Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 20 - Division of County Operations › Rule 016.20.00-013 - ARKids First - Revised to change the look back period for dropping Health Insurance from 1 year to 6 months

Current through Register Vol. 49, No. 6, June, 2024
'Standard of Need: In determining ARKids First eligibility,
				parents will be included irrthe need standard with their natural or adoptive
				children. -1 Normally, all'of the full siblings in
				the household will be included in the budget with their natural or adoptive
				parents. However, a parent or other relative may choose to exclude a child and
				that child's income from a case budget if inclusion of that child- and the
				child's income would cause ineligibility for the other children. Children may
				be excluded for other reasons, and the parent or relative who applies need not
				state the reason. An unborn child of a PW will not be counted in the standard
				of need.
9.
Resources:
No resource test exists for the ARKids
			 First category.
* 10.
Health Insurance
: Children who are covered, or who
			 have been covered by primary comprehensive health insurance (as defined in item
			 c. below), other than Medicaid, within the 6 months preceding the date of
			 application will not be eligible for services in the ARKids First category
			 unless one of the conditions below is met:
a)
			 The'health insurance is a non-group or non-employer sponsored plan.
b) The health insurance was lost through
			 termination of employment for any reason or through no fault of the applicant.
			 For example, health insurance is lost through no fault of the applicant if the
			 employer ceases to provide employer sponsored health insurance.
c) The health insurance is not primary
			 comprehensive. Primary comprehensive health insurance is defined as insurance
			 that covers both physician and hospital charges.
d) The health insurance coverage is available
			 to a child through a person other than the child's custodial adult and is
			 determined to be inaccessible (e.g., the absent parent lives out of the state
			 and covers the child on his of her HMO which the child cannot access due to
			 distance). This determination will be made on a case-by-case basis by the
			 ARKids First worker based on information provided by the applicant.
If a parent or guardian voluntarily terminates insurance for a
				reason other than listed above within the 6 months preceding application, his
				or her children will be ineligible.
The Central Office Eligibility Unit will accept the applicant's
				declaration regarding his or her health insurance coverage, unless they are
				claiming one of the above exceptions or the worker has contradictory
				information or the applicant's circumstances make the declaration questionable
				(e.g., the applicant reports earnings from an employer who customarily provides
				group health insurance).
2340
Application
			 Process
2341
Right to Apply
All individuals who wish to apply will be given the opportunity
				to do so without delay. No application or inquiry will be ignored. The Agency
				has the responsibility to follow up on any request for medical assistance and
				to make arrangements for completion of the
				application.