The Arkansas Medicaid Fee Schedule 2025 is the official list of prices the state pays for medical care.
This year, Arkansas passed major laws to pay doctors and dentists more. These changes started on September 1, 2025.
The goal of these changes is to help more patients find doctors who accept Medicaid.
Quick Article Summary:
- Dental Raise: Dentists now get paid more for the first time in 18 years.
- New Services: Medicaid now pays for doulas and depression screenings.
- Special Needs: The yearly dental limit for adults with special needs is now $1,000.
- Anesthesia: New base rates are set for 2025.
- Official List: You can download the full code list from the DHS portal.
Major Updates for 2025
In 2025, Arkansas lawmakers made big changes. They passed new laws (Acts) to improve healthcare. Here is what is new for you and your doctor.
1. Historic Dental Pay Raise (Act 1025)
For 18 years, Medicaid paid dentists the same low amount. This made it hard for dentists to see Medicaid patients. Act 1025 changed this in September 2025.
- Higher Pay: Dentists are now paid 60% of the national average fee.
- Who This Helps: This helps oral surgeons and pediatric (kids) dentists.
- Benefit Increase: Adults with special needs now get $1,000 per year for dental care. It used to be only $500.
2. Help for Moms and Babies (Act 425 & Act 627)
New rules make it easier for moms to get help. The 2025 fee schedule now pays for these services:
- Doulas: Covered for birth and help after the baby is born.
- Lactation Consultants: Covered to help moms with breastfeeding.
- Depression Screening: Doctors get paid to check pregnant moms for depression.
- Home Monitoring: Pays for checking blood pressure at home.
3. Home Care Protections (Act 1023)
This law helps providers who take care of people in their own homes. It ensures they get paid a fair rate. This helps keep people out of nursing homes.
2025 Medicaid Rate Details
The full fee schedule has thousands of codes. The table below shows the most important confirmed rates and limits for 2025.
| Service Category | 2025 Rate / Limit | Notes |
| Anesthesiologist | $23.96 (Base Rate) | Per unit. Used to calculate total fee. |
| CRNA (Nurse Anesthetist) | $19.17 (Base Rate) | Per unit rate. |
| Adult Dental Cap | $1,000 per year | For adults with special needs (Act 1025). |
| Doula Services | Covered | New coverage for prenatal/postpartum. |
| Lactation Consultant | Covered | Mandated by Act 627. |
| Drug Reimbursement | 110% of Cost | Pharmacies get fair pay for drugs (Act 570). |
Note: If you see a rate of $0.00 on the official list, it means the service is “manually priced.” The doctor must send a report to get paid.
How to Download the Official 2025 Fee Schedule
You cannot see every price on one web page. You must download the file for your specific type of doctor.
Follow these steps:
- Go to the Official Site: Visit the Arkansas Department of Human Services (DHS) website.
- Find the Provider Section: Look for the “Medical Services” tab. Click on “Fee Schedules.”
- Choose Your Type: Click on your provider type. Examples are “Dental,” “Physician,” or “Hospital.”
- Select the File: Look for the file labeled “2025” or “Current.” Download the Excel or PDF version.
- Check the Date: Make sure the “Effective Date” column says 2025
About the Author
My name is Akash Biswas. I like to read hard government rules and make them easy to understand. Many people find Medicaid and Medicare confusing, and that is okay. I want to help.
I made this website so families can learn in simple words. I take big, hard information and break it into small, easy steps. I want every person to feel calm and sure when they read about Medicaid or Medicare.
My goal is to help you understand who can get help, how to apply, and what to do next. I hope this website makes your life easier and helps you get the care you need.
I study Medicaid and Medicare rules every day and work hard to share clear, correct, and easy information for all families.
