out-of-state PFFS terms and conditions

Enter a plan prefix to learn more about terms and conditions for members who live outside of Arkansas.

Search PFFS terms

Medicare Advantage Part B drugs coverage

Find our Medicare Part B drug coverage policies here. These policies apply to healthcare professional administered injectables (buy & bill).

View coverage policies

Medicare Advantage prior authorization list

Access the full list of codes requiring prior authorization, as well as notification authorization requirements.

Prior authorization list