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Individual and family

If you have a Metallic plan for yourself or your family as well as dental or vision plans for Arkansas residents, look here for your member information.

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If you're covered by the ARHOME program, find information on your requirements, rewards program, FAQs and more.


InterQual® Coverage Policy Guidelines

The InterQual® guidelines are used by our utilization management team to help assess whether a given medical condition and known or represented circumstances of a case support medical service(s) as the most appropriate treatment, or whether the medical condition/circumstances presented could be appropriately addressed with an alternative treatment. Use the self-registration tool at the link to create a login and view the criteria. Individuals without an email address should contact the plan to receive the criteria information via mail.

View guidelines