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Members

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.

Visit individual and family

ARHOME

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

Visit ARHOME

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