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How Do I Apply?

How Do I Apply?

To apply for Medicaid, go to the Department of Human Services (DHS) office in the county where you live. If you are not able to go, a family member or friend may apply for you. You must sign an application form and give certain information about yourself and your family, how much money you make, and any other money or property you have. The county office will determine your eligibility.

You can print a Medicaid Application Form from the Division of County Operations on the DHS website (HTML, new window)

When you go to the county office to apply for Medicaid, bring the following information about yourself and your family members who live with you:

  • Proof of your age such as a birth certificate, driver’s license or a birth record from the hospital
  • Paycheck stubs for everyone in your household who has a job
  • Social Security card
  • Letters or forms from Social Security, SSI, Veteran’s Administration, or other sources that show the amount of your income
  • Insurance policies, including other health insurance policies
  • Bank books or other papers that show the amount of money or property you own

When you apply for Medicaid, DHS workers will explain the ConnectCare program and ask you to select your primary care physician.