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  • Archoices Provider Application

Get Archoices Provider Application

ARChoices in Homecare Provider Application STATE OFFICE USE ONLY Reviewed by: DOCUMENTS: INS LIC Date: BKGR CERTIFICATION #: CHECK APPLICATION TYPE: NEW OR RENEWAL Enter the appropriate Personal Identification.

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How to fill out the Archoices Provider Application online

Filling out the Archoices Provider Application online can be an important step in providing essential services. This guide will assist you in completing the application accurately and efficiently, ensuring that you meet all requirements.

Follow the steps to complete your application successfully

  1. Press the ‘Get Form’ button to access the application. This will allow you to open the form in your preferred editor.
  2. Begin by checking the type of application you are submitting. Mark whether it is a 'NEW' or 'RENEWAL' application at the top of the form.
  3. Provide your Personal Identification Number (PIN) or Employer Identification Number (EIN) as applicable, and indicate the service(s) you are applying for, ensuring to complete the relevant sections of the application.
  4. Fill in the provider name, contact information, and service area. Be thorough and ensure all details are correctly entered to avoid delays.
  5. For each service selected, complete the applicable sections. Attach required documents such as licenses, background check listings, and proof of insurance as stated for each service type.
  6. Ensure you have completed Sections 1, 2, 8, and 9 as directed for the services you are providing. Review your entries for accuracy.
  7. Once finished, review the entire application for any missing fields or documents. You may save changes, download the application, print it, or share it as necessary.

Get started on your application today to provide vital services in your community.

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Home health care agencies offer basic medical support from professionals, such as skilled nurses and qualified therapists....The applicant must: Be a U.S. citizen or hold legal residency status. Reside in Arkansas. Have one or more qualifying health issues that justify nursing home care.

The current “Arkansas Works” program provides coverage to 318,095 individuals (as of the end of March 2021) between the ages of 19 and 64 who are not enrolled in Medicare and who are either (1) childless adults who have household income at or below 138% of the federal poverty level (FPL) or (2) parents with income ...

What is ARChoices? ARChoices is a Medicaid program that includes home and community-based services for adults ages 21 through 64 with a physical disability and seniors age 65 or older.

The ARHOME program uses Medicaid dollars to buy private health insurance for you.

Financial Criteria: Income, Assets & Home Ownership. The applicant income limit is equivalent to 300% of the Federal Benefit Rate (FBR). This figure increases each January, and in 2023, is $2,742 / month.

General Requirements To be eligible for AR Choices, an applicant must be a resident of Arkansas who is physically disabled between the ages of 21 and 64, or is 65 years of age or older. In addition, functional requirements must be met.

If you have questions about how to enroll, call Arkansas Medicaid Provider Enrollment at (501) 376-2211 or toll free at (800) 457-4454. When prompted, select 0 for “Other Inquiries”, then option 3 for “Provider Enrollment”. View or print Provider Enrollment contact information.

Family members (excluding spouses) are able to be compensated for the services they provide. In addition, the costs of certain medical and accessibility equipment can be covered. Further information on eligibility and services is available here.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232