Arkansas Client Intake Sheet

State:
Multi-State
Control #:
US-01303BG
Format:
Word; 
Rich Text
Instant download

Description

This information should be filled in at and/or immediately after the initial client interview. There can be numerous variations of this form to fit an individual attorney's needs.

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FAQ

Hear this out loud PauseArkansas has a 60-month Medicaid Look-Back Period for Nursing Home Medicaid and Medicaid Waivers that immediately precedes the date of application. During the ?look-back?, Medicaid checks all asset transfers to ensure none were sold or given away under fair market value.

Hear this out loud PauseNursing Home Care Medicaid certified nursing homes are covered by Medicaid. For Medicaid to pay for nursing home care, a doctor must prescribe it. You or a representative will need to apply for nursing home care in the Department of Human Services office in the county where the nursing home is located.

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.

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

Undefined Arkansas Medicaid Program? Household Size*Maximum Income Level (Per Year)1$19,3922$26,2283$33,0644$39,9004 more rows

Hear this out loud PauseArkansas Medicaid requires that some surgical procedures be authorized by AFMC prior to the performance of the procedure.

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Arkansas Client Intake Sheet