Member Benefits
Arkansas Total Care will cover your behavioral health needs. You may go to any behavioral health provider in our network. Be sure to look at the provider list located on this website. Or call Member Services. Behavioral healthcare includes care for people who abuse drugs or alcohol. It also includes other behavioral health services. You can get help for drug and alcohol abuse for yourself or your child. Please call 1-866-282-6280 or TTY: 711. You do not need a referral from a doctor for these services. We will help you find the right provider. Call 1-866-282-6280 or TTY: 711 to get help right away. You can call 24 hours a day, seven days a week.
Arkansas Total Care provides services for intellectual and developmental disabilities and behavioral health. You will work with a Care Coordinator. They will help you with your providers. Your Care Coordinator will be your primary point of contact with Arkansas Total Care.
After you become an Arkansas Total Care member, your Care Coordinator will call you within 15 business days after you become a member. Your Care Coordinator will also contact you to arrange a time to meet with you in person. The Care Coordinator will complete a health and service assessment when you meet. TheyHe/she will also provide you with a copy of your current services plan.
Care Coordinators can help you with the following:
- Finding a primary care provider (PCP).
- Scheduling an appointment with your PCP.
- Health education and coaching.
- Coordination with other healthcare providers for diagnostics, ambulatory care, and hospital services.
- Assistance with social determinants of health. It This includes access to healthy food and exercise.
- Promotion of activities focused on the health of a patient and their community. It includes without limitation: outreach, quality improvement, and patient panel management.
- Coordination of community-based management of medication therapy.
- Filinge grievances and appeals.
- Getting interpretation services.
- Finding a doctor or specialist.
- Reporting a potential fraud issue.
- Getting a copy of member materials, including materials in another language or format.
- Transportation services.
- Creating behavioral health treatment, nutrition, housing, work, justice system-related, or child welfare plan.
Medical care addresses only a part of a person’s needs. But Person-Centered Planning uses a more personal approach. We get to know who you are first. We can better support your needs this way. Person-Centered Planning is directed by you and the people you choose. It helps to identify your strengths, preferences, and needs.
First, you choose who you want to be in on your person-centered team. Family members, friends, your doctors, and others who know about your life are all good choices. Once you put your team together, you will schedule your Person-Centered Planning meeting. The meeting will be set at a time and place that works best for you. You will have as much control as you want, and you can get help from the people you trust. A Ccare Ccoordinator will be there to help guide you through the process.
The PASSE must authorize all services, including HCBS, based on a member’s current needs assessment, and consistent with the member’s PCSP.
As a member of Arkansas Total Care, you may be eligible for a SafeLink phone. This is a federal program that gives qualifying members a free cell phone. It comes with 1,000 minutes and unlimited texts per month.
The SafeLink program gives you the ability to make and receive calls. You can receive calls from your doctors, nurses, pharmacy, 911, family, and friends. As part of Arkansas Total Care’s SafeLink program, you will have unlimited calling to Arkansas Total Care’s toll-free number 1-866-282-6280.
You can call Arkansas Total Care’s Member Services or Case Managers. It will not count towards your minutes when you call 1-866-282-6280. If you are in case management, your Case Manager may have more SafeLink minutes loaded to your SafeLink phone.
Arkansas Total Care lists all providers in the network on the website at ArkansasTotalCare.com. On the Find A Provider tab, you will see a list of doctors and hospitals. You will also see the doctor’s contact information and their specialty. Our Provider Directory will show the addresses and phone numbers. It also shows any languages the provider may speak. When picking a PCP, look for one of the following kinds of providers:
- Family Practitioner
- General Practitioner
- Internal Medicine
- Nurse Practitioner
- Obstetrician/Gynecologist (OB/GYN)
- Physician Assistants
- Pediatrician
Specialists can be your PCP for special needs, upon request. Arkansas Total Care is always working to have the best provider network for our members. New doctors are added daily. Please check the Arkansas Total Care website to see if new providers have been added. Please call Member Services at 1-866-282-6280 or TTY: 711 to get a free copy of our provider directory. You can also call us to learn more about the PCP before you choose. Women have direct access to women’s health specialists in addition to their PCP, if their PCP is not a women’s health specialist.
The Nurse Advice Line is a free health information phone line. You can call to get answer to your health questions 24 hours a day, 365 days a year. The registered nurses answering the calls have spent a lot of time caring for people. They are ready and eager to help you.
The services listed below are available by calling 1-866-282-6280 or TTY: 711:
- Medical advice
- Health information library
- Answers to questions about your health
- Advice about a sick child
- Help with scheduling PCP appointments
- Translation services
Sometimes you may not be sure if you need to go to the emergency room (ER). Call the Nurse Advice Line. They can help you decide where to go for care. If you have an emergency, call 911 or go to the nearest ER.
Start Smart for Your Baby (Start Smart) is our special program for women who are pregnant. Arkansas Total Care wants to help you take care of yourself and your baby through your whole pregnancy. You can get connected to Start Smart benefits by contacting your Care Coordinator. Our Start Smart staff can answer questions and give you support if you are having a problem. We can even arrange for a home visit, if needed.
If you are pregnant and smoke cigarettes, Arkansas Total Care can help you stop smoking. We have a special smoking cessation program for pregnant women. It is available at no cost to you. The program has trained healthcare clinicians who will provide education and counseling. They can also help you quit smoking. You and your health coach can develop a plan over the phone to make changes in your behavior and lifestyle. These coaches will encourage and motivate you to stop smoking.
Arkansas Total Care has a free service to help members who do not speak English. This service is very important. You and your doctor must be able to talk about your medical or behavioral health concerns in a way you both can understand. Our interpreter services are free to you and can help with many different languages. This includes sign language. We also have Spanish-speaking representatives available who can help you as needed. Arkansas Total Care members who are blind or visually impaired can call Member Services for an oral interpretation. Video or Telephone Relay interpretation services should call Member Services at 1-866-282-6280 or TTY: 711.