Who qualifies for Arhome in Arkansas?
Asked by: Dr. Kendra Boehm DVM | Last update: April 29, 2025Score: 4.2/5 (61 votes)
How do you qualify for assisted living in Arkansas?
- Age 21 through 64 with a physical disability.
- OR Age 65 and older.
- AND Meet established financial criteria.
- Meet nursing home admission criteria at the intermediate level.
- Have a need for at least one of the available services.
What is the difference between Arhome and Medicaid?
The ARHOME program uses Medicaid dollars to buy private health insurance for you. You're still covered by Medicaid, but your coverage is provided by one of two private health insurance carriers – Blue Cross Blue Shield or Ambetter.
What is the income limit for Archoices in Arkansas?
Financial Criteria: Income, Assets & Home Ownership. The applicant income limit is equivalent to 300% of the Federal Benefit Rate (FBR). This figure increases each January, and in 2025, is $2,901 / month.
How do I get paid to be a caregiver for a family member in Arkansas?
Arkansas Government Self-Direction/Independent Choices Program. The Independent Choices Program allows Medicaid beneficiaries to self-direct their care. Participants receive a monthly budget to manage their care needs, including hiring family members as paid caregivers.
What Can ARHOME Do for You? Unlocking Arkansas Medicaid's Secrets
What is the highest income to qualify for Medicaid 2024?
Parents of Dependent Children: Income limits for 2024 are reported as a percentage of the federal poverty level (FPL). The 2024 FPL for a family of three is $25,820. Other Adults: Eligibility limits for other adults are presented as a percentage of the 2024 FPL for an individual is $15,060.
Who is eligible for Arhome in Arkansas?
Arkansans between the ages of 19 and 64 who are not enrolled in Medicare and who earn less than 138 percent of the federal poverty level but more than 16 percent are eligible for ARHOME.
Can you make too much for Medicaid?
The income limits for Medicaid applicants can change depending on the state where they live, their marital status and the Medicaid program. In general, however, the income limits are low. In most states in 2025, the income limit for receiving long-term care at home or in a nursing home through Medicaid is $2,901/month.
What are the benefits of arhome?
ARHOME is a Medicaid program that offers eligible Arkansans private health insurance coverage. The insurance is offered through qualified health plans from Arkansas BlueCross BlueShield, Arkansas Health & Wellness (Ambetter), and QualChoice.
Can you own a home while on Medicaid?
Learn more about MERP. California eliminated their asset limit effective 1/1/24. While this means one's home is automatically safe from Medicaid while they are living, the home is not necessarily safe from Medicaid's Estate Recovery Program.
Does Arhome Medicaid cover dental?
For adults, Medicaid covers up to $500 per year of dental work, including X-rays and exams and surgical tooth pulling such as wisdom tooth extraction (with prior approval from Medicaid).
What disqualifies someone from assisted living?
If a senior could jeopardize the safety and health of other residents, the senior may be denied admission to an assisted living facility. Some of the most common conditions for disqualification include seniors who have severe memory impairments, who need extensive medical care, or who are bedridden.
Does Medicaid pay for assisted living in Arkansas?
Individuals in Level II Assisted Living Facilities are eligible for the full-range of Medicaid benefits. Room and board costs are not included in the waiver coverage. Assisted Living Facilities Medicaid requires an Intermediate Level of Care as determined by the Office of Long Term Care.
How do people afford to live in assisted living?
Senior living and care can be expensive, making it difficult for those on low or fixed incomes to afford housing. However, there are several ways to help bring the costs down. Government assistance programs, insurance, and veterans benefits, can all be used to cover senior living costs.
How often does Medicaid check your bank account?
Medicaid agencies can check your account balances for bank accounts at any financial institution you've used in the past five years. They will check when you submit an application and on an annual basis, but checks can occur at any time.
What are the four types of Medicaid?
- State-operated fee-for-service (FFS)
- Primary care case management (PCCM)
- Comprehensive risk-based managed care (MCO model)
- Limited-benefit plans.
What is the difference between Medicaid and Arhome?
The Arkansas Health and Opportunity for Me (ARHOME) program is Arkansas's program to provide Medicaid coverage to the new adult eligibility group created by the federal Affordable Care Act (ACA). The program operates as a demonstration waiver approved under the authority of Section 1115 of the Social Security Act.
How long does it take to qualify for Medicaid in Arkansas?
Typically, a Medicaid application takes 3 to 6 months to process, unless a disability determination needs to be made. The process time can also increase if the required documentation is not provided promptly. The Department of Human Services is responsible for administering the Medicaid program in Arkansas.
What happens if my income increases while on Medicaid?
Income changes: If your income increases due to employment, it may impact your Medicaid eligibility. Medicaid eligibility is often income-based, and if your income exceeds the allowable limits for your state, you may no longer qualify. It's important to report changes in income promptly to the Medicaid office.
Will I lose my Medicaid if I get Medicare?
People who have both Medicare and full Medicaid coverage are “dually eligible.” Medicare pays first when you're a dual eligible and you get Medicare-covered services. Medicaid pays last, after Medicare and any other health insurance you have.
How do you qualify for Medicaid if you make too much money?
States have the option to establish a “medically needy program” for individuals with significant health needs whose income is too high to otherwise qualify for Medicaid under other eligibility groups.