Arkansas Medicaid Card PDF Details

In the heart of efforts to provide comprehensive healthcare coverage to its residents, the State of Arkansas offers a detailed guide aimed at simplifying the process for its beneficiaries, especially through the Arkansas Medicaid Card form. This form, a vital piece of the healthcare puzzle, serves as a key to accessing a wide array of services covered under Arkansas Medicaid and ARKids First programs. The Arkansas Medicaid Client Handbook, meticulously updated for 2021, is an all-encompassing resource that guides individuals through their rights and responsibilities, the application process for Medicaid and ARKids First, understanding the critical role of their Medicaid or ARKids First Card, and how to select a Primary Care Physician (PCP). Additionally, it addresses what actions to take in emergencies, delineates beneficiary rights, underscores the importance of beneficiary responsibilities, outlines potential charges and bills, and navigates through the complexities of using Medicaid in conjunction with Medicare or other medical insurance. The handbook doesn’t stop there—it extends its reach to cover services vital for different groups, including a new baby in the family, non-emergency transport to medical appointments, and an extensive list of covered services ranging from adult development day treatment to women’s health, showcasing the program’s commitment to the comprehensive well-being of Arkansas's residents.

QuestionAnswer
Form NameArkansas Medicaid Card
Form Length72 pages
Fillable?No
Fillable fields0
Avg. time to fill out18 min
Other nameslost arkansas medicaid card, replacement medicaid card, arkids cards, arkids 1st

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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

 

 

Your Guide to Arkansas Medicaid and ARKids First

. . 1

What is Medicaid. . . . . . . . . . . . . . . . . . 對 . . 2

About Medicaid and ARKids First

 

3

Applying for Medicaid and ARKids First

. 5

Your Medicaid or ARKids First Card

11

Your Primary Care Physician (PCP)

.

13

What to Do in an Emergency

.17

Your Rights

. 對 . . . .

19

Your Responsibilities.. . . . . . . . . . . . . . . . . 對

 

23

Charges and Bills . . . . . . . . . . . . . . . . . . 對 . 25

Using Medicaid with Medicare or Medical Insurance. . 27

Medicaid, ARKids First, and Your New Baby. .

. . . . . 29

Getting to the Doctor: Non-Emergency

 

 

Transportation (NET)

. . . . . . . . . .

.31

Covered Services. . . . . . . . . . . . . . . . . . 對 . 37

Adult Development Day Treatment (ADDT)

38

Ambulance Service (Emergency Only)

. 38

Arkansas Medicaid, ARKids First, & You

Ambulatory Surgical Center

39

Autism Waiver. .

. . . . . . . . . . . . . . . . 對

40

Chiropractor. . .

. . . . . . . . . . . . . . . 對

40

Community Health Centers

40

Dental Care.. . . . . . . . . . . . . . . . . 對 . . . . . . . 41

Disability Services

. . . . . . . . . . . . . . . . . 對 . . . .

42

Early Intervention Day Treatment (EIDT)

42

Tax Equity and Fiscal Responsibility Act (TEFRA) Program..

43

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 . . . .

 

 

46

Emergency Room Services

 

 

47

Hearing

. . . . . .

. . 對 . . . .

. . . .

.

 

 

47

Home Health Services .

. . . . . . . . . . . . . . .

. . 對 .

47

Hospice Care . .

. . .

. . . . . .

. . . . . .

. 對 . .

. . .

. 48

Hospital Care. .

. . .

. . . . . .

. . . . . .

. 對 . .

. . .

. 48

Immunizations

. . . . . . . .

對 . . . .

.

 

 

49

Independent Choices

. 對 . .

49

Lab Tests and X-Rays

. 對 . . 49

Long-Term Services and Support. .

. . . . . . . . . . . .

 

 

49

Program of All-Inclusive Care for the Elderly (PACE).

. . .

. 50

Nursing Home Care.

. . . . . . .

. . . .

. . . . . 對 . .

 

 

50

Living Choices Assisted Living . .

. . . . . . . . .

. . .

. 50

ARChoices in Home Care . .

. . . . . . . . . . .

. . . .

51

Medical Equipment.. . . . . . . . . . . . . . . . . 對 . . . 52

Medical Supplies

. . . . . . .

. . . 對 .

. . .

 

 

52

Mental Health and Substance Use Disorder Services. . . .

52

Arkansas Medicaid, ARKids First, & You

Non-Emergency Transportation (NET) Service

 

54

Nurse-Midwife (Certified)

. 對 54

Nursing Home Care.. . . . . . . . . . . . . . . . . 對 . . . 54

Nurse Practitioners

. . . . . . .

. . . . . . . . . . 對 .

. .

 

 

 

 

 

 

 

54

Personal Care

. . . . . .

.

.

. .

. 對

 

. 55

Podiatrist

. . . . . .

.

.

. 對

 

. 55

Pregnancy Termination . .

. . . . . .

.

.

. .

.

.

.

. . . 對

 

. 55

Prescription Drugs. . . .

. . . . . .

.

. .

.

.

.

.

. 對 . .

.

56

Rehab Services . .

. . . .

. . . . . .

.

.

. .

.

. 對 . . . .

 

. 56

Rehabilitative Hospital. .

. . . . . .

.

. .

.

.

.

.

. . . 對

.

57

Rural Health Clinic. . . .

. . . . . . . . . . . . . . 對 . .

.

58

Targeted Case Management

 

. 58

Therapy (Physical, Occupational, or Speech)

 

58

Tobacco Cessation Program

. . . . .

.

 

 

 

 

 

59

Vision Care

. 對

 

 

 

 

 

 

 

 

59

Well-Child Care

. . . . . .

.

.

. .

.

. 對 . . . .

 

. 60

Women’s Health

. . . . . . . . . . . . . 對 . . .

.

61

Access Arkansas. . . . . . . . . . . . . . . . . . 對 . .62

Important Phone Numbers

 

.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 1-800-482-8988 if you have questions.

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

Long-term Care - coverage for people who need long-term disability services, in-home personal assistance, assisted living, or nursing home services

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

How to Edit Arkansas Medicaid Card Online for Free

It is very easy to fill in the ar dhsar medicaid card gaps. Our software makes it nearly effortless to work with any kind of form. Down the page are the basic four steps you need to consider:

Step 1: Select the "Get Form Now" button to get going.

Step 2: Now you will be within the document edit page. You can include, adjust, highlight, check, cross, insert or remove fields or phrases.

Get the ar dhsar medicaid card PDF and type in the details for each segment:

need new arkids card gaps to fill out

Complete the Medicaid ARKids First and Your New, Getting to the Doctor NonEmergency, Transportation NET, Covered Services, Adult Development Day Treatment, and Ambulance Service Emergency Only section with all the data requested by the program.

Filling out need new arkids card stage 2

You need to highlight the vital data in the Ambulatory Surgical Center, Autism Waiver, Chiropractor, Dental Care, Disability Services, Early Intervention Day Treatment, Tax Equity and Fiscal, DDS Community and Employment, First Connections Program, Children with Chronic Health, Title V Children and Youth with, Doctors Services, Emergency Room Services, Hearing, and Home Health Services field.

part 3 to entering details in need new arkids card

The Immunizations, Independent Choices, Lab Tests and XRays, LongTerm Services and Support, Program of AllInclusive Care for, Nursing Home Care, ARChoices in Home Care, Medical Equipment, Medical Supplies, and Mental Health and Substance Use field is the place to insert the rights and responsibilities of each side.

need new arkids card Immunizations, Independent Choices, Lab Tests and XRays, LongTerm Services and Support, Program of AllInclusive Care for, Nursing Home Care, ARChoices in Home Care, Medical Equipment, Medical Supplies, and Mental Health and Substance Use fields to complete

Finalize the template by checking these sections: NonEmergency Transportation NET, NurseMidwife Certified, Nursing Home Care, Personal Care, Podiatrist, Pregnancy Termination, Prescription Drugs, Rehab Services, Rehabilitative Hospital, Rural Health Clinic, Targeted Case Management, Therapy Physical Occupational or, Tobacco Cessation Program, Vision Care, and WellChild Care.

Filling out need new arkids card step 5

Step 3: Once you select the Done button, your prepared form can be transferred to any of your gadgets or to email indicated by you.

Step 4: To prevent any type of concerns in the long run, try to prepare at the very least two or three copies of the document.

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