Planes de salud de Medicaid en Arkansas

Servicios para miembros: 1-877-617-0390

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Aún no hay beneficios extra en la lista.

• Ambetter from Arkansas Health & Wellness (Centene Corporation) Obtenido el 2026-07-17

Arkansas does not run a classic everywhere-MCO Medicaid managed care system, so this file models two distinct pieces separately, matching how Arkansas DHS itself frames them rather than forcing one shape. Piece 1, ARHOME (Arkansas Health and Opportunity for Me): DHS's own December 12, 2025 Section 1115 renewal application (ar-arhome-renewal-application, humanservices.arkansas.gov) states DHS purchases insurance from six Qualified Health Plans (QHPs) administered by two health insurance carriers, and that beneficiaries who are not medically frail may choose a QHP, with DHS auto-assigning anyone who has not picked a plan within 42 days. This is a genuine, statewide, member-facing plan choice, so it is modeled as a real service_area/plans roster, geography statewide, with enrollment.choice_window_days quote-gate verified at 42. No source found (DHS pages, the Dec 12 2024 ARHOME Quarterly Report, or the Dec 2025 renewal application) describes a regional or county-varying QHP roster; every source describes the same six QHPs statewide, so statewide (not partial) is the honest read for the ARHOME piece itself, unlike NC's real regional split. The six current QHPs and their two parent carriers (Centene and Arkansas Blue Cross and Blue Shield) are quote-gate verified against the Dec 12, 2024 ARHOME Quarterly Report (ar-arhome-quarterly-report-1224), which states the carrier count directly and names all six QHPs on its enrollment charts: Centene: Ambetter, Centene QCA Health Plan, Centene: QualChoice Life and Health, BCBS: Arkansas Blue Cross Blue Shield, BCBS: Health Advantage, BCBS: Octave. The Dec 2025 renewal application independently corroborates the count is still current (six QHPs, two carriers) roughly a year later, so the roster is not stale. Piece 2, PASSE (Provider-led Arkansas Shared Savings Entity): the same Dec 2025 renewal application describes PASSE as serving only a small number of individuals with a serious mental illness or a confirmed need for Home and Community Based Services, identified through Arkansas's Independent Assessment, not a general-population plan choice the way ARHOME is. DHS's own PASSE pages never present a member-facing roster of PASSE entities to pick from the way the ARHOME quarterly reports present the six QHPs; assignment is need-based (an assessment places a member in a tier, then DHS assigns a PASSE), with only a post-assignment 90 day window to request a change. Per plans-v3-spec.md rule 1 (never force a frame the source does not support), PASSE therefore stays explainer-only prose here, with NO service_area or plans roster and no named PASSE entities in the explainer (naming a specific current roster of PASSE organizations would require the same quote-gated roster rigor as ARHOME, and no DHS page was found presenting PASSE that way, so the honest choice is to describe the mechanism only). explainer.model and explainer.passe_model are both quote-gate verified against the same renewal application. QUOTE-GATE VERIFIED: enrollment.portal_url, enrollment.portal_name, enrollment.phone (all against the DHS-101-Programs guide, ar-dhs-101-programs), enrollment.choice_window_days, areas.statewide.plans, explainer.model, and explainer.passe_model. Arkansas's enrollment portal, access.arkansas.gov, is itself an Angular single-page application that returns no readable server-rendered text over a plain fetch (the same host_not_allowlisted-adjacent problem GA.json documents for georgia-families.com, though here the host IS allowlisted, .gov, and passes check:plans' KNOWN_BROKER_HOSTS gate cleanly since it ends in .gov -- the limitation is fetch-infrastructure text extraction, not the host allowlist), so the portal_url/portal_name/phone facts instead cite DHS's own DHS 101 Programs guide, a fetchable PDF that states "How to Apply: Online at Access.Arkansas.gov, By phone at 855-372-1084" and separately "Access Arkansas Call Center: 1-855-372-1084 ... managing your case via the Access Arkansas online portal" -- the same fetchable-substitute-tier-1-source pattern GA.json uses. UNCITED / PROTOTYPE (same standing as TX.json/CA.json/NY.json/GA.json today): every per-plan field (member_phone, provider_directory_url, formulary_url, extra_benefits) was independently verified live on each carrier's own official site but is not yet bound by a quote-gated fact, so verified stays false for the whole file. Judgment calls: (1) QCA Health Plan and QualChoice Life and Health are both Centene subsidiaries sharing the qualchoice.com website and the same 1-800-235-7111 member line, but the state's own ARHOME quarterly reports track them as two separate QHPs with separate enrollment shares, so both are modeled as separate plan records rather than merged, matching the source's own framing. (2) Arkansas Blue Cross and Blue Shield, Health Advantage, and Octave are three separate BCBS-family QHP brands, each with its own directory/formulary URLs, but all three independently list the same 800-800-4298 ARHOME member services number on their own respective sites, so that shared number is used for all three rather than treated as suspicious duplication. (3) extra_benefits are populated only where a specific, concrete claim was independently confirmed on that exact plan's own page: Octave's Blue Wellness Rewards page states specific dollar amounts (used here); Arkansas Blue Cross and Blue Shield's and Health Advantage's own ARHOME pages confirm the same Blue Wellness Rewards program exists but without page-specific dollar detail, so those two entries stay general rather than borrowing Octave's numbers; Ambetter, QCA Health Plan, and QualChoice Life and Health mention rewards/wellness programs (My Health Pays Rewards, QCARE, QuicRewards) without concrete, independently confirmed specifics on their own pages, so extra_benefits is left empty for those three per plans-v3-spec.md rule 3 (omit rather than pad). quality.ncqa_rating is null for every plan (never verifiable, per rule 3); rating_source_url points at NCQA's own Medicaid Arkansas plan search as a general corroboration link, not a specific rating.

Servicios para miembros: 1-800-800-4298

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• Blue Wellness Rewards

  Arkansas Blue Cross and Blue Shield ARHOME members can earn Blue Wellness Rewards for completing preventive care and health activities, tracked through the Blueprint Portal.

• Arkansas Blue Cross and Blue Shield Obtenido el 2026-07-17

Arkansas does not run a classic everywhere-MCO Medicaid managed care system, so this file models two distinct pieces separately, matching how Arkansas DHS itself frames them rather than forcing one shape. Piece 1, ARHOME (Arkansas Health and Opportunity for Me): DHS's own December 12, 2025 Section 1115 renewal application (ar-arhome-renewal-application, humanservices.arkansas.gov) states DHS purchases insurance from six Qualified Health Plans (QHPs) administered by two health insurance carriers, and that beneficiaries who are not medically frail may choose a QHP, with DHS auto-assigning anyone who has not picked a plan within 42 days. This is a genuine, statewide, member-facing plan choice, so it is modeled as a real service_area/plans roster, geography statewide, with enrollment.choice_window_days quote-gate verified at 42. No source found (DHS pages, the Dec 12 2024 ARHOME Quarterly Report, or the Dec 2025 renewal application) describes a regional or county-varying QHP roster; every source describes the same six QHPs statewide, so statewide (not partial) is the honest read for the ARHOME piece itself, unlike NC's real regional split. The six current QHPs and their two parent carriers (Centene and Arkansas Blue Cross and Blue Shield) are quote-gate verified against the Dec 12, 2024 ARHOME Quarterly Report (ar-arhome-quarterly-report-1224), which states the carrier count directly and names all six QHPs on its enrollment charts: Centene: Ambetter, Centene QCA Health Plan, Centene: QualChoice Life and Health, BCBS: Arkansas Blue Cross Blue Shield, BCBS: Health Advantage, BCBS: Octave. The Dec 2025 renewal application independently corroborates the count is still current (six QHPs, two carriers) roughly a year later, so the roster is not stale. Piece 2, PASSE (Provider-led Arkansas Shared Savings Entity): the same Dec 2025 renewal application describes PASSE as serving only a small number of individuals with a serious mental illness or a confirmed need for Home and Community Based Services, identified through Arkansas's Independent Assessment, not a general-population plan choice the way ARHOME is. DHS's own PASSE pages never present a member-facing roster of PASSE entities to pick from the way the ARHOME quarterly reports present the six QHPs; assignment is need-based (an assessment places a member in a tier, then DHS assigns a PASSE), with only a post-assignment 90 day window to request a change. Per plans-v3-spec.md rule 1 (never force a frame the source does not support), PASSE therefore stays explainer-only prose here, with NO service_area or plans roster and no named PASSE entities in the explainer (naming a specific current roster of PASSE organizations would require the same quote-gated roster rigor as ARHOME, and no DHS page was found presenting PASSE that way, so the honest choice is to describe the mechanism only). explainer.model and explainer.passe_model are both quote-gate verified against the same renewal application. QUOTE-GATE VERIFIED: enrollment.portal_url, enrollment.portal_name, enrollment.phone (all against the DHS-101-Programs guide, ar-dhs-101-programs), enrollment.choice_window_days, areas.statewide.plans, explainer.model, and explainer.passe_model. Arkansas's enrollment portal, access.arkansas.gov, is itself an Angular single-page application that returns no readable server-rendered text over a plain fetch (the same host_not_allowlisted-adjacent problem GA.json documents for georgia-families.com, though here the host IS allowlisted, .gov, and passes check:plans' KNOWN_BROKER_HOSTS gate cleanly since it ends in .gov -- the limitation is fetch-infrastructure text extraction, not the host allowlist), so the portal_url/portal_name/phone facts instead cite DHS's own DHS 101 Programs guide, a fetchable PDF that states "How to Apply: Online at Access.Arkansas.gov, By phone at 855-372-1084" and separately "Access Arkansas Call Center: 1-855-372-1084 ... managing your case via the Access Arkansas online portal" -- the same fetchable-substitute-tier-1-source pattern GA.json uses. UNCITED / PROTOTYPE (same standing as TX.json/CA.json/NY.json/GA.json today): every per-plan field (member_phone, provider_directory_url, formulary_url, extra_benefits) was independently verified live on each carrier's own official site but is not yet bound by a quote-gated fact, so verified stays false for the whole file. Judgment calls: (1) QCA Health Plan and QualChoice Life and Health are both Centene subsidiaries sharing the qualchoice.com website and the same 1-800-235-7111 member line, but the state's own ARHOME quarterly reports track them as two separate QHPs with separate enrollment shares, so both are modeled as separate plan records rather than merged, matching the source's own framing. (2) Arkansas Blue Cross and Blue Shield, Health Advantage, and Octave are three separate BCBS-family QHP brands, each with its own directory/formulary URLs, but all three independently list the same 800-800-4298 ARHOME member services number on their own respective sites, so that shared number is used for all three rather than treated as suspicious duplication. (3) extra_benefits are populated only where a specific, concrete claim was independently confirmed on that exact plan's own page: Octave's Blue Wellness Rewards page states specific dollar amounts (used here); Arkansas Blue Cross and Blue Shield's and Health Advantage's own ARHOME pages confirm the same Blue Wellness Rewards program exists but without page-specific dollar detail, so those two entries stay general rather than borrowing Octave's numbers; Ambetter, QCA Health Plan, and QualChoice Life and Health mention rewards/wellness programs (My Health Pays Rewards, QCARE, QuicRewards) without concrete, independently confirmed specifics on their own pages, so extra_benefits is left empty for those three per plans-v3-spec.md rule 3 (omit rather than pad). quality.ncqa_rating is null for every plan (never verifiable, per rule 3); rating_source_url points at NCQA's own Medicaid Arkansas plan search as a general corroboration link, not a specific rating.

Servicios para miembros: 1-800-800-4298

No hay calificación disponible. Ver calificaciones NCQA ↗

• Blue Wellness Rewards

  Health Advantage ARHOME members can earn Blue Wellness Rewards for completing preventive care and health activities.

• Health Advantage Obtenido el 2026-07-17

Arkansas does not run a classic everywhere-MCO Medicaid managed care system, so this file models two distinct pieces separately, matching how Arkansas DHS itself frames them rather than forcing one shape. Piece 1, ARHOME (Arkansas Health and Opportunity for Me): DHS's own December 12, 2025 Section 1115 renewal application (ar-arhome-renewal-application, humanservices.arkansas.gov) states DHS purchases insurance from six Qualified Health Plans (QHPs) administered by two health insurance carriers, and that beneficiaries who are not medically frail may choose a QHP, with DHS auto-assigning anyone who has not picked a plan within 42 days. This is a genuine, statewide, member-facing plan choice, so it is modeled as a real service_area/plans roster, geography statewide, with enrollment.choice_window_days quote-gate verified at 42. No source found (DHS pages, the Dec 12 2024 ARHOME Quarterly Report, or the Dec 2025 renewal application) describes a regional or county-varying QHP roster; every source describes the same six QHPs statewide, so statewide (not partial) is the honest read for the ARHOME piece itself, unlike NC's real regional split. The six current QHPs and their two parent carriers (Centene and Arkansas Blue Cross and Blue Shield) are quote-gate verified against the Dec 12, 2024 ARHOME Quarterly Report (ar-arhome-quarterly-report-1224), which states the carrier count directly and names all six QHPs on its enrollment charts: Centene: Ambetter, Centene QCA Health Plan, Centene: QualChoice Life and Health, BCBS: Arkansas Blue Cross Blue Shield, BCBS: Health Advantage, BCBS: Octave. The Dec 2025 renewal application independently corroborates the count is still current (six QHPs, two carriers) roughly a year later, so the roster is not stale. Piece 2, PASSE (Provider-led Arkansas Shared Savings Entity): the same Dec 2025 renewal application describes PASSE as serving only a small number of individuals with a serious mental illness or a confirmed need for Home and Community Based Services, identified through Arkansas's Independent Assessment, not a general-population plan choice the way ARHOME is. DHS's own PASSE pages never present a member-facing roster of PASSE entities to pick from the way the ARHOME quarterly reports present the six QHPs; assignment is need-based (an assessment places a member in a tier, then DHS assigns a PASSE), with only a post-assignment 90 day window to request a change. Per plans-v3-spec.md rule 1 (never force a frame the source does not support), PASSE therefore stays explainer-only prose here, with NO service_area or plans roster and no named PASSE entities in the explainer (naming a specific current roster of PASSE organizations would require the same quote-gated roster rigor as ARHOME, and no DHS page was found presenting PASSE that way, so the honest choice is to describe the mechanism only). explainer.model and explainer.passe_model are both quote-gate verified against the same renewal application. QUOTE-GATE VERIFIED: enrollment.portal_url, enrollment.portal_name, enrollment.phone (all against the DHS-101-Programs guide, ar-dhs-101-programs), enrollment.choice_window_days, areas.statewide.plans, explainer.model, and explainer.passe_model. Arkansas's enrollment portal, access.arkansas.gov, is itself an Angular single-page application that returns no readable server-rendered text over a plain fetch (the same host_not_allowlisted-adjacent problem GA.json documents for georgia-families.com, though here the host IS allowlisted, .gov, and passes check:plans' KNOWN_BROKER_HOSTS gate cleanly since it ends in .gov -- the limitation is fetch-infrastructure text extraction, not the host allowlist), so the portal_url/portal_name/phone facts instead cite DHS's own DHS 101 Programs guide, a fetchable PDF that states "How to Apply: Online at Access.Arkansas.gov, By phone at 855-372-1084" and separately "Access Arkansas Call Center: 1-855-372-1084 ... managing your case via the Access Arkansas online portal" -- the same fetchable-substitute-tier-1-source pattern GA.json uses. UNCITED / PROTOTYPE (same standing as TX.json/CA.json/NY.json/GA.json today): every per-plan field (member_phone, provider_directory_url, formulary_url, extra_benefits) was independently verified live on each carrier's own official site but is not yet bound by a quote-gated fact, so verified stays false for the whole file. Judgment calls: (1) QCA Health Plan and QualChoice Life and Health are both Centene subsidiaries sharing the qualchoice.com website and the same 1-800-235-7111 member line, but the state's own ARHOME quarterly reports track them as two separate QHPs with separate enrollment shares, so both are modeled as separate plan records rather than merged, matching the source's own framing. (2) Arkansas Blue Cross and Blue Shield, Health Advantage, and Octave are three separate BCBS-family QHP brands, each with its own directory/formulary URLs, but all three independently list the same 800-800-4298 ARHOME member services number on their own respective sites, so that shared number is used for all three rather than treated as suspicious duplication. (3) extra_benefits are populated only where a specific, concrete claim was independently confirmed on that exact plan's own page: Octave's Blue Wellness Rewards page states specific dollar amounts (used here); Arkansas Blue Cross and Blue Shield's and Health Advantage's own ARHOME pages confirm the same Blue Wellness Rewards program exists but without page-specific dollar detail, so those two entries stay general rather than borrowing Octave's numbers; Ambetter, QCA Health Plan, and QualChoice Life and Health mention rewards/wellness programs (My Health Pays Rewards, QCARE, QuicRewards) without concrete, independently confirmed specifics on their own pages, so extra_benefits is left empty for those three per plans-v3-spec.md rule 3 (omit rather than pad). quality.ncqa_rating is null for every plan (never verifiable, per rule 3); rating_source_url points at NCQA's own Medicaid Arkansas plan search as a general corroboration link, not a specific rating.

Servicios para miembros: 1-800-800-4298

No hay calificación disponible. Ver calificaciones NCQA ↗

• Blue Wellness Rewards

  Octave ARHOME members can earn Blue Wellness Rewards for health activities, including $20 for an adult preventive care visit and $20 for using telehealth, paid onto a Wellth Rewards card.

• Octave (Arkansas Blue Cross and Blue Shield) Obtenido el 2026-07-17

Arkansas does not run a classic everywhere-MCO Medicaid managed care system, so this file models two distinct pieces separately, matching how Arkansas DHS itself frames them rather than forcing one shape. Piece 1, ARHOME (Arkansas Health and Opportunity for Me): DHS's own December 12, 2025 Section 1115 renewal application (ar-arhome-renewal-application, humanservices.arkansas.gov) states DHS purchases insurance from six Qualified Health Plans (QHPs) administered by two health insurance carriers, and that beneficiaries who are not medically frail may choose a QHP, with DHS auto-assigning anyone who has not picked a plan within 42 days. This is a genuine, statewide, member-facing plan choice, so it is modeled as a real service_area/plans roster, geography statewide, with enrollment.choice_window_days quote-gate verified at 42. No source found (DHS pages, the Dec 12 2024 ARHOME Quarterly Report, or the Dec 2025 renewal application) describes a regional or county-varying QHP roster; every source describes the same six QHPs statewide, so statewide (not partial) is the honest read for the ARHOME piece itself, unlike NC's real regional split. The six current QHPs and their two parent carriers (Centene and Arkansas Blue Cross and Blue Shield) are quote-gate verified against the Dec 12, 2024 ARHOME Quarterly Report (ar-arhome-quarterly-report-1224), which states the carrier count directly and names all six QHPs on its enrollment charts: Centene: Ambetter, Centene QCA Health Plan, Centene: QualChoice Life and Health, BCBS: Arkansas Blue Cross Blue Shield, BCBS: Health Advantage, BCBS: Octave. The Dec 2025 renewal application independently corroborates the count is still current (six QHPs, two carriers) roughly a year later, so the roster is not stale. Piece 2, PASSE (Provider-led Arkansas Shared Savings Entity): the same Dec 2025 renewal application describes PASSE as serving only a small number of individuals with a serious mental illness or a confirmed need for Home and Community Based Services, identified through Arkansas's Independent Assessment, not a general-population plan choice the way ARHOME is. DHS's own PASSE pages never present a member-facing roster of PASSE entities to pick from the way the ARHOME quarterly reports present the six QHPs; assignment is need-based (an assessment places a member in a tier, then DHS assigns a PASSE), with only a post-assignment 90 day window to request a change. Per plans-v3-spec.md rule 1 (never force a frame the source does not support), PASSE therefore stays explainer-only prose here, with NO service_area or plans roster and no named PASSE entities in the explainer (naming a specific current roster of PASSE organizations would require the same quote-gated roster rigor as ARHOME, and no DHS page was found presenting PASSE that way, so the honest choice is to describe the mechanism only). explainer.model and explainer.passe_model are both quote-gate verified against the same renewal application. QUOTE-GATE VERIFIED: enrollment.portal_url, enrollment.portal_name, enrollment.phone (all against the DHS-101-Programs guide, ar-dhs-101-programs), enrollment.choice_window_days, areas.statewide.plans, explainer.model, and explainer.passe_model. Arkansas's enrollment portal, access.arkansas.gov, is itself an Angular single-page application that returns no readable server-rendered text over a plain fetch (the same host_not_allowlisted-adjacent problem GA.json documents for georgia-families.com, though here the host IS allowlisted, .gov, and passes check:plans' KNOWN_BROKER_HOSTS gate cleanly since it ends in .gov -- the limitation is fetch-infrastructure text extraction, not the host allowlist), so the portal_url/portal_name/phone facts instead cite DHS's own DHS 101 Programs guide, a fetchable PDF that states "How to Apply: Online at Access.Arkansas.gov, By phone at 855-372-1084" and separately "Access Arkansas Call Center: 1-855-372-1084 ... managing your case via the Access Arkansas online portal" -- the same fetchable-substitute-tier-1-source pattern GA.json uses. UNCITED / PROTOTYPE (same standing as TX.json/CA.json/NY.json/GA.json today): every per-plan field (member_phone, provider_directory_url, formulary_url, extra_benefits) was independently verified live on each carrier's own official site but is not yet bound by a quote-gated fact, so verified stays false for the whole file. Judgment calls: (1) QCA Health Plan and QualChoice Life and Health are both Centene subsidiaries sharing the qualchoice.com website and the same 1-800-235-7111 member line, but the state's own ARHOME quarterly reports track them as two separate QHPs with separate enrollment shares, so both are modeled as separate plan records rather than merged, matching the source's own framing. (2) Arkansas Blue Cross and Blue Shield, Health Advantage, and Octave are three separate BCBS-family QHP brands, each with its own directory/formulary URLs, but all three independently list the same 800-800-4298 ARHOME member services number on their own respective sites, so that shared number is used for all three rather than treated as suspicious duplication. (3) extra_benefits are populated only where a specific, concrete claim was independently confirmed on that exact plan's own page: Octave's Blue Wellness Rewards page states specific dollar amounts (used here); Arkansas Blue Cross and Blue Shield's and Health Advantage's own ARHOME pages confirm the same Blue Wellness Rewards program exists but without page-specific dollar detail, so those two entries stay general rather than borrowing Octave's numbers; Ambetter, QCA Health Plan, and QualChoice Life and Health mention rewards/wellness programs (My Health Pays Rewards, QCARE, QuicRewards) without concrete, independently confirmed specifics on their own pages, so extra_benefits is left empty for those three per plans-v3-spec.md rule 3 (omit rather than pad). quality.ncqa_rating is null for every plan (never verifiable, per rule 3); rating_source_url points at NCQA's own Medicaid Arkansas plan search as a general corroboration link, not a specific rating.

Servicios para miembros: 1-800-235-7111

No hay calificación disponible. Ver calificaciones NCQA ↗

Aún no hay beneficios extra en la lista.

• QualChoice (QCA Health Plan, Inc. / Centene Corporation) Obtenido el 2026-07-17

Arkansas does not run a classic everywhere-MCO Medicaid managed care system, so this file models two distinct pieces separately, matching how Arkansas DHS itself frames them rather than forcing one shape. Piece 1, ARHOME (Arkansas Health and Opportunity for Me): DHS's own December 12, 2025 Section 1115 renewal application (ar-arhome-renewal-application, humanservices.arkansas.gov) states DHS purchases insurance from six Qualified Health Plans (QHPs) administered by two health insurance carriers, and that beneficiaries who are not medically frail may choose a QHP, with DHS auto-assigning anyone who has not picked a plan within 42 days. This is a genuine, statewide, member-facing plan choice, so it is modeled as a real service_area/plans roster, geography statewide, with enrollment.choice_window_days quote-gate verified at 42. No source found (DHS pages, the Dec 12 2024 ARHOME Quarterly Report, or the Dec 2025 renewal application) describes a regional or county-varying QHP roster; every source describes the same six QHPs statewide, so statewide (not partial) is the honest read for the ARHOME piece itself, unlike NC's real regional split. The six current QHPs and their two parent carriers (Centene and Arkansas Blue Cross and Blue Shield) are quote-gate verified against the Dec 12, 2024 ARHOME Quarterly Report (ar-arhome-quarterly-report-1224), which states the carrier count directly and names all six QHPs on its enrollment charts: Centene: Ambetter, Centene QCA Health Plan, Centene: QualChoice Life and Health, BCBS: Arkansas Blue Cross Blue Shield, BCBS: Health Advantage, BCBS: Octave. The Dec 2025 renewal application independently corroborates the count is still current (six QHPs, two carriers) roughly a year later, so the roster is not stale. Piece 2, PASSE (Provider-led Arkansas Shared Savings Entity): the same Dec 2025 renewal application describes PASSE as serving only a small number of individuals with a serious mental illness or a confirmed need for Home and Community Based Services, identified through Arkansas's Independent Assessment, not a general-population plan choice the way ARHOME is. DHS's own PASSE pages never present a member-facing roster of PASSE entities to pick from the way the ARHOME quarterly reports present the six QHPs; assignment is need-based (an assessment places a member in a tier, then DHS assigns a PASSE), with only a post-assignment 90 day window to request a change. Per plans-v3-spec.md rule 1 (never force a frame the source does not support), PASSE therefore stays explainer-only prose here, with NO service_area or plans roster and no named PASSE entities in the explainer (naming a specific current roster of PASSE organizations would require the same quote-gated roster rigor as ARHOME, and no DHS page was found presenting PASSE that way, so the honest choice is to describe the mechanism only). explainer.model and explainer.passe_model are both quote-gate verified against the same renewal application. QUOTE-GATE VERIFIED: enrollment.portal_url, enrollment.portal_name, enrollment.phone (all against the DHS-101-Programs guide, ar-dhs-101-programs), enrollment.choice_window_days, areas.statewide.plans, explainer.model, and explainer.passe_model. Arkansas's enrollment portal, access.arkansas.gov, is itself an Angular single-page application that returns no readable server-rendered text over a plain fetch (the same host_not_allowlisted-adjacent problem GA.json documents for georgia-families.com, though here the host IS allowlisted, .gov, and passes check:plans' KNOWN_BROKER_HOSTS gate cleanly since it ends in .gov -- the limitation is fetch-infrastructure text extraction, not the host allowlist), so the portal_url/portal_name/phone facts instead cite DHS's own DHS 101 Programs guide, a fetchable PDF that states "How to Apply: Online at Access.Arkansas.gov, By phone at 855-372-1084" and separately "Access Arkansas Call Center: 1-855-372-1084 ... managing your case via the Access Arkansas online portal" -- the same fetchable-substitute-tier-1-source pattern GA.json uses. UNCITED / PROTOTYPE (same standing as TX.json/CA.json/NY.json/GA.json today): every per-plan field (member_phone, provider_directory_url, formulary_url, extra_benefits) was independently verified live on each carrier's own official site but is not yet bound by a quote-gated fact, so verified stays false for the whole file. Judgment calls: (1) QCA Health Plan and QualChoice Life and Health are both Centene subsidiaries sharing the qualchoice.com website and the same 1-800-235-7111 member line, but the state's own ARHOME quarterly reports track them as two separate QHPs with separate enrollment shares, so both are modeled as separate plan records rather than merged, matching the source's own framing. (2) Arkansas Blue Cross and Blue Shield, Health Advantage, and Octave are three separate BCBS-family QHP brands, each with its own directory/formulary URLs, but all three independently list the same 800-800-4298 ARHOME member services number on their own respective sites, so that shared number is used for all three rather than treated as suspicious duplication. (3) extra_benefits are populated only where a specific, concrete claim was independently confirmed on that exact plan's own page: Octave's Blue Wellness Rewards page states specific dollar amounts (used here); Arkansas Blue Cross and Blue Shield's and Health Advantage's own ARHOME pages confirm the same Blue Wellness Rewards program exists but without page-specific dollar detail, so those two entries stay general rather than borrowing Octave's numbers; Ambetter, QCA Health Plan, and QualChoice Life and Health mention rewards/wellness programs (My Health Pays Rewards, QCARE, QuicRewards) without concrete, independently confirmed specifics on their own pages, so extra_benefits is left empty for those three per plans-v3-spec.md rule 3 (omit rather than pad). quality.ncqa_rating is null for every plan (never verifiable, per rule 3); rating_source_url points at NCQA's own Medicaid Arkansas plan search as a general corroboration link, not a specific rating.

Servicios para miembros: 1-800-235-7111

No hay calificación disponible. Ver calificaciones NCQA ↗

Aún no hay beneficios extra en la lista.

• QualChoice (QualChoice Life and Health Insurance Company, Inc. / Centene Corporation) Obtenido el 2026-07-17

Arkansas does not run a classic everywhere-MCO Medicaid managed care system, so this file models two distinct pieces separately, matching how Arkansas DHS itself frames them rather than forcing one shape. Piece 1, ARHOME (Arkansas Health and Opportunity for Me): DHS's own December 12, 2025 Section 1115 renewal application (ar-arhome-renewal-application, humanservices.arkansas.gov) states DHS purchases insurance from six Qualified Health Plans (QHPs) administered by two health insurance carriers, and that beneficiaries who are not medically frail may choose a QHP, with DHS auto-assigning anyone who has not picked a plan within 42 days. This is a genuine, statewide, member-facing plan choice, so it is modeled as a real service_area/plans roster, geography statewide, with enrollment.choice_window_days quote-gate verified at 42. No source found (DHS pages, the Dec 12 2024 ARHOME Quarterly Report, or the Dec 2025 renewal application) describes a regional or county-varying QHP roster; every source describes the same six QHPs statewide, so statewide (not partial) is the honest read for the ARHOME piece itself, unlike NC's real regional split. The six current QHPs and their two parent carriers (Centene and Arkansas Blue Cross and Blue Shield) are quote-gate verified against the Dec 12, 2024 ARHOME Quarterly Report (ar-arhome-quarterly-report-1224), which states the carrier count directly and names all six QHPs on its enrollment charts: Centene: Ambetter, Centene QCA Health Plan, Centene: QualChoice Life and Health, BCBS: Arkansas Blue Cross Blue Shield, BCBS: Health Advantage, BCBS: Octave. The Dec 2025 renewal application independently corroborates the count is still current (six QHPs, two carriers) roughly a year later, so the roster is not stale. Piece 2, PASSE (Provider-led Arkansas Shared Savings Entity): the same Dec 2025 renewal application describes PASSE as serving only a small number of individuals with a serious mental illness or a confirmed need for Home and Community Based Services, identified through Arkansas's Independent Assessment, not a general-population plan choice the way ARHOME is. DHS's own PASSE pages never present a member-facing roster of PASSE entities to pick from the way the ARHOME quarterly reports present the six QHPs; assignment is need-based (an assessment places a member in a tier, then DHS assigns a PASSE), with only a post-assignment 90 day window to request a change. Per plans-v3-spec.md rule 1 (never force a frame the source does not support), PASSE therefore stays explainer-only prose here, with NO service_area or plans roster and no named PASSE entities in the explainer (naming a specific current roster of PASSE organizations would require the same quote-gated roster rigor as ARHOME, and no DHS page was found presenting PASSE that way, so the honest choice is to describe the mechanism only). explainer.model and explainer.passe_model are both quote-gate verified against the same renewal application. QUOTE-GATE VERIFIED: enrollment.portal_url, enrollment.portal_name, enrollment.phone (all against the DHS-101-Programs guide, ar-dhs-101-programs), enrollment.choice_window_days, areas.statewide.plans, explainer.model, and explainer.passe_model. Arkansas's enrollment portal, access.arkansas.gov, is itself an Angular single-page application that returns no readable server-rendered text over a plain fetch (the same host_not_allowlisted-adjacent problem GA.json documents for georgia-families.com, though here the host IS allowlisted, .gov, and passes check:plans' KNOWN_BROKER_HOSTS gate cleanly since it ends in .gov -- the limitation is fetch-infrastructure text extraction, not the host allowlist), so the portal_url/portal_name/phone facts instead cite DHS's own DHS 101 Programs guide, a fetchable PDF that states "How to Apply: Online at Access.Arkansas.gov, By phone at 855-372-1084" and separately "Access Arkansas Call Center: 1-855-372-1084 ... managing your case via the Access Arkansas online portal" -- the same fetchable-substitute-tier-1-source pattern GA.json uses. UNCITED / PROTOTYPE (same standing as TX.json/CA.json/NY.json/GA.json today): every per-plan field (member_phone, provider_directory_url, formulary_url, extra_benefits) was independently verified live on each carrier's own official site but is not yet bound by a quote-gated fact, so verified stays false for the whole file. Judgment calls: (1) QCA Health Plan and QualChoice Life and Health are both Centene subsidiaries sharing the qualchoice.com website and the same 1-800-235-7111 member line, but the state's own ARHOME quarterly reports track them as two separate QHPs with separate enrollment shares, so both are modeled as separate plan records rather than merged, matching the source's own framing. (2) Arkansas Blue Cross and Blue Shield, Health Advantage, and Octave are three separate BCBS-family QHP brands, each with its own directory/formulary URLs, but all three independently list the same 800-800-4298 ARHOME member services number on their own respective sites, so that shared number is used for all three rather than treated as suspicious duplication. (3) extra_benefits are populated only where a specific, concrete claim was independently confirmed on that exact plan's own page: Octave's Blue Wellness Rewards page states specific dollar amounts (used here); Arkansas Blue Cross and Blue Shield's and Health Advantage's own ARHOME pages confirm the same Blue Wellness Rewards program exists but without page-specific dollar detail, so those two entries stay general rather than borrowing Octave's numbers; Ambetter, QCA Health Plan, and QualChoice Life and Health mention rewards/wellness programs (My Health Pays Rewards, QCARE, QuicRewards) without concrete, independently confirmed specifics on their own pages, so extra_benefits is left empty for those three per plans-v3-spec.md rule 3 (omit rather than pad). quality.ncqa_rating is null for every plan (never verifiable, per rule 3); rating_source_url points at NCQA's own Medicaid Arkansas plan search as a general corroboration link, not a specific rating.