Arkansas ARKids First Program

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Arkansas ARKids First Program
Arkansas ARKids First Program

ARKids First is a health insurance program:- that provides coverage for thousands of children across the state. It covers well-child checkups, eye exams, dental checkups and more. It’s insurance that is growing healthy kids in Arkansas and it might be the answer for health coverage for your children. ARKids First covers many of the preventive services and medical care your child may need, including important childhood immunizations and well-child checkups. Not sure which vaccines your child should be getting? Check out the CDC’s immunization schedule 

The ARKids program provides a full package of benefits under two coverage options based on family income: There is no charge when you child participates in ARKids A. For ARKids B, there are co-payment required for some services.   Your children’s health is important to you and to us, so check out the links for more information. If you have questions please call the ARKids hotline at 1-888-474-8275 Monday through Friday between 8:00 a.m. and 4:30 p.m.

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What is Arkansas ARKids First Program

The ARKids First program is a Medicaid program in the state of Arkansas that provides health coverage for eligible children and pregnant women. Administered by the Arkansas Department of Human Services (DHS), ARKids First ensures that children from low-income families have access to necessary healthcare services. The program aims to improve the health outcomes of children and pregnant women by covering a range of medical services.

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Purpose of the Arkansas ARKids First Program

The Arkansas ARKids First program serves several important purposes to address the healthcare needs of children and pregnant women in the state. Here are key purposes of the ARKids First program:

  • Access to Essential Healthcare: The primary purpose of ARKids First is to ensure that children and pregnant women from low-income families have access to essential healthcare services. This includes preventive care, medical treatments, and other health-related services necessary for overall well-being.
  • Promoting Child Health: ARKids First focuses on promoting the health of children by offering comprehensive coverage that includes well-child check-ups, immunizations, and screenings. The program emphasizes preventive care to address health issues early and support healthy development.
  • Coverage for Pregnant Women: The program extends coverage to pregnant women, providing prenatal and maternity care. This ensures that expectant mothers have access to the necessary healthcare services during pregnancy, contributing to positive birth outcomes.
  • Reducing Financial Barriers: ARKids First aims to reduce financial barriers to healthcare for families with low income. By providing coverage through Medicaid for eligible children and pregnant women, the program helps alleviate the financial burden associated with medical expenses.
  • Preventing Health Disparities: ARKids First plays a role in mitigating health disparities by offering healthcare coverage to vulnerable populations. By addressing the specific needs of low-income families, the program contributes to reducing disparities in healthcare access and outcomes.
  • Early Detection and Intervention: Through regular check-ups and screenings, ARKids First facilitates early detection of health issues in children. Early intervention and treatment can prevent the progression of health problems and improve long-term health outcomes.
  • Supporting Maternal and Child Health: By covering pregnant women and providing comprehensive pediatric care, ARKids First supports maternal and child health. This contributes to healthier pregnancies, childbirth, and childhood development.
  • Community Health and Well-Being: The program has a broader impact on community health by addressing the healthcare needs of families. Healthy children and families contribute to the overall well-being of communities, fostering a healthier and more resilient population.
  • Ensuring Continuity of Care: ARKids First helps ensure continuity of care for eligible individuals by providing ongoing coverage. This continuity is vital for managing chronic conditions, maintaining health, and addressing healthcare needs as they arise.
  • Health Education and Outreach: The program often includes health education and outreach initiatives to inform eligible families about available services, preventive measures, and the importance of regular healthcare visits.

In summary, the Arkansas ARKids First program serves the essential purpose of improving access to healthcare, promoting the health of children and pregnant women, and addressing healthcare disparities among vulnerable populations. It aligns with broader public health goals to create healthier communities and contribute to the well-being of the state’s residents.

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Arkansas ARKids First Program

The Children’s Health Insurance Program (CHIP) provides health coverage to nearly eight million children and families with incomes too high to qualify for Medicaid, but can’t afford private coverage. In some states, CHIP covers parents and pregnant women. Each state offers CHIP coverage, and works closely with its state Medicaid program. Please note: these programs may be called by different names in your state. Some benefits covered through CHIP, include:

  • Routine check-ups
  • Immunizations
  • Doctor visits
  • Prescriptions
  • Dental and vision care
  • Inpatient and outpatient hospital care
  • Laboratory and X-ray services
  • Emergency services

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About Arkansas ARKids First Program

The ARKids First program is a health insurance program in the state of Arkansas that provides coverage for uninsured children and teens up to age 19. It is designed to ensure that children have access to necessary medical services, including doctor visits, dental care, and prescription medications. Here are some key points about the ARKids First program:

Coverage Options: ARKids First offers two coverage options: ARKids A and ARKids B.

  • ARKids A: This is Medicaid coverage for low-income families. It provides comprehensive benefits, including doctor visits, hospital stays, and preventive care.
  • ARKids B: This is coverage for families with higher incomes who do not qualify for Medicaid. It is a cost-sharing program with monthly premiums based on family income. ARKids B also provides coverage for a range of health services.

Income Eligibility: Eligibility for ARKids First is based on family income. Families with incomes above the Medicaid threshold may qualify for ARKids B.

Application Process: Families can apply for ARKids First through the Department of Human Services (DHS) in Arkansas. The application process may include providing information about household income, family size, and other relevant details.

Benefits: The program covers a wide range of health services, including doctor visits, hospital stays, prescription medications, vaccinations, and preventive care. Dental and vision services are also covered.

Renewal: Eligibility for ARKids First is reviewed periodically, and families need to renew their coverage to continue receiving benefits.

Provider Network: ARKids First members can access services from a network of healthcare providers that participate in the program.

It’s important for families to check the specific eligibility requirements and coverage details on the official website of the Arkansas Department of Human Services or contact the department directly for the most accurate and up-to-date information. Program details may change over time, and eligibility criteria can be subject to adjustments.

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Arkansas ARKids First Program Benefits

The Arkansas ARKids First program provides a range of benefits to eligible children and pregnant women, aiming to ensure access to essential healthcare services. Here are key benefits offered by the ARKids First program:

  • Comprehensive Healthcare Coverage: ARKids First offers comprehensive healthcare coverage that includes a wide range of services such as doctor visits, hospital stays, prescription medications, preventive care, and immunizations.
  • Well-Child Check-ups: The program covers well-child check-ups, allowing for regular assessments of a child’s health and development. These check-ups are crucial for early detection of health issues and monitoring growth.
  • Immunizations and Vaccinations: ARKids First covers the cost of immunizations and vaccinations recommended for children. This ensures that children are protected against preventable diseases.
  • Dental Care: Dental care is a part of the ARKids First benefits, including preventive services, check-ups, and treatments. Good oral health is essential for overall well-being.
  • Vision Care: Vision care services, including eye exams and corrective eyewear, are covered under ARKids First. This helps address vision issues and supports academic success.
  • Prescription Medications: The program covers necessary prescription medications, ensuring that children and pregnant women have access to the medications prescribed by healthcare providers.
  • Prenatal and Maternity Care: ARKids First provides coverage for prenatal care and maternity services for pregnant women. This includes essential healthcare during pregnancy and childbirth.
  • Mental Health Services: Mental health services, including counseling and therapy, may be covered under ARKids First. This supports the mental well-being of children and pregnant women.
  • Specialized Healthcare Services: Certain specialized healthcare services, such as therapies for developmental or behavioral issues, may be covered to address the unique needs of eligible individuals.
  • Preventive and Wellness Services: The program emphasizes preventive and wellness services, promoting a proactive approach to healthcare. This may include screenings, health education, and lifestyle counseling.
  • Access to Network Providers: ARKids First typically involves a network of healthcare providers, ensuring that eligible individuals have access to a network of doctors, specialists, and healthcare facilities.
  • Community Resources and Support: ARKids First may connect families to community resources and support services to address social determinants of health and enhance overall well-being.
  • Coordination with Other Programs: The program may coordinate with other healthcare programs to maximize benefits and support a holistic approach to healthcare.

It’s important for eligible families to review the specific details of coverage and benefits provided by ARKids First, as these can vary based on the individual’s plan within the program. The benefits are designed to promote the health and well-being of children and pregnant women, addressing their unique healthcare needs.

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Who is eligible for Arkansas ARKids First!?

To be eligible for this benefit program, you must be a resident of Arkansas and meet all of the following:

  • Either 18 years of age and under or a primary care giver with a child(ren) 18 years of age and under, and
  • A U.S. Citizen, National, or a Non-Citizen legally admitted into the U.S, and
  • Uninsured (and ineligible for Medicaid).

Arkansas ARKids First Program Income Limits

In order to qualify, you must have an annual household income (before taxes) that is below the following amounts:

Household SizeMaximum Income Level (Per Year)
1$30,764
2$41,610
3$52,455
4$63,300
5$74,146
6$84,991
7$95,837
8$106,682

For households with more than eight people, add $10,845 per additional person. Always check with the appropriate managing agency to ensure the most accurate guidelines.

Documents Required for Arkansas ARKids First Program

To apply for the Arkansas ARKids First program, you may need to provide certain documents to verify eligibility and facilitate the enrollment process. While specific requirements can vary, here is a general list of documents that may be required:

  • Proof of Identity: Birth certificates or other official documents to verify the identity of the child or pregnant woman applying for ARKids First.
  • Proof of Citizenship or Immigration Status: Documents establishing the citizenship or legal immigration status of the child or pregnant woman. This may include a U.S. birth certificate, passport, or immigration documents.
  • Proof of Residency: Documents that demonstrate residency in the state of Arkansas. This could include utility bills, rental agreements, or other official documents with the applicant’s address.
  • Proof of Income: Documents to verify the household’s income, which is a key factor in determining eligibility. This may include recent pay stubs, tax returns, or statements of income.
  • Social Security Numbers: Social Security numbers for the child or pregnant woman applying for ARKids First. This is often required for identification and record-keeping purposes.
  • Immunization Records: Immunization records for children may be requested to ensure that they are up-to-date on vaccinations.
  • Employer Information: Information about the employers of the household members, including names and contact details.
  • Health Insurance Information: If applicable, details about any existing health insurance coverage for the child or pregnant woman.
  • Other Health-related Documents: Medical records or documentation of any health conditions that may be relevant to the application.
  • Documentation of Pregnancy: If applying for maternity coverage, documentation of pregnancy, such as a doctor’s confirmation or prenatal care records.
  • Proof of Expenses: Documentation of certain household expenses, which may be considered in the determination of eligibility.

It’s important to note that the specific documentation requirements may vary, and the Arkansas Department of Human Services (DHS), which administers the ARKids First program, will provide detailed information on what is needed during the application process.

Applicants are encouraged to contact the local DHS office or visit the official ARKids First website to obtain accurate and up-to-date information about the required documents and the application process. Providing complete and accurate documentation helps expedite the eligibility determination and enrollment in the ARKids First program.

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Required Eligibility for the Arkansas ARKids First Program

Eligibility for the Arkansas ARKids First program is based on various factors, primarily centered around the income and household composition of the family. The program includes two components: ARKids A (Medicaid) and ARKids B (cost-sharing program). Here are some key eligibility criteria:

For ARKids A (Medicaid):

  • Income Eligibility: Families must meet specific income guidelines to qualify for ARKids A. The income eligibility levels are typically based on the federal poverty level (FPL), and eligibility may vary depending on the size of the household.
  • Age: ARKids A is primarily designed for children and teens up to the age of 19.
  • Citizenship/Immigration Status: Eligible individuals must be U.S. citizens or qualified immigrants.
  • Residency: Applicants must be residents of the state of Arkansas.

For ARKids B (Cost-Sharing Program):

  • Income Eligibility: ARKids B is designed for families with higher incomes that exceed the limits for traditional Medicaid but are still within specified income guidelines.
  • Age: Like ARKids A, ARKids B is for children and teens up to the age of 19.
  • Citizenship/Immigration Status: Similar to ARKids A, eligible individuals for ARKids B must be U.S. citizens or qualified immigrants.
  • Residency: Applicants must be residents of Arkansas.

Common Criteria for Both Programs:

  • Social Security Numbers: Applicants are generally required to provide Social Security numbers for all family members applying for the program.
  • Other Health Insurance Coverage: Applicants may need to provide information about any existing health insurance coverage for family members.
  • Verification of Information: The Arkansas Department of Human Services may request documentation to verify the information provided during the application process, including proof of income, residency, and other relevant details.

It’s important to note that eligibility criteria and income guidelines can change, and they may be subject to updates by the state. Families interested in applying for the ARKids First program should contact the Arkansas Department of Human Services or visit the official ARKids First program website to obtain the most accurate and up-to-date information on eligibility requirements and the application process.

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ARKids First Income Eligibility Effective April 01, 2023

Family SizeARKids A
Monthly
ARKids B
Monthly
1$1,725.30$2,563.65
2$2,333.53$3,467.43
3$2,941.77$4,371.22
4$3,550.00$5,275.00
5$4,158.23$6,178.78
6$4,766.47$7,082.57
7$5,374.70$7,986.35
8$5,982.93$8,890.13
9$6,591.17$9,793.92
10$7,199.40$10,697.70
Add for each additional Member$608.23$903.78

Important Points About ARKids First And Medicaid

  • ARKids First is health care insurance for children that uses state and federal money to help pay for medical care. The Department of Human Services (DHS) run the Medicaid program in Arkansas.
  • ARKids First has two programs: ARKids First-A and ARKids First-B.
  • ARKids First-A is Medicaid for children.
  • ARKids First-B (CHIP Title XXI funded) is for people who make too much money to get regular Medicaid, but still do not have health insurance for their children.
  • Medicaid and ARKids First will not make payments to you but will pay doctors, hospitals, and other health care providers who are enrolled in the Medicaid program.
  • Medicaid and ARKids First can help pay some of your medical bills, but not always all of them. If you have ARKids First-B or you’re an adult on Medicaid, you will have to pay for part of your medical care.
  • 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 it will not, the doctor has to 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,” or 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. Take care of your card, and keep it with you at all times. It makes it easier to get the care you need.
  • Do not let others use your card, or you will lose it, and might even go to jail!

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How do I apply for Arkansas ARKids First!?

To apply online, please visit the Access Arkansas online application portal. For additional application information, visit the How do I apply page. You will be able to download an application form directly from the site. You may also find out if you qualify through the Marketplace application

To apply for the Arkansas ARKids First program, you can follow these general steps. Keep in mind that the specific application process may be subject to change, so it’s advisable to check the official Arkansas Department of Human Services (DHS) website or contact the local DHS office for the most up-to-date information. Here are the general steps to apply:

  • Visit the DHS Website: Go to the Arkansas DHS website to access information about ARKids First. The website will provide details on eligibility, benefits, and the application process.
  • Review Eligibility Criteria: Before applying, review the eligibility criteria to ensure that you meet the requirements for ARKids First. Eligibility is often based on factors such as income, family size, and other considerations.
  • Prepare Required Documents: Gather the necessary documents needed for the application process. This may include proof of identity, proof of income, proof of residency, and other relevant documents. Refer to the list provided on the DHS website.
  • Access the Online Application: Many states, including Arkansas, offer online application portals for Medicaid and children’s health insurance programs. Navigate to the online application portal provided by the DHS.
  • Create an Account: If required, create an account on the online application portal. This account will allow you to save your progress, check the status of your application, and receive communications from the DHS.
  • Complete the Application Form: Fill out the online application form with accurate and detailed information. Provide information about your household, income, and any other required details. Be prepared to enter information for each family member applying for ARKids First.
  • Upload Supporting Documents: The online application portal may have a feature that allows you to upload scanned copies or photos of the required supporting documents. Ensure that you have electronic versions of the necessary documents ready.
  • Submit the Application: After completing the application and uploading supporting documents, submit the application through the online portal. Take note of any confirmation numbers or reference codes provided upon submission.
  • Wait for Application Processing: The DHS will review your application and supporting documents. The processing time can vary, but you may be notified of the status of your application by mail or through the online portal.
  • Check Application Status: Use the online portal or contact the local DHS office to check the status of your application. This may involve logging into your account or providing your application reference number.
  • Attend Any Follow-up Appointments: If required, attend any follow-up appointments or interviews as part of the application process. This may be necessary to verify information or address specific aspects of your application.

Remember that the application process and requirements may be subject to change, so it’s crucial to refer to the official DHS website or contact the local DHS office for the most accurate and up-to-date information. Applying online is a convenient and efficient way to initiate the application process for ARKids First.

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How can I contact someone?

To learn more about the program, please visit the ARKids First page. You may also use the County Office List to find a service center near you. For additional details, please visit the Medicaid & CHIP Policies page and select your state.1-855-372-1084

FAQs. Arkansas ARKids First Program

Q 1. What is the Arkansas ARKids First program?

The ARKids First program is a Medicaid program in Arkansas that provides health coverage for eligible children and pregnant women from low-income families.

2. Who is eligible for ARKids First?

Eligibility for ARKids First is based on factors such as income, family size, and other criteria. Children and pregnant women from households with low income may qualify for the program.

3. How can I apply for ARKids First?

You can apply for ARKids First by visiting the Arkansas Department of Human Services (DHS) website or contacting your local DHS office. The application process may involve providing information about your household, income, and other relevant details.

4. What benefits does ARKids First provide?

ARKids First provides comprehensive healthcare coverage for eligible individuals. This includes well-child check-ups, immunizations, dental care, vision care, prenatal and maternity care, and other essential health services.

5. Is there a cost associated with ARKids First?

The program may have different components with varying cost structures. ARKids A, which covers lower-income families, is typically provided at no cost. ARKids B, for higher-income families, may involve a monthly premium.

6. Can pregnant women apply for ARKids First?

Yes, pregnant women who meet the eligibility criteria can apply for ARKids First and receive coverage for prenatal and maternity care.

7. How long does it take for an ARKids First application to be processed?

The processing time for ARKids First applications can vary. Applicants are encouraged to check the status of their application through the online portal or by contacting the local DHS office.

8. Can I apply for ARKids First online?

Yes, the Arkansas DHS provides an online application portal for ARKids First. Applicants can create an account, complete the application online, and upload necessary documents.

9. What documents are required for the ARKids First application?

Required documents may include proof of identity, proof of citizenship or immigration status, proof of income, proof of residency, and other documents. The specific requirements can be found on the DHS website.

10. Can I check the status of my ARKids First application online?

Yes, applicants can often check the status of their ARKids First application by logging into the online portal or by contacting the local DHS office.

11. Can children receive dental and vision care through ARKids First?

Yes, ARKids First covers dental and vision care services for eligible children, ensuring access to essential healthcare services.

12. Are there income limits for ARKids First eligibility?

Yes, there are income limits for ARKids First eligibility. The specific income thresholds may vary based on family size and other factors.

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