 Applications can be mailed
 Hand delivered to your local county office
 Faxed
 Apply online for ARKids:
http://access.arkansas.gov/welcome.aspx
Acceptable Ways to Apply
Documentation Needed to Apply
 Self-declaration for all eligibility factors will be
accepted with the exception of citizenship, alien status
for non-citizens, and age.
 You may be contacted either by phone or mail, if the
county has verification of income through other
programs (e.g. SNAP, or WESD) and there appears a
discrepancy that could make a difference in eligibility.
Time Limit for Disposition of
Application
 The caseworker will have up to 45 days from the date of
application (ARKids) to make disposition by one of the
following actions: approval, denial, or withdrawal.
 The date of application is the date the application was
received in the county office.
 If applying for TEFRA, the application can take longer
(up to 90 days) if disability must be established.
ARKids A
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Full range of Medicaid
Must select PCP before most benefits will be paid
Income limits 133% of the FPL for children under 6
Income limits 100% of FPL for children 6 and older
Income deductions: $90 from earned income, Child
care deductions, and $50 deductions for child support
 No resource limits
 May have insurance and still be eligible. Insurance
pays before ARKids A.
 Age must be under 19
ARKids B
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Benefits – limited coverage with co-pays
Must select PCP before application can be certified
Income limits 200% of FPL
Income deductions - $50 for child support
No resource limits
Not eligible if child has comprehensive group or
employer-based insurance. If dropped, 6 month
waiting period except where insurance was terminated
involuntarily
 Age must be under 19
Basic Coverage – ARKids A & B
(TEFRA)
 Physician, prescription drugs, hospital, ambulance
(emergency only), dental, medical equipment, medical
supplies, emergency department services, eye glasses,
family planning, health screens, home health services,
laboratory and x-ray, mental health – outpatient only,
podiatry, speech therapy and vision, chiropractor,
immunizations, nurse midwife and nurse practitioner.
Additional Coverage: ARKids A &
TEFRA
 Audiology, child health management services,
developmental day treatment clinic services,
domiciliary care, end stage renal disease services,
hearing aids, hospice, hyperalimentation, inpatient
psychiatric, nursing facilities, orthotics, personal care,
transportation (non-emergency), private duty nursing,
prosthetics, therapy (occupational and physical),
ventilator services, and targeted case management.
Screenings (through Child Health
Services) ARKids A & TEFRA
 If the child receives periodic Child Health Services
checkups, benefits are unlimited for covered services
that are medially necessary.
Co-payments: ARKids B
 ARKids B requires a co-pay as follows: $5.00 per
prescription drug, $10.00 per medical visit, $10.00 per
emergency ambulance trip, 20% of the 1st day of inpatient
hospitalization 20% of Medicaid allowed amount for each
item of durable medial equipment. A co-payment is not
required for preventative health screens, family planning
services and dental checkups. ARKids B families will have
an annual cumulative cost-sharing (co-payments &
coinsurance) maximum of 5% of the family’s gross annual
income. The annual period is the state fiscal year (SFY) of
July 1 through June 30th. The annual cost-sharing
maximum will be recalculated and the cumulative costsharing counter will be reset each July 1.
TEFRA Eligibility Requirements
 Age: Must be under 19
 Disability: Must be disabled according to the SSI definition
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of disability. If not established by SSA, it must be
determined by Medical Review Team
Income: The child’s gross countable income must be less
than $2,022 (2009 long term care limit) (parent’s income
not considered)
Resources: The child’s countable resources cannot exceed
$2000. (parent’s resources not considered)
Medical Necessity
Appropriateness of Care
Cost Effectiveness
TEFRA con’t
 Payment of Premiums: Annual income over $25,000
will be required to pay monthly premiums.
 Dropped Health Insurance: Can receive TEFRA &
retain health insurance coverage. For applicants, if
insurance voluntarily dropped in the 6 months prior to
application, the child will be ineligible for TEFRA
benefits for 6 months. For recipients, if coverage was
voluntarily dropped after the case was approved, the
case will be closed for 6 months beginning with the
month following the month of discovery.
Questions?