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  • Ar Dco-0108c 2016

Get Ar Dco-0108c 2016-2025

On Date Cat. Child s Name County Race Register # Address Birthdate State Zip Casehead Name City Worker s Name as shown on E-Mail Sex Last MRT decision date Interview Date Date routed To MRT Section 2: MRT use only Date Record Added MRT Date Date Medical Records Request Sent Code Records Rec d Re-exam Date Case Type Key Initial Physician Date ID Decision Date Key Date Section 3: To be completed by Eligibility Worker A. List all Household Members: Last Name First.

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How to fill out the AR DCO-0108C online

The AR DCO-0108C is a critical form used by eligibility workers to assess the medical and social needs of children. This guide provides clear, step-by-step instructions on how to complete this form online, ensuring that users can fill it out accurately and efficiently.

Follow the steps to complete the AR DCO-0108C form online

  1. Press the ‘Get Form’ button to access the AR DCO-0108C form electronically. This will allow you to open the document in an editable format.
  2. Begin by filling out Section 1, which must be completed by the eligibility worker. Enter the child’s budget unit ID, application date, name, race, address, and casehead name. Ensure all fields are accurately completed to avoid processing delays.
  3. In Section 2, for MRT use only, complete the required fields, including the date record added and any MRT specific information like the decision date and case type. Make sure to follow any provided instructions to ensure correct input.
  4. For Section 3, list all household members, providing their last and first names, relationship to the child, and phone numbers. It's important to have accurate contact information for effective communication.
  5. Describe the child's physical and mental condition by asking the parent or caretaker the provided questions. Record the responses to accurately reflect the child's situation, including details about their speech and any medical conditions.
  6. Document the child's daily activities in the corresponding fields, explaining their typical routine, sleep habits, and any behavioral changes since their condition began.
  7. Complete the education and therapy section by providing details about special education classes attended, therapies received, and any learning or attendance problems. Gather supporting documents as indicated.
  8. In the medical treatment section, outline past treatments, medications, and any healthcare professionals the child has seen over the last year. Ensure that signed documentation is attached as required.
  9. Finally, review and verify all entries for accuracy. Once satisfied, you can save your changes, download the completed form, print it for your records, or share it as necessary.

Complete your AR DCO-0108C form online today to ensure timely processing of your child's needs.

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Kristi Putnam serves as the Arkansas Department of Human Services (DHS) Secretary.

When you go to the county office to apply, bring: your birth certificate or other proof of your age. paycheck stubs. Social Security Card. letters or forms from Social Security, SSI, Veteran's Administration, or other sources that show the amount of income that you get insurance policies, even other health insurance.

016-20-99 Ark. Code R. § 18 Form DCO-116, Client Statement Regarding Absent Parent, is used to collect information from the Medicaid client about an absent parent. The DCO-116 is an optional form to be used when securing absent parent information through the mail.

Persons who are eligible for SSI are automatically eligible for AR Medicaid. In 2024, the income limit for SSI is $943 / month for an individual and $1,415 / month for a couple. The asset limit is $2,000 for an individual and $3,000 for a couple.

The Division of County Operations (DCO) is here to make sure Arkansans who need food assistance, health care, and other services can access help.

Purpose. The DCO-702 is used by facilities to report to the DHS county office all Medicaid-related admissions, discharges, and transfers.

How to Upload Documents? Once you have logged in to your Access Arkansas account, click on “Details” for the case you want to upload the document for. If you don't see the case, please see section “How to Link Your Case” for more details. On the right-hand side of the screen click on “Upload files.”

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.

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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