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  • Ar Dco-0108c 2018

Get Ar Dco-0108c 2018-2025

Te 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, Parent or Guardian A. List all Household Members: Last Name First Name DCO-108C (R.09/18)Page 1 of 4 Relationship Chi.

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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.

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.

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.”

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

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

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.

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

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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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:
1-877-389-0141
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