A Arkansas Medicaid Card is a card that can be used by eligible individuals to obtain medical services at no cost. The card helps the individual find affordable healthcare and prescription drugs. Medical providers will accept this card as payment for all medical care, including doctor visits, hospitalizations, emergency room visits and prescriptions. A person may qualify for an Arkansas Medicaid Card if they meet certain income and resource requirements and are either pregnant or have children under the age of 18 in their household who live with them part-time or full-time. The eligibility criteria for a person to receive an Arkansas Medicaid Card is dependent on their family size and income level.
Before you fill out arkansas medicaid card, you'll want to find out more about the type of form you'll work with.
Question | Answer |
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Form Name | Arkansas Medicaid Card |
Form Length | 64 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 16 min |
Other names | need new arkids card, lost arkids first card, how to get my child's arkids number, replace arkids first card |
Arkansas Medicaid, ARKids First,
&You
Arkansas Medicaid Client Handbook
A GUIDE TO YOUR RIGHTS AND RESPONSIBILITIES
REVISED 2021
Arkansas Medicaid, ARKids First, & You
Table of Contents |
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Your Guide to Arkansas Medicaid and ARKids First |
. . 1 |
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What is Medicaid. . . . . . . . . . . . . . . . . . 對 . . 2 |
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About Medicaid and ARKids First |
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3 |
Applying for Medicaid and ARKids First |
. 5 |
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Your Medicaid or ARKids First Card |
11 |
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Your Primary Care Physician (PCP) |
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13 |
What to Do in an Emergency |
.17 |
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Your Rights |
. 對 . . . . |
19 |
Your Responsibilities.. . . . . . . . . . . . . . . . . 對 |
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23 |
Charges and Bills . . . . . . . . . . . . . . . . . . 對 . 25 |
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Using Medicaid with Medicare or Medical Insurance. . 27 |
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Medicaid, ARKids First, and Your New Baby. . |
. . . . . 29 |
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Getting to the Doctor: |
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Transportation (NET) |
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.31 |
Covered Services. . . . . . . . . . . . . . . . . . 對 . 37 |
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Adult Development Day Treatment (ADDT) |
38 |
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Ambulance Service (Emergency Only) |
. 38 |
Arkansas Medicaid, ARKids First, & You
Ambulatory Surgical Center |
39 |
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Autism Waiver. . |
. . . . . . . . . . . . . . . . 對 |
40 |
Chiropractor. . . |
. . . . . . . . . . . . . . . 對 |
40 |
Community Health Centers |
40 |
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Dental Care.. . . . . . . . . . . . . . . . . 對 . . . . . . . 41 |
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Disability Services |
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42 |
Early Intervention Day Treatment (EIDT) |
42 |
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Tax Equity and Fiscal Responsibility Act (TEFRA) Program.. |
43 |
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DDS Community and Employment Support (CES). . . . |
45 |
First Connections Program.. . . . . . . . . . . . . . . . 45 Children with Chronic Health Conditions (CHC) Program (Title V Children and Youth with Special Health Care Needs).45
Doctors’ Services.. . . . . . . . . . . . . . . . . 對 . . . . |
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46 |
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Emergency Room Services |
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47 |
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Hearing |
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47 |
Home Health Services . |
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47 |
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Hospice Care . . |
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. 48 |
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Hospital Care. . |
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. 48 |
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Immunizations |
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49 |
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Independent Choices |
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49 |
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Lab Tests and |
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Program of |
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Nursing Home Care. |
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Living Choices Assisted Living . . |
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. 50 |
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ARChoices in Home Care . . |
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51 |
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Medical Equipment.. . . . . . . . . . . . . . . . . 對 . . . 52 |
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Medical Supplies |
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52 |
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Mental Health and Substance Use Disorder Services. . . . |
52 |
Arkansas Medicaid, ARKids First, & You
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54 |
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Nursing Home Care.. . . . . . . . . . . . . . . . . 對 . . . 54 |
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Nurse Practitioners |
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54 |
Personal Care |
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. 55 |
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Podiatrist |
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. 55 |
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Pregnancy Termination . . |
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. 55 |
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Prescription Drugs. . . . |
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56 |
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Rehab Services . . |
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. 56 |
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Rehabilitative Hospital. . |
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57 |
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Rural Health Clinic. . . . |
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58 |
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Targeted Case Management |
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. 58 |
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Therapy (Physical, Occupational, or Speech) |
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58 |
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Tobacco Cessation Program |
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59 |
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Vision Care |
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59 |
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. 60 |
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Women’s Health |
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61 |
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Access Arkansas. . . . . . . . . . . . . . . . . . 對 . .62 |
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Important Phone Numbers |
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.63 |
Your Guide to Arkansas Medicaid and ARKids First
How to use this handbook:
〈Read through this entire handbook as soon as you can to learn about Medicaid and ARKids First.
〈Keep it as a reference to look up things you need to know.
〈Mark the parts that you do not understand and make a note of your questions.
〈When you get answers to your questions, write them in your handbook for future reference.
This handbook cannot tell you everything.
〈Laws and rules can change, so some things might have changed since this handbook was printed.
〈This handbook is not a legal document. That means it is just a guide, not a contract.
〈The Department of Human Services (DHS) is not responsible for information in this handbook that is no longer correct.
〈Call Medicaid at
DHS is here to help you!
Call or visit your county office when you have questions or concerns.
You can find the closest county office to you at https://
humanservices.arkansas.gov.
Arkansas Medicaid, ARKids First, & You
1
What is Medicaid?
Medicaid is a program that helps you by paying for covered medical care you need. The term “Medicaid” in this handbook refers to many types of health care coverage like:
〈Traditional Medicaid – coverage for people with household incomes less than 100 percent of the Federal Poverty Level
〈Arkansas Works – health care coverage for people with household incomes that are more than 100 percent and up to 138 percent of the Federal Poverty Level
〈Dental care coverage for eligible children and adults
〈Pregnancy & Newborn Medicaid - coverage for women who are pregnant or who have recently given birth as well as their newborns;
〈ARKids First - coverage for children up to age 19
〈First Connections - coverage to support infants and toddlers with developmental delays
〈TEFRA - a category of Medicaid that provides care to children with a disability in their homes rather than in institutions
〈Community Employment Support Waiver – coverage for people who have a developmental disability and need special care
〈Autism Waiver - treatment for clients from ages 18 months through 7 years with a diagnosis of autism spectrum disorder
〈
〈Many other categories of Medicaid
You don’t have to remember all of these program names. After you apply, you will get a letter to let you know if you or your child is eligible for one or more of these programs. Learn more about these programs under Covered Services starting on page 37.
Arkansas Medicaid, ARKids First, & You
2
About Medicaid and ARKids First
Medicaid
〈Medicaid is a program that helps you by paying for covered medical care you need. Read page 5 to find out who can get Medicaid.
〈Medicaid uses state and federal money to pay these bills. In Arkansas, DHS runs the Medicaid program.
〈Medicaid is not the same thing as Medicare. Medicare pays for covered medical services for people age 65 and older and for some people who have a disability.
ARKids First
〈ARKids First is health care insurance for children.
〈ARKids First has two programs: ARKids A and ARKids B.
〈ARKids A is Medicaid for children.
〈ARKids B is for children whose parents make too much money to get regular Medicaid, but do not have health insurance for their children.
〈When you fill out the ARKids First application, you can apply for both programs. DHS will decide whether you qualify for either program.
Do Medicaid and ARKids First pay you or your doctor?
〈Medicaid and ARKids First will not make payments to you.
〈Medicaid and ARKids First pay doctors, hospitals, and other health care providers who are enrolled in the Medicaid program.
〈Your doctor or other health care providers should bill Medicaid or ARKids First for your medical services; however, billing Medicaid or ARKids First is not mandatory. Please see page 4 for more information about how Medicaid pays for services.
Arkansas Medicaid, ARKids First, & You
3
Some important points about Medicaid and ARKids First:
〈Medicaid and ARKids First can help pay some of your medical bills but not all medical bills are covered.
〈Doctors do not have to bill Medicaid or ARKids First, even if they are Medicaid or ARKids First providers.
〈Before you get a service or treatment for you or your child, ask if it will be billed to Medicaid or ARKids First.
〈If Medicaid will not be billed for a service, the doctor must tell you.
〈If you still want the treatment, you may have to pay for it yourself
or you can find another doctor who will bill Medicaid or ARKids First.
〈Most people must choose a primary care physician, also called a PCP.
〈Your PCP is the doctor who is in charge of your health care.
〈You will be given a card to show your doctor or health care provider for the coverage you get.
〈Take care of your card, and keep it with you at all times. Your card makes it easier to get the care you need.
〈If you have ARKids B, or if you’re an adult on Medicaid, you will have to pay for part of your medical care.
〈Do not let others use your card. If you do, you are breaking the law. This means you could lose your Medicaid eligibility and even serve time in jail.
4
Arkansas Medicaid, ARKids First, & You