The Arkansas Medicaid Card form is an essential document for residents who are eligible for Medicaid and ARKids First in Arkansas. It serves as a comprehensive guide to understanding an individual's rights and responsibilities, outlining how to access healthcare services, manage one’s health insurance, and comprehend the array of benefits available. To learn more about how to properly fill out the Arkansas Medicaid Card form and utilize it effectively, click the button below.
Navigating the healthcare landscape can be complex, particularly for those seeking assistance through programs like Medicaid and ARKids First in Arkansas. The Arkansas Medicaid Card, a pivotal component of this healthcare journey, serves as a gateway to a myriad of services designed to support eligible individuals and families. The comprehensive Arkansas Medicaid Client Handbook, revised in 2021, acts as an essential guide outlining rights, responsibilities, and the array of services available to beneficiaries. This document, divided into insightful sections, covers the intricacies of applying for Medicaid and ARKids First, selecting a Primary Care Physician (PCP), understanding the procedures for emergency situations, and comprehensively details the benefits, such as hospital and dental care, mental health support, and specialized services for disabilities and rehabilitation. It also touches on critical aspects like charges and bills, how Medicaid works with other insurance types, and the logistics of non-emergency transportation to medical appointments. With this guide, recipients are equipped with the knowledge to navigate their healthcare, understand their coverage scope, and engage with the services provided effectively, thereby ensuring they can access the necessary care without undue stress.
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
Before diving into the Arkansas Medicaid Card form, it's essential to understand what happens after it's submitted. This form serves as a critical step in accessing a wide range of health care services provided under Arkansas Medicaid and ARKids First programs. After the form is carefully completed and submitted, it will be reviewed by the Arkansas Department of Human Services. Eligibility determination is the next crucial phase. If approved, the applicant will receive an Arkansas Medicaid Card, granting them access to the benefits they are eligible for. It's important to complete the form accurately to avoid delays in the eligibility process. Here are the steps to fill out the form:
After submitting the form, anticipate communication from the Arkansas Department of Human Services regarding the next steps, additional required documentation, or the decision on your eligibility. Timely response to any requests for additional information is critical to ensuring a smooth and efficient process.
What is the Arkansas Medicaid Card and how do I use it?
The Arkansas Medicaid Card is your gateway to receiving Medicaid-covered healthcare services. Once you're enrolled in Medicaid or ARKids First, you'll receive this card. Present it to healthcare providers before receiving any services or prescriptions. It's important to keep this card safe and bring it to all healthcare visits.
How can I apply for Medicaid or ARKids First?
Applying for Medicaid or ARKids First involves filling out an application form available through the Access Arkansas website or by visiting a local Department of Human Services (DHS) office. You will need to provide various documents, such as proof of income, identity, and residency. Assistance with the application process can be received in person at DHS offices or by calling the helpline.
What should I do if I have an emergency and need care?
In an emergency, your primary concern should be to seek immediate medical attention. You can use your Arkansas Medicaid Card at any emergency department. Remember, an emergency is a situation where your health is in serious jeopardy, there's a serious impairment to bodily functions, or organs and limbs are at serious risk. If unclear, call your Primary Care Physician (PCP) or the Nurse Advice Line as provided in your Medicaid documentation for guidance.
Can I use my Arkansas Medicaid with other insurance plans?
Yes, Medicaid can work together with other health insurance plans you might have. This is known as coordination of benefits. Always inform your healthcare provider about all health insurance coverage you have so that billing can be processed correctly. Medicaid often acts as the payer of last resort, meaning it will cover costs not covered by your primary insurance plan.
What services are covered under the Arkansas Medicaid and ARKids First programs?
Both programs cover a wide range of medical services to ensure comprehensive care. This includes doctor visits, hospital care, prescription drugs, mental health services, substance use disorder services, dental care (for individuals under 21 in the ARKids program), and many others. Some services might require prior authorization. For a detailed list of covered services, refer to the Arkansas Medicaid Client Handbook.
What are my rights and responsibilities as an Arkansas Medicaid recipient?
As a recipient, you have the right to be treated with respect, receive information about your care, and obtain emergency services as needed, among others. You are responsible for providing accurate information about your health status and following the planned care recommended by your healthcare providers. A comprehensive list of rights and responsibilities is available in the Arkansas Medicaid Client Handbook.
How do I get to my doctor's appointments if I don't have transportation?
Arkansas Medicaid offers a Non-Emergency Transportation (NET) service for eligible individuals who have no other means of transportation to healthcare appointments. This service must be prearranged before your appointment. For scheduling and eligibility information, you can refer to the NET section of your handbook or contact the NET provider listed in your Medicaid documentation.
Filling out the Arkansas Medicaid Card form is a critical step in accessing health benefits, but it's also a process where mistakes can happen. Identifying and avoiding these common mistakes can ensure applications are processed smoothly and benefits are received without unnecessary delays.
Incorrect Personal Information: A frequent error is providing incorrect personal information, such as misspelling names or entering the wrong social security number. This misstep can lead to significant delays in the application process.
Failing to Include All Required Documents: Applicants often forget to attach all the necessary documents, such as proof of income or residency. This omission can result in an incomplete application, requiring additional follow-up.
Not Reporting All Income Sources: All income sources must be reported accurately. Underreporting income can affect eligibility and benefit levels.
Omitting Household Members: Every individual residing in the applicant's household should be listed. Leaving out household members can impact eligibility, especially in programs like ARKids First where family size matters.
Incorrect Program Selection: Applicants sometimes select the wrong program, such as ARKids First over Medicaid, or vice versa, based on their specific needs or qualifications. This can delay access to the correct benefits.
Overlooking Signature Fields: An application is considered incomplete without the necessary signatures. Missing signatures can halt the entire process.
Not Updating Information: Failing to update application information to reflect changes in income, address, or family size can affect current and future benefits.
Assuming Enrollment Covers All Medical Needs: While Medicaid provides comprehensive coverage, not all medical services or treatments are covered. It's important to verify coverage specifics to avoid unexpected charges.
Avoiding these mistakes can greatly improve the chances of a successful application. When in doubt, it's advisable to seek guidance directly from Arkansas Medicaid services or a knowledgeable advocate to ensure all requirements are correctly met and understood.
When you're navigating the world of Medicaid in Arkansas, the Arkansas Medicaid Card form is just the starting point. Understanding and gathering all the necessary forms and documents can streamline the process, ensuring that you or your loved ones receive the healthcare benefits you need without unnecessary delays. Below is a list of forms and documents often associated with the Arkansas Medicaid program that could be crucial throughout your healthcare journey.
Understanding and effectively managing these documents can significantly impact the efficiency of receiving Medicaid benefits. It's not just about having the right form at the right time; it's about ensuring that the information within these documents accurately reflects your current circumstances, allowing you to receive the healthcare assistance you need. If you ever find yourself overwhelmed by the process, remember that help is available. Local offices, healthcare providers, and community organizations can provide guidance and support, making sure that your journey through the Arkansas Medicaid system is as smooth as possible.
The document "Arkansas Medicaid, ARKids First, & You" shares similarities with the "Medicare & You" handbook, distributed by the Centers for Medicare & Medicaid Services. Both are comprehensive guides aimed at beneficiaries, explaining the respective programs, detailing covered services, and outlining enrollee rights and responsibilities. They serve as a primary resource for understanding public health insurance programs, ensuring beneficiaries have the necessary information to navigate their coverage effectively.
Application forms for state assistance programs, such as the Supplemental Nutrition Assistance Program (SNAP) application, also bear resemblance. Both this application and the Arkansas Medicaid Card form require individuals to provide detailed personal information, document their financial status, and demonstrate their eligibility for benefits. These documents are key entry points for individuals seeking support from government-sponsored programs.
Another similar document is the Social Security Disability Benefits application. This application and the Arkansas Medicaid form both serve individuals facing significant health challenges, requiring thorough documentation of medical conditions and treatment needs. They help determine eligibility for support based on health status and disability, playing critical roles in the lives of applicants who rely on government assistance for health care and financial aid.
Consent forms used in medical settings, which authorize treatment and acknowledge an understanding of the procedures and their risks, also share commonalities with parts of the Arkansas Medicaid document. Such forms ensure that beneficiaries comprehend the scope of services covered, as well as their rights and responsibilities regarding their health care, establishing a formal agreement between the patient and provider.
Private health insurance policy brochures and documents resemble the Arkansas Medicaid guide in that they provide detailed descriptions of covered services, exclusions, and the process for filing claims. Although aimed at different audiences, both sets of documents aim to clarify the terms of coverage and how beneficiaries can access care and manage their health benefits.
Another document with considerable similarities is the Explanation of Benefits (EOB) statement, which individuals receive from insurance providers after receiving health care services. Like parts of the Arkansas Medicaid guide, EOBs detail services received, coverage decisions, and patient responsibility amounts, offering transparency in how insurance benefits are applied to medical services.
The patient handbook often distributed by hospitals and clinics offers a parallel as well. These handbooks provide essential information about accessing services, patient rights, and organizational policies. The Arkansas Medicaid guide serves a similar purpose by orienting beneficiaries within the Medicaid program, highlighting how to access services, and explaining the structure of Medicaid-supported care.
Lastly, the Early Periodic Screening, Diagnostic, and Treatment (EPSDT) service guides, specific to Medicaid-eligible children, closely align with the content detailed for children’s services in the Arkansas Medicaid document. These guides outline the preventive, dental, mental health, and developmental services available to keep children healthy, addressing the comprehensive care approach across both documents.
When engaging with the Arkansas Medicaid Card form, a set of practices can optimize the process and ensure that the information provided is accurate and complete. Here's a guide to what should and should not be done:
Adhering to these guidelines can simplify the process of completing the Arkansas Medicaid Card form and help ensure that the submission is processed efficiently and effectively. Remember, the available resources are there to assist every step of the way, so reaching out for help when needed is encouraged.
Many people hold misunderstandings about the Arkansas Medicaid and ARKids First programs, especially when it comes to the Medicaid card. Here are eight common misconceptions and the realities that dispel them:
When managing healthcare through Arkansas Medicaid, ARKids First, or associated programs, understanding how to effectively use the Arkansas Medicaid Card is crucial for beneficiaries. Here are key takeaways pertinent to filling out and utilizing the form and card effectively:
Additionally, it's important to recognize the dual role of this document as a guide to rights and responsibilities. Beneficiaries are encouraged to familiarize themselves with both their entitlements under the program and their obligations, such as the requirement to provide accurate information during the application process and to notify Medicaid of any changes in their situation. Understanding and adhering to these guidelines will ensure that beneficiaries can maximize the benefits available to them while maintaining compliance with program requirements.
How to Take Father Off Birth Certificate - Serves as a preliminary step towards securing a child's identity, offering them a sense of belonging and security.
Arkansas Atc R4 - It includes a requirement that the form is kept on-site and available for inspection.
Form 1818 - Form 1818 streamlines the process for applying or renewing registration as a service agency or individual serviceperson in Arkansas, critical for those in the commercial measurement field.