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        <Desc>MCAID REVIEW-CLINICAL SERVICESOUR 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 SFY 2025 OUR CLINICAL SERVICES DEPARTMENT PERFORMED 102,825 PRIOR AUTHORIZATION REVIEWS AND 59,902 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 SERVICE AS REQURIED BY CONTRACT PRIOR AUTHORIZATION OF ASSISTANT SURGEON- 308PRIOR AUTHORIZATION OF MUMPS - 0PRIOR AUTHORIZATION OF DME - 23,507TARGETED CASE MANAGEMENT REVIEW - 0PHYSICIAN DRUG REVIEW - 4,626 EMERGENCY ROOM REVIEW - 45,350 INPATIENT REVIEW - 19,134RETRO REVIEW - 33,526OUT OF STATE - 94EMERGENCY MEDICAID NON-COVERED - 0EXTENSION OF BENEFIT/MOLECULAR PATHOLOGY REVIEW - 0MOLECULAR PATHOLOGY - 6,619ORGAN TRANSPLANT REVIEW - 45PVT OPTION REVIEWS - 0NICU -0THERAPY PERSONAL CARE - 0PRIVATE DUTY NURSING - 314SUSPENDED CLAIMS - 1,156MEDICAL TRANSPORT - 1,106EPSDT - 0LONG TERM CARE - 0FORMULA - 0MEDICAL SUPPLIES - 237APPEAL HEARINGS - 167OPPD - 181LAB AND RADIOLOGY - 22,813PROFESSIONAL SERVICES - 23,269</Desc>
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        <OfficerInd>X</OfficerInd>
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        <PersonNm>MICHAEL STEWART</PersonNm>
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        <PersonNm>PETE ATKINSON</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HUDA SHARAF MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SHALETHA JONES MD</PersonNm>
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        <PersonNm>MARILYN STRICKLAND</PersonNm>
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        <PersonNm>CHAD T RODGERS MD</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
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        <PersonNm>MARY S MOORE</PersonNm>
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        <PersonNm>PHYLLIS ROGERS</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NATHAN RAY</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HANNAH RAY</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GLORIA BOONE</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PEGGY STARLING</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CATHY BAIN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN SELIG</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ELDRINA EASTERLY</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KIMBERLY GARTMAN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM MASON</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERY VANHOOK</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KRISTY COWHERD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MINDY DUNN</PersonNm>
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        <ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BLUIP</BusinessNameLine1Txt>
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          <USAddress>
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        <ExclusionAmt>34353</ExclusionAmt>
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        <CurrentTaxYearMinus3YearsAmt>602625</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>668091</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>780930</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>872725</CurrentTaxYearAmt>
        <TotalAmt>3283006</TotalAmt>
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        <CurrentTaxYearMinus3YearsAmt>49891470</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>41454930</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>40517911</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>41148072</CurrentTaxYearAmt>
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      <PublicSupportCY509Pct>0.98550</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.98650</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.01450</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.01350</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    </IRS990ScheduleB>
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      <VolunteerHoursCnt>0</VolunteerHoursCnt>
      <Section4955OrganizationTaxAmt>0</Section4955OrganizationTaxAmt>
      <Section4955ManagersTaxAmt>0</Section4955ManagersTaxAmt>
      <TotalDirectLobbyingGrp>
        <FilingOrganizationsTotalAmt>62500</FilingOrganizationsTotalAmt>
      </TotalDirectLobbyingGrp>
      <TotalLobbyingExpendGrp>
        <FilingOrganizationsTotalAmt>62500</FilingOrganizationsTotalAmt>
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      <OtherExemptPurposeExpendGrp>
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      <TotalExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>42278322</FilingOrganizationsTotalAmt>
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      <LobbyingNontaxableAmountGrp>
        <FilingOrganizationsTotalAmt>1000000</FilingOrganizationsTotalAmt>
      </LobbyingNontaxableAmountGrp>
      <GrassrootsNontaxableGrp>
        <FilingOrganizationsTotalAmt>250000</FilingOrganizationsTotalAmt>
      </GrassrootsNontaxableGrp>
      <TotLbbyngGrassrootMnsNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
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      <TotLbbyExpendMnsLbbyngNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
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        <CurrentYearMinus2Amt>1000000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>1000000</CurrentYearMinus1Amt>
        <CurrentYearAmt>1000000</CurrentYearAmt>
        <TotalAmt>4000000</TotalAmt>
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        <CurrentYearMinus2Amt>84000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>70000</CurrentYearMinus1Amt>
        <CurrentYearAmt>62500</CurrentYearAmt>
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        <CurrentYearMinus1Amt>250000</CurrentYearMinus1Amt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I-A, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>UTILIZED LOBBYIST.</ExplanationTxt>
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        <BookValueAmt>1099900</BookValueAmt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
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      <ExpensesSubtotalAmt>42278322</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>42278322</TotalExpensesPerForm990Amt>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) CODIFICATION TOPIC INCOME TAXES. FASB CODIFICATION TOPIC INCOME TAXES CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES AND REQUIRES THE ORGANIZATION TO RECOGNIZE IN THEIR FINANCIAL STATEMENTS THE IMPACT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN, IF THAT POSITION IS MORE LIEKLY THAN NOT TO BE SUSTAINED UNDER AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. MANAGEMENT HAS ASSESSED THE TAX POSITIONS OF THE ORGANIZATION AND DETERMINED THAT NO POSITIONS EXIST THAT REQUIRE ADJUSTMENT OR DISCLOSURE UNDER THE PROVISIONS OF FASB CODIFICATION TOPIC INCOME TAXES. ARKANSAS FOUNDATION FOR MEDICAL CARE, INC. (AFMC) FILES INFORMATIONAL "RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX" (FORM 990) IN THE U.S. FEDERAL JURISDICTION AND ARKANSAS.</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERY VANHOOK</PersonNm>
        <TitleTxt>ASSOCIATE MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>189954</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>189954</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MINDY DUNN</PersonNm>
        <TitleTxt>DIRECTOR HUMAN RESOURCES</TitleTxt>
        <BaseCompensationFilingOrgAmt>175658</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>175658</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GLORIA BOONE</PersonNm>
        <TitleTxt>VP MEMBER SERVICES</TitleTxt>
        <BaseCompensationFilingOrgAmt>142069</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4405</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18328</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>164802</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHIEF FINANCIAL OFFICER, THE CONTROLLER AND THE FINANCE COMMITTEE REVIEWS A PRELIMINARY 990 BEFORE FILING. AFTER ALL QUESTIONS ARE ANSWERED AND CHANGES MADE. THE RETURN IS THEN APPROVED FOR FILING. THE BOARD OF DIRECTORS IS PROVIDED WITH A COPY OF THE FINAL FORM AT THE NEXT BOARD MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPLIANCE OFFICER OF THE ORGANIZATION CONTINOUSLY MONITORS THESE POLICIES. THEY ALSO PROVIDE TRAINING AND EDUCATION RELATED TO CONFLICTS OF INTEREST AND REQUIRE THAT ALL EMPLOYEES AND BOARD MEMBERS SIGN A CONFLICTS OF INTEREST FORM ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HIRING COMMITTEE OF THE BOARD OF DIRECTORS SET THE MAXIMUM DOLLAR AMOUNT OF SALARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>