Arkansas Proposed Client Intake Sheet - General

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Multi-State
Control #:
US-ATTY-11
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Word; 
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This is a multi-state form covering the subject matter of the title.
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  • Preview Proposed Client Intake Sheet - General
  • Preview Proposed Client Intake Sheet - General
  • Preview Proposed Client Intake Sheet - General
  • Preview Proposed Client Intake Sheet - General

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FAQ

Health Care, SNAP, and TEA Submit a single application for an entire family online, by mail or phone, or in person at local county offices statewide. Renew your case or update information online.

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.?

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. The DCO-116 may be completed by the county office worker or by the client.

Call the Renew Arkansas hotline at 1-844-872-2660. Go online at access.arkansas.gov. Visit your local DHS county office to update your information (find your local office here)

Process for Redetermining Medicaid Medicaid members can also renew their information online at access.arkansas.gov, or by going in person to a DHS office. They can contact DHS by calling 1-844-872-2660.

Enrollment Status. Enter your assigned tracking number and Tax ID (Employee Identification Number or Social Security Number) to verify the current status of your enrollment application. For any further queries, please contact Provider enrollment at (501) 376-2211 or (800) 457-4454 option 0 then 3.

Call the Update Arkansas hotline at 1-844-872-2660. Go online at access.arkansas.gov. Visit their local DHS county office to update their information (find local offices here)

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

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Arkansas Proposed Client Intake Sheet - General