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Request for Exception to the Authorized Representative (AR)

Request for Exception to the Authorized Representative (AR) 2025

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The document outlines the process for requesting an exception to designate an Authorized Representative (AR) for school districts and sub-recipients of federal and state grants. It details the roles of the Board of Trustees, district superintendent, principal, and county superintendent in acting as AR, and provides a form for trustees to assign or reverse an AR designation. The form must be submitted to the Office of Public Instruction (OPI) along with official meeting minutes authorizing the change.

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What is the phone number for Arkansas Medicaid prior authorization?

Required Documents: Proof of identity (drivers license, state ID) Proof of citizenship or legal alien status (if applicable) Proof of income for all household members (pay stubs, tax returns) Proof of Arkansas residency (utility bill, lease agreement) Verification of disability (if applicable)

What documents do you need to file for Medicaid?

What documents and information do you need for your Medicaid application? Your name and date of birth. Your Social Security number. Your monthly payment amounts for rent, mortgage, or utilities. Proof of citizenship or immigration status. Proof of income, like paystubs or W-2s.

What documents do I need to apply for Medicaid in Arkansas?

If you submit paper claims, you must use your Arkansas Medicaid Provider ID. Paper claims submitted with only an NPI will be returned for correction. If you submit claims on paper, use the CMS-1500, CMS-1450, or dental claim form.

What documents are needed to apply for Medicaid in Arkansas?

When you go to the county office to apply, bring: your birth certificate or other proof of your age. paycheck stubs. Social Security Card. letters or forms from Social Security, SSI, Veterans Administration, or other sources that show the amount of income that you get insurance policies, even other health insurance.

How long does it take to process a Medicaid application in Arkansas?

Typically, a Medicaid application takes 3 to 6 months to process, unless a disability determination needs to be made. The process time can also increase if the required documentation is not provided promptly. The Department of Human Services is responsible for administering the Medicaid program in Arkansas.

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