Member Resources

Many of our member resources can be found by logging into your online member account. Click Login to create an account and access a wide array of resources!

Find maternal health tips, resources and more for your baby and you.

Maternal Health Resources

Quick Reference Guide (QRG)

Reference Materials

Auto Bill Pay Terms and Conditions (PDF)
Dr. Office Visit Checklist (PDF)
Get Your Flu Shot
Preventive Care Guide (PDF)
Primary Care Physician Visit Checklist (PDF)
Quality Improvement (QI) Program
Statement of Non-Discrimination
Balance Billing Disclosures
2025 Transparency Notice
2024 Transparency Notice
Where To Go For Care
Women's Health and Cancer Rights Act Annual Notice
Interoperability and Patient Access
Cost Comparison Tool
PCMH Practitioners List (PDF)
- The patient-centered medical home (PCMH) is a model of care that places patients at the center of their care journeys, enhancing the level of care they receive by transforming how it is organized and delivered. According to the Centers for Disease Control and Prevention (CDC), this model has been shown to improve chronic disease management, patient and provider satisfaction, and preventive care efforts. It has also been shown to increase cost savings and improve the overall quality of care that patients receive. Providers that are recognized as PCMHs are committed to continuous quality improvement with patients as the primary focus.

ARHOME Members

Cost Share Information
- The Arkansas Medicaid program covers medical costs for illness and medical emergencies. You may be required to pay a small amount for these services. Information about these out-of-pocket costs, such as copays, can be found using the Cost Sharing Information link.
Fee for Service Dental and Vision Information
- AR Home members are entitled to some benefits for vision and dental services. For more information about these benefits, visit the Fee for Service Dental and Vision Information link above.
Non-Emergency Transportation Information
- The Non-Emergency Transportation (NET) Program provides transportation to and from doctor appointments and other Medicaid-covered services. More information on requirements for these services and how to schedule a ride can be found using the Non-Emergency Transportation Information link.

Educational Materials

Mental & Behavioral Health Materials

Forms

Dental Member Reimbursement Form (PDF)

Revocation of Authorization to Disclose Health Information (PDF)

Member Transplant Travel Reimbursement Policy (PDF)

Authorization Representative Designation Form (PDF)

Handbooks & Forms for Members | Ambetter from Arkansas Health & Wellness

Member Resources

Quick Reference Guide (QRG)

Reference Materials

ARHOME Members

Educational Materials

Mental & Behavioral Health Materials

Forms

Authorization to Disclose Health Information Form

Grievance, Appeal, Concern or Recommendation Form

Member Reimbursement Medical Claim Form

Dental Member Reimbursement Form

Prescription Claim Reimbursement Form

Revocation of Authorization to Disclose Health Information

Donor Travel Reimbursement Form

Recipient Travel Reimbursement Form

Member Transplant Travel Reimbursement Policy

Authorization Representative Designation Form