The Arkansas Medicaid Card form serves as an essential document for individuals enrolled in the Arkansas Medicaid program and ARKids First. This card provides access to a variety of health services, ensuring that eligible residents receive the care they need. Understanding how to apply for and utilize this card is crucial for navigating the healthcare system effectively.
How to Start a Business in Arkansas - The form includes a declaration of understanding regarding false documentation penalties.
For those establishing a business in Ohio, understanding the complexities of an LLC is crucial, and utilizing an Operating Agreement template for your company can streamline this process. This document is vital for delineating member responsibilities, rights, and the operational procedures of the company.
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When filling out the Arkansas Medicaid Card form, it's essential to follow certain guidelines to ensure a smooth application process. Here are eight things you should and shouldn't do:
The Arkansas Medicaid Card is an identification card that provides access to healthcare services for individuals and families who qualify for Medicaid or ARKids First. This card confirms eligibility for coverage and must be presented when receiving medical care. It contains important information, including the member's name, Medicaid number, and the effective date of coverage.
To apply for an Arkansas Medicaid Card, individuals must complete an application process. This can be done online through the Access Arkansas portal, by mail, or in person at local Department of Human Services (DHS) offices. Applicants will need to provide personal information, income details, and documentation proving eligibility. After submission, the DHS will review the application and notify the applicant of the decision.
If you lose your Arkansas Medicaid Card, it is important to request a replacement as soon as possible. You can do this by contacting the Arkansas Medicaid office directly or by visiting the Access Arkansas portal. A new card will be issued, ensuring you can continue to access healthcare services without interruption.
Your Arkansas Medicaid Card can be used with healthcare providers who are enrolled in the Medicaid program. It is advisable to check with your provider to confirm their participation in Medicaid. Some services may require prior authorization, so it is important to verify coverage before receiving care.
The Arkansas Medicaid Card covers a wide range of services, including:
For a complete list of covered services, refer to the Arkansas Medicaid Client Handbook or contact your local Medicaid office.
In a medical emergency, you should seek immediate care. You can go to the nearest emergency room or call 911. Your Arkansas Medicaid Card will provide coverage for emergency services, so be sure to present it upon arrival. After the emergency, follow up with your primary care physician for any ongoing care or treatment.
To update personal information, such as a change of address or income, you must contact the Arkansas Medicaid office. This can often be done through the Access Arkansas portal or by visiting a local DHS office. Keeping your information current is essential to maintain eligibility and ensure proper coverage.
As a member of Arkansas Medicaid, you have rights that include receiving quality healthcare, confidentiality of your medical information, and the ability to appeal decisions regarding your coverage. Responsibilities include providing accurate information during the application process, notifying Medicaid of any changes in your circumstances, and following treatment plans prescribed by your healthcare providers.
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
Ambulatory Surgical Center
39
Autism Waiver. .
. . . . . . . . . . . . . . . . 對
40
Chiropractor. . .
. . . . . . . . . . . . . . . 對
Community Health Centers
Dental Care.. . . . . . . . . . . . . . . . . 對 . . . . . . . 41
Disability Services
. . . . . . . . . . . . . . . . . 對 . . . .
42
Early Intervention Day Treatment (EIDT)
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 . . . .
. . . .
Home Health Services .
. . . . . . . . . . . . . . .
. . 對 .
Hospice Care . .
. . .
. 對 . .
. 48
Hospital Care. .
Immunizations
. . . . . . . .
對 . . . .
49
Independent Choices
Lab Tests and X-Rays
. 對 . . 49
Long-Term Services and Support. .
. . . . . . . . . . . .
Program of All-Inclusive Care for the Elderly (PACE).
. 50
Nursing Home Care.
. . . . . . .
. . . . . 對 . .
50
Living Choices Assisted Living . .
. . . . . . . . .
ARChoices in Home Care . .
. . . . . . . . . . .
51
Medical Equipment.. . . . . . . . . . . . . . . . . 對 . . . 52
Medical Supplies
. . . 對 .
52
Mental Health and Substance Use Disorder Services. . . .
Non-Emergency Transportation (NET) Service
54
Nurse-Midwife (Certified)
. 對 54
Nursing Home Care.. . . . . . . . . . . . . . . . . 對 . . . 54
Nurse Practitioners
. . . . . . . . . . 對 .
. .
Personal Care
. 對
. 55
Podiatrist
Pregnancy Termination . .
. . . 對
Prescription Drugs. . . .
56
Rehab Services . .
. 56
Rehabilitative Hospital. .
57
Rural Health Clinic. . . .
. . . . . . . . . . . . . . 對 . .
58
Targeted Case Management
. 58
Therapy (Physical, Occupational, or Speech)
Tobacco Cessation Program
. . . . .
59
Vision Care
Well-Child Care
. 60
Women’s Health
. . . . . . . . . . . . . 對 . . .
61
Access Arkansas. . . . . . . . . . . . . . . . . . 對 . .62
Important Phone Numbers
.63
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.
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.
2
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.
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