Form 990 for tax year 2023

Totals

Total revenue

$41,146,116

Total expenses

$40,940,178

Contributions and grants received

$32,478,027

Grants paid

$0

Program service revenue

$7,258,954

Investment income

$1,279,754

Other revenue

$129,381

Total assets, end of year

$41,330,422

Total liabilities, end of year

$3,131,262

Net assets or fund balances, end of year

$38,199,160

Program services expenses (Part IX)

$38,323,856

Management and general expenses

$2,616,322

Fundraising expenses

$0

Program service expenses (Part III)

$38,323,856

Program services were 93.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Mission and programs · 2023

• DPSQA INSPECTION OF CARE (IOC)THE STATE'S DHS DIVISION OF PROVIDER SERVICES & QUALITY ASSURANCE (DPSQA) IOC CONTRACT WITH AFMC CONTINUES TO CONSIST OF THREE TYPES OF REVIEWS: HEALTH AND SAFETY, QUALITY OF CARE AND INSPECTION OF CARE (INCLUDING INTENSIVE VISITS WITH DIVISION OF YOUTH SERVICES FACILITIES). THROUGH THIS WORK, WE ENSURE PROGRAM SERVICE PROVIDERS MEET THEIR MEDICAID PARTICIPATION REQUIREMENTS OR THE LICENSURE CERTIFICATION REQUIREMENTS AND THEIR CLIENTS ARE RECEIVING QUALITY SERVICES. OUR IOC TEAM IS FIELD-BASED AND SCATTERED ACROSS THE STATE.

  Expenses $2,761,803

• ARKANSAS MEDICAID REVIEW - OUR CLINICAL REVIEW TEAM, BASED IN OUR FORT SMITH OFFICE, PERFORMS UTILIZATION REVIEW FOR THE STATE'S MEDICAID PROGRAM. A MULTI-DISCIPLINARY TEAM CONSISTING OF PHYSICIANS, NURSING, AND ADMINISTRATIVE STAFF APPLY MEDICAL NECESSITY REVIEW PROTOCOLS AND EXPERTISE FOR UTILIZATION REVIEW. DURING THE SFY 2024 OUR CLINICAL SERVICES DEPARTMENT PERFORMED 104,862 PRIOR AUTHORIZATION REVIEWS AND 63,336 RETROSPECTIVE REVIEWS. IN ADDITION, THIS TEAM PROVIDES OTHER SERVICES SUCH AS DRUG MONOGRAPH DEVELOPMENT, EXPERT WITNESS FOR APPEAL HEARINGS, AND CPT/HCPCS CODE REVIEWS. THROUGH THIS WORK, WE ENSURE APPROPRIATE UTILIZATION OF SERVICES AND BENEFICIARIES RECEIVE TREATMENT THAT CONFORMS TO STANDARDS OF CARE AND EVIDENCED BASED PRACTICES. PROVIDED REVIEW SERVICES AS REQUIRED BY CONTRACT:PRIOR AUTHORIZATION OF ASSISTANT SURGEON - 377PRIOR AUTHORIZATION OF MUMPS - 0PRIOR AUTHORIZATION OF DME - 28,003TARGETED CASE MANAGEMENT REVIEW - 0PHYSICIAN DRUG REVIEW - 4,583 EMERGENCY ROOM REVIEW - 45,334 INPATIENT REVIEW - 20,516RETRO REVIEW - 33,575OUT OF STATE - 75EMERGENCY MEDICAID NON-COVERED - 0EXTENSION OF BENEFIT/MOLECULAR PATHOLOGY REVIEW - 0MOLECULAR PATHOLOGY - 4,805ORGAN TRANSPLANT REVIEW - 70PVT OPTION REVIEWS - 0NICU -0THERAPY PERSONAL CARE - 0PRIVATE DUTY NURSING - 318SUSPENDED CLAIMS - 898MEDICAL TRANSPORT - 659EPSDT - 4LONG TERM CARE - 0FORMULA - 0MEDICAL SUPPLIES - 228APPEAL HEARINGS - 131OPPD - 133LAB AND RADIOLOGY - 18,685PROFESSIONAL SERVICES - 25,759

  Expenses $7,404,508

• MCAID BENEFICIARY RELATIONS & NET ADMINISTRATION CONTRACT / CALL CENTER SERVICESTHROUGH THIS CONTRACT, WE HAVE FIVE STATE AGENCIES THAT AVAIL THEMSELVES OF AFMC'S SERVICES FOR THEIR CLIENTS: DIVISION OF MEDICAL SERVICES (DMS); DIVISION OF COUNTY OPERATIONS (DCO); DIVISION OF AGING, ADULT & BEHAVIORAL HEALTH SERVICES (DAABHS); DIVISION OF PROVIDER SERVICES & QUALITY ASSURANCE; AND DIVISION OF CHILD & FAMILY SERVICES (DCFS). THROUGH THE DELIVERABLES OF THIS CONTRACT, WE PERFORM TWO PRIMARY FUNCTIONS: (1) SERVE TO LIAISE BETWEEN THE STATE PROVIDER NETWORK AND THE STATE AGENCIES, AND (2) SERVE THE CLIENTS OF THE RESPECTIVE STATE AGENCIES. OUR MISSION IS TO PROVIDE VALUABLE CUSTOMER SERVICE FOR ALL INDIVIDUALS WHO ARE ELIGIBLE FOR SERVICES THROUGH ARKANSAS'S SOCIAL SERVICES SYSTEMS, PRIMARILY THE MEDICAID PROGRAM. WE PERFORM OUTREACH TO EDUCATE AND SEEK FEEDBACK FROM THE PROVIDERS OF ARKANSAS TO ENSURE SUFFICIENT ACCESS TO HEALTH CARE AND MEDICAL RESOURCES. WE OFFER SERVICES TO CLIENTS RECEIVING BENEFITS THROUGH THE STATE'S MEDICAID PROGRAM AS WELL AS CLIENTS SEEKING MENTAL HEALTH, SUBSTANCE USE, OPIOID USE DISORDER ASSISTANCE, AND CHILDREN ENTERING THE FOSTER CARE/ADOPTION SYSTEM. WE SERVE OUR INTERNAL AND EXTERNAL CLIENTS WITH CUSTOMIZED, EFFICIENT, AND EFFECTIVE SERVICES TO ENSURE ACCESS TO NEEDED RESOURCES AND SERVICES TO PROMOTE THE HIGHEST PROBABILITY OF SUCCESS IN THEIR DAILY LIVES. WE ACCOMPLISH THIS THROUGH PURPOSEFUL GROWTH AND SUSTAINABLE PROFITABILITY WITH EXPERIENCED CUTTING-EDGE SYSTEMS, PROCESSES, AND STANDARDS AS WELL AS A STAFF DEDICATED TO SERVING PEOPLE WITH EXCELLENCE. OUR OUTREACH, EDUCATION, COMMUNICATION, AND CONTACT SERVICE CENTER ACTIVITIES DEMONSTRATE OUR MISSION AS WE EDUCATE THOSE WITH WHOM WE INTERACT, RESOLVE THEIR INQUIRIES, AND ENSURE ACCESS TO NECESSARY SERVICES. THIS CONTRACT CONTINUES TO GROW WHILE MEETING ALL DELIVERABLES.

  Expenses $18,731,171

• Expenses $9,426,374 · Revenue $7,258,954

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type

form_990

Tax year

2023

Filed

14 November 2024

IRS schema version

2023v5.1

Source object

202423209349304807

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