Authorizations
How to Become a Medicaid Provider for Home Care
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
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In Arkansas, the income limit is $2,982/month and the asset limit is $2,000 single. Arkansas sets the income limit for its long-term care Medicaid programs, including ARChoices in-home care, at three times the SSI payment for one person, which is $2,982 a month in 2026. Only the applicant's own income counts, and the applicant can have up to $2,000 in resources. People with income above the limit may still qualify through an income trust. A spouse who stays at home can keep part of the couple's resources and may receive part of the applicant's income.
| Program | Arkansas Medicaid long-term services and supports, including ARChoices in Homecare (1915(c) waiver), Living Choices Assisted Living and nursing facility care |
|---|---|
| Income limit (single applicant) | $2,982/month for a single applicant (300% of SSI; the state's LTSS page still shows the 2023 figure of $2,742) |
| How income is counted | special income limit (300% SSI) |
| Qualified income (Miller) trust used | Yes |
| Asset limit (single) | $2,000 single |
| Look-back period | 60 months |
Federal spousal impoverishment rules protect part of the couple's income and assets for the spouse who stays home. For 2026 the community spouse can keep between $32,532 and $162,660 in assets, depending on the state.
Once someone is financially eligible, home care is usually paid through a waiver or state plan program. See the Arkansas Medicaid waivers that pay for home care.
How to apply in Arkansas (Arkansas Department of Human Services (Division of County Operations determines eligibility; Division of Aging, Adult and Behavioral Health Services runs ARChoices))
The Arkansas DHS page still lists 2023 dollar amounts, so confirm the current income limit and spousal amounts with your county DHS office.
Authorizations
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
Operations
Private pay means higher rates and fast payment; Medicaid means steady volume at state-set rates with authorizations and EVV. Compare rates, cash timing and admin before you mix them.
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