ARKids First — This program for is for children and teens. It is divided into two categories. Arkids B provides a more limited range of services with limited co-pays for some services. Newborn — This program provides full coverage to children up to age 1 whose mothers were eligible for Health Care provided by the State at the time of their births. Children approved in the Newborn category are guaranteed coverage for the first year of life regardless of income changes that may occur during that first year.
Individuals must also meet the income, resource, and other criteria for eligibility. Autism Waiver — This program is for individuals age 18 months through seven 7 years who have a diagnosis of autism. In addition to the diagnosis of autism, the waiver participant must meet the income, resource, and other criteria.
Parent or Other Caretaker Relative — This program provides full coverage to adults who have related minor children in the home for whom they exercise care and responsibility and meet income and other requirements. Full Pregnant Woman — This program provides full coverage for women age 19 and above who are pregnant at the time of application, and meet income and other criteria.
Limited Pregnant Women — This program is for women age 19 and above who are pregnant at the time of application who have income above the level for the Full Pregnant Women program but under the limit for this program.
Limited coverage includes: prenatal, delivery, postpartum and conditions which may complicate the pregnancy. Coverage continues through the pregnancy and until the end of the month of the 60th day postpartum.
Unborn Pregnant Woman — This program is for non-citizen pregnant women who meet income requirements but do not meet citizenship requirements. Emergency Health Care Services for Aliens — This program is for individuals who are considered nonqualified aliens living in the U. Coverage is available for fixed periods of time necessary for acute onset emergency services if the individual meets the financial, categorical, and other criteria.
Box , Little Rock, AR The Official Website of the State of Arkansas. Health Care Programs. Overview The Health Care Medicaid program helps you, if you are eligible, to pay some of your medical bills. Food costs. Health care or insurance costs. High medical expenses in relation to my income. Home energy costs. Mortgage payments. Owning your own business. Rental housing costs. Agricultural losses. None of the above. Above average income Moderate income Low income Very low income.
Hereditary blood disorder. Drug or alcohol dependency. Limb function or length differences. Limb loss. Mental illness. Spina Bifida not including spina bifida occulta. End-stage renal disease e. Given birth during the last six months. Breastfeeding an infant. Pre-diabetes or at risk for type 2 diabetes. Child with ADHD. None of the Above. Child ren. What do I do next? Didn't find what you were looking for?
To get some services, you will need an okay from your primary care physician PCP. Ambulance service is emergency transportation that can be by emergency automobile, helicopter or airplane. Medicaid and ARKids First will pay for ambulance service only in certain cases, and only when you need it to stay alive or to prevent serious damage to your health.
Ambulatory surgical centers provide surgeries that do not require an overnight hospital stay. Medicaid and ARKids First pay for covered surgeries in these centers. A referral from your PCP is usually required. These can include medical, psychological, speech and language pathology, occupational therapy, physical therapy, behavioral therapy, and audiology.
A PCP referral is required. A chiropractor is a doctor who can make adjustments in your spine to treat back pain and other problems. Medicaid and ARKids First cover chiropractic care. You will need a referral from your PCP. There is a limit to the number of visits Medicaid will pay for if you are 21 or older.
You may choose one of these health centers as your PCP instead of choosing a doctor. This includes orthodontic care such as braces, if needed for medical reasons. All orthodontic care must be approved by Medicaid before treatment. This includes one office visit, one cleaning, one set of x-rays and one fluoride treatment. If your dentist says you need it, Medicaid will pay for. ConnectCare services include Dental Coordinated Care. Dental care coordinators are available from 8 a.
Here are some services for people with disabilities. TEFRA provides medicaid benefits and services to disabled children so they can be cared for at home rather than in a nursing home, hospital or other facility. If the family has other health insurance, they must keep it. This program is for adults with physical disabilities who live in the community, not in a hospital or nursing home.
It is only for people who would need a nursing home if they did not have home and community-based services. A nurse assesses the person who needs services, and prepares a care plan. These services are for people who have a developmental disability and need special care, no matter how old they are. The person must have cerebral palsy, epilepsy or autism, or have been declared intellectually disabled before they turn A referral from a doctor may be required.
To find out more or apply, call for children. For adults call or All children grow and develop differently. Some children have delays in development and need special care. The First Connections Program is for these children, from birth to age 3, and their families. The program works with each family to find and coordinate services to help the child learn, and to help the family care for the child.
To find out more, call If you are 21 or older, there is a limit to the number of doctor visits that Medicaid will pay for each year. If you need to see the doctor more often, your doctor might be able to get an extension. If you need to see a different doctor for specialized care, you will need a referral from your PCP. Domiciliary care is room and board for people who have to be away from home while they are getting medical treatment.
There is no limit to the number of days you can stay while you are being treated. Medicaid will also pay for a ride from your home to the place you will stay.
The domiciliary care provider will give you a ride to the clinic or medical center where you will be treated. This includes your unborn baby if you are pregnant. Medicaid and ARKids First cover emergency care only in a medical emergency. You do not need a referral from your PCP. The services must be prescribed by a doctor. Licensed audiologists hearing specialists may provide hearing tests. If a child needs a hearing aid, he or she gets three follow-up visits to the hearing aid dealer to make sure the hearing aid is working properly.
Medicaid and ARKids First will pay for some services to be provided in your home by a home health care worker or nurse but only if a doctor says the home care services are needed. Medicaid will only pay if home care is needed for medical reasons.
Your doctor will decide what level of care you need. In some cases, Medicaid needs to approve the services ahead of time. Medicaid has limits on what it will pay for some home services and supplies.
Hospice services are for people who are very sick and will not live much longer. Instead of trying to make a person well, hospice care just makes a person as comfortable as possible. Medicaid and ARKids First pay for most hospital care, whether you have to stay in the hospital overnight inpatient care or can go home the same day you are treated outpatient care.
Immunizations are shots to keep you or your child from getting dangerous diseases. Medicaid and ARKids First cover these shots at certain ages.
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