What Does Arkansas Medicaid Cover for Adults

Arkansas Medicaid is a government-sponsored health insurance option for adults with low incomes and limited assets. It provides a range of healthcare services, including medical, dental, vision, and mental health care. To be eligible for Arkansas Medicaid, adults must meet certain criteria, such as income limits. Coverage for adults may include doctor visits, hospital stays, prescription drugs, and other medical care. Arkansas Medicaid also covers long-term care services such as nursing home care and home health care. Additionally, there are programs available to help with the cost of premiums and copayments.

Arkansas Medicaid Eligibility for Adults

To qualify for Arkansas Medicaid as an adult, you must meet certain eligibility requirements. These requirements include:

  • Being a U.S. citizen or a qualified non-citizen.
  • Being a resident of Arkansas.
  • Meeting income and asset limits.
  • Not being eligible for Medicare or other health insurance.

Income and asset limits vary depending on your household size and composition. In general, you must have a monthly income below 138% of the federal poverty level (FPL) and assets below $2,000 for an individual or $3,000 for a couple.

If you meet the eligibility requirements, you can apply for Arkansas Medicaid online, by mail, or in person at your local county office.

Arkansas Medicaid Coverage for Adults

Arkansas Medicaid provides a wide range of health care benefits to eligible adults, including:

  • Doctor visits
  • Hospital care
  • Prescription drugs
  • Mental health services
  • Substance abuse treatment
  • Dental care
  • Vision care
  • Transportation to medical appointments

The specific benefits that you are eligible for will depend on your individual needs and circumstances.

Benefit Covered Services
Doctor visits Routine checkups, sick visits, and specialist care
Hospital care Inpatient and outpatient care, including surgery
Prescription drugs Most prescription drugs, including brand-name and generic drugs
Mental health services Individual and group therapy, counseling, and medication management
Substance abuse treatment Inpatient and outpatient treatment, including detoxification and counseling
Dental care Cleanings, fillings, and extractions
Vision care Eye exams, glasses, and contact lenses
Transportation to medical appointments Transportation to and from medical appointments, including ambulance transportation

If you are eligible for Arkansas Medicaid, you will receive a Medicaid card that you can use to access covered services. You will be responsible for paying a small copayment for some services, such as doctor visits and prescription drugs.

Arkansas Medicaid Coverage for Adults: Covered Medical Services and Supplies

Arkansas Medicaid provides comprehensive healthcare coverage to eligible adults, including low-income individuals, families, pregnant women, and people with disabilities. This program covers various medical services and supplies essential for maintaining good health and well-being.

Covered Medical Services

  • Doctor visits: Routine checkups, consultations, and treatment for various illnesses and injuries.
  • Hospital care: Inpatient and outpatient hospital services, including surgery, emergency care, and rehabilitation.
  • Prescription drugs: Coverage for a wide range of prescription medications, including generic and brand-name drugs.
  • Dental care: Basic dental services, such as cleanings, fillings, and extractions.
  • Vision care: Routine eye exams, eyeglasses, and contact lenses.
  • Mental health services: Diagnosis and treatment of mental health conditions, including therapy, counseling, and medication.
  • Substance abuse treatment: Services for individuals struggling with addiction, including detoxification, counseling, and rehabilitation.
  • Physical therapy: Treatment for injuries, chronic pain, and mobility issues.
  • Occupational therapy: Assistance with daily activities for individuals with disabilities.
  • Speech therapy: Services to improve speech and language skills.

Covered Medical Supplies

In addition to medical services, Arkansas Medicaid also covers a range of medical supplies essential for managing various health conditions.

  • Durable medical equipment: Items such as wheelchairs, walkers, hospital beds, and oxygen tanks.
  • Prosthetics: Artificial limbs, eyes, and other devices to replace lost or damaged body parts.
  • Orthotics: Braces, splints, and other devices to support or correct body parts.
  • Hearing aids: Devices to improve hearing.
  • Blood sugar monitors: Devices for individuals with diabetes to manage their blood sugar levels.
  • Test strips: Supplies for testing blood sugar levels.
  • Insulin: Medication for individuals with diabetes.
  • Ostomy supplies: Items such as pouches, barriers, and irrigation kits for individuals with ostomies.

The specific services and supplies covered by Arkansas Medicaid may vary depending on an individual’s eligibility and health needs. For more detailed information, individuals can contact the Arkansas Department of Human Services or visit their website.

Summary Table of Covered Services and Supplies

The following table provides a summary of the covered medical services and supplies under Arkansas Medicaid for adults:

Medical Services Medical Supplies
Doctor visits Durable medical equipment
Hospital care Prosthetics
Prescription drugs Orthotics
Dental care Hearing aids
Vision care Blood sugar monitors
Mental health services Test strips
Substance abuse treatment Insulin
Physical therapy Ostomy supplies
Occupational therapy
Speech therapy

Mental Health and Substance Abuse Coverage

Arkansas Medicaid provides coverage for a wide range of mental health and substance abuse services for adults. These services are provided through a network of providers, including hospitals, clinics, and private practitioners.

The exact services that are covered by Medicaid vary depending on the individual’s needs and the provider they see, although, some of the main benefits include the following:

  • Inpatient and outpatient mental health services, such as counseling, psychotherapy, and medication management.
  • Substance abuse treatment services, such as detoxification, counseling, and medication management.
  • Psychiatric medications.

In addition to these specific services, Medicaid also covers a range of other services that can help adults with mental health or substance abuse disorders, including the following:

  • Transportation to and from appointments.
  • Child care during appointments.
  • Case management services.
  • Employment assistance.
  • Housing assistance.

The table below provides a summary of the mental health and substance abuse benefits covered by Arkansas Medicaid for adults.

Service Covered by Medicaid
Inpatient mental health services Yes
Outpatient mental health services Yes
Substance abuse treatment services Yes
Psychiatric medications Yes
Transportation to and from appointments Yes
Child care during appointments Yes
Case management services Yes
Employment assistance Yes
Housing assistance Yes

Long-Term Care and Nursing Home Coverage

Arkansas Medicaid offers comprehensive coverage for long-term care services to adults aged 21 and older, including nursing home care, home health care, assisted living, and other community-based services.

Who is eligible for long-term care services through Arkansas Medicaid?

  • Individuals aged 21 and older
  • Meet the financial and medical eligibility criteria

What services are covered under Arkansas Medicaid’s long-term care program?

  • Nursing home care: Skilled nursing care, custodial care, and rehabilitative services provided in a nursing facility
  • Home health care: Skilled nursing care, physical therapy, occupational therapy, speech-language pathology, and homemaker services provided in the individual’s home
  • Assisted living: Personal care services, medication management, and social and recreational activities provided in a residential setting
  • Other community-based services: Adult day care, respite care, and other services that help individuals remain in their community

How do I apply for long-term care services through Arkansas Medicaid?

  • Contact the Arkansas Department of Human Services (DHS) at 1-800-482-9270
  • Apply online through the DHS website
  • Visit a local DHS office
Arkansas Medicaid Long-Term Care Services Coverage Summary
Service Covered Services Eligibility Requirements
Nursing Home Care Skilled nursing care, custodial care, rehabilitative services Meet financial and medical criteria, need skilled nursing care
Home Health Care Skilled nursing care, physical therapy, occupational therapy, speech-language pathology, homemaker services Meet financial and medical criteria, homebound, need skilled care
Assisted Living Personal care services, medication management, social and recreational activities Meet financial and medical criteria, need assistance with activities of daily living
Other Community-Based Services Adult day care, respite care, other services that help individuals remain in their community Meet financial and medical criteria, need assistance with activities of daily living