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HEALTHCARE PORTAL JOB + AID ARMEDICAID HEALTHCARE PORTAL JOB+AID: ELIGIBILITY VERIFICATION | PAGE 1 OF 10 PROVIDER PORTAL: Eligibility Verification Ê Ê Go to the portal landing page and log in using your User ID and password. If you do not have a User ID and password, click Register Now or see the JOB+AID Registering on the Portal.” If you have already logged in, skip to step 2.

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HEALTHCARE PORTAL JOB+AID

ARMEDICAID HEALTHCARE PORTAL JOB+AID: ELIGIBILITY VERIFICATION | PAGE 1 OF 10

PROVIDER PORTAL: Eligibility Verification

Ê

Ê Go to the portal landing page and log in using your User ID and password. If you do not have a User ID and password, click Register Now or see the JOB+AID “Registering on the Portal.”

If you have already logged in, skip to step 2.

HEALTHCARE PORTAL JOB+AID

ARMEDICAID HEALTHCARE PORTAL JOB+AID: ELIGIBILITY VERIFICATION | PAGE 2 OF 10

PROVIDER PORTAL: Eligibility Verification (CONTINUED)

Ë Click on the Eligibility tab

Ì Click on the Eligibility Verification link

Ë

Ì

HEALTHCARE PORTAL JOB+AID

ARMEDICAID HEALTHCARE PORTAL JOB+AID: ELIGIBILITY VERIFICATION | PAGE 3 OF 10

PROVIDER PORTAL: Eligibility Verification (CONTINUED)

If Beneficiary ID is known:Í Enter the Beneficiary ID, Birth Date, Effective From and Effective To dates.

If Beneficiary ID is not known, enter at least two of the following:Î Enter Social Security Number, First and Last Name and Date of Birth

Ï Enter Effective Date (NOTE: Effective Date is a required field. Date cannot be in the future.)

Ð Click Submit. Depending on your beneficiary’s status, you will see different detail information.

Í

ÎÏÐ

HEALTHCARE PORTAL JOB+AID

ARMEDICAID HEALTHCARE PORTAL JOB+AID: ELIGIBILITY VERIFICATION | PAGE 4 OF 10

PROVIDER PORTAL: Eligibility Verification (CONTINUED)

Initial view of verification screen.

Use the “+” sign to access additional information.

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HEALTHCARE PORTAL JOB+AID

ARMEDICAID HEALTHCARE PORTAL JOB+AID: ELIGIBILITY VERIFICATION | PAGE 5 OF 10

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Verification screen of limit details8b

PROVIDER PORTAL: Eligibility Verification (CONTINUED)

HEALTHCARE PORTAL JOB+AID

ARMEDICAID HEALTHCARE PORTAL JOB+AID: ELIGIBILITY VERIFICATION | PAGE 6 OF 10

PROVIDER PORTAL: Eligibility Verification (CONTINUED)

Verification screen with Tier Level Details section expanded

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HEALTHCARE PORTAL JOB+AID

ARMEDICAID HEALTHCARE PORTAL JOB+AID: ELIGIBILITY VERIFICATION | PAGE 7 OF 10

PROVIDER PORTAL: Eligibility Verification (CONTINUED)

Verification screen with Medicare/TPL section expanded

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HEALTHCARE PORTAL JOB+AID

ARMEDICAID HEALTHCARE PORTAL JOB+AID: ELIGIBILITY VERIFICATION | PAGE 8 OF 10

PROVIDER PORTAL: Eligibility Verification (CONTINUED)

Verification screen with EPSDT section expanded

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HEALTHCARE PORTAL JOB+AID

ARMEDICAID HEALTHCARE PORTAL JOB+AID: ELIGIBILITY VERIFICATION | PAGE 9 OF 10

PROVIDER PORTAL: Eligibility Verification (CONTINUED)

Verification screen with ARKids B section expanded

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HEALTHCARE PORTAL JOB+AID

ARMEDICAID HEALTHCARE PORTAL JOB+AID: ELIGIBILITY VERIFICATION | PAGE 10 OF 10

For more information, call 1-800-457-4454or email [email protected]

PROVIDER PORTAL: Eligibility Verification (CONTINUED)

Ò

Ò The Eligibility Verification Information section outlines the plan coverage of the beneficiary

AFMC DEVELOPED THIS MATERIAL UNDER CONTRACT WITH DXC TECHNOLOGY AND THE ARKANSAS DEPARTMENT OF HUMAN SERVICES, DIVISION OF MEDICAL SERVICES. WE ARE NOT PROVIDING LEGAL OR PROFESSIONAL MEDICAL ADVICE. WE MAKE NO WARRANTY, EXPRESSED OR IMPLIED, ON ANY SUBJECT INCLUDING COMPLETENESS AND FITNESS OF THE INFORMATION FOR ANY PURPOSE. THE INFORMATION PRESENTED IN THIS MATERIAL IS CONSISTENT WITH DHS POLICY AS OF SEPTEMBER 2017.

IF ANY ARKANSAS DHS POLICY CHANGES MADE AFTER SEPTEMBER 2017 ARE INCONSISTENT WITH THIS MATERIAL, THE POLICY CONTROLS. ARKANSAS DHS IS IN COMPLIANCE WITH TITLES VI AND VII OF THE CIVIL RIGHTS ACT. REVISED JANUARY 2020.