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ARKANSAS DEPARTMENT OF HUMAN SERVICES LONGTERM SERVICES AND SUPPORTS APPLICATION Si necesita este formulario en Espaol, llame al 18004828988 y pida la versin en Espaol. If you need this material in.

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Yes. No. DHS-0777 (R. 06/18). Page 2 of 6. Page 3. 19. I or my spouse own, are buying or...
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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 ...

Eligibility levels for parents are presented as a percentage of the 2023 FPL for a family of three, which is $24,860. Eligibility limits for single adults without dependent children are presented as a percentage of the 2023 FPL for an individual, which is $14,580.

Medicaid provides free or low-cost health coverage to eligible needy persons....Arkansas Medicaid Program? Household Size*Maximum Income Level (Per Year)1$19,3922$26,2283$33,0644$39,9004 more rows

Other Important Numbers Arkansas Medicaid Claims Questions Information Line (coverage, bills, beneficiary denial letters, or other services)1-800-482-5431Arkansas Medicaid Complaint Hotline (for complaints about healthcare)1-888-987-12002 more rows

2022 Federal Poverty Level Guidelines Person in household100%150%113,59020,385218,31027,465323,03034,545427,75041,6254 more rows

In 2023, the Medically Needy Income Limit in AR is $108.33 / month for a single applicant and $216.66 / month for a couple. The “spend down” amount is the difference between one's monthly income and the Medically Needy Income Limit.

In approximately half of the states, ABD Medicaid's income limit is $914 / month for a single applicant and $1,371 for a couple. In the remaining states, the income limit is generally $1,215 / month for a single applicant and $1,643 / month for a couple.

If a gift of any amount is given in Arkansas during a period of 5 years before applying to Medicaid, a penalty period will be initiated. This penalty period in Arkansas is called a look-back period, which can make an individual not eligible for Medicaid. Medicaid will not pay for care until the penalty period is over.

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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
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
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 workflows
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