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Questionnaire NameArkansas Works Amendment
DescriptionArkansas requests to amend their demonstration to limit income eligibility to less than or equal to 100 percent of the Federal Poverty Level (FPL) and initiate work requirements as a condition of eligibility. The state is also requesting elimination of the employer-sponsored insurance (ESI) premium assistance program and will no longer provide retroactive eligibility for the new adult group. The federal public comment period will be open from July 11, 2017 to August 10, 2017.
Response FromID: #232101 on Aug 1st 2017 3:04 pm
Arkansas Works Amendment

Arkansas Works Amendment

We encourage the public to submit their comments on Medicaid.gov as they relate to demonstrations open for public comments. In support of transparency and open government, all public comments received are immediately posted and are in the public domain. Center for Medicaid and CHIP Services staff will review all public comments posted and we reserve the discretion to delete comments that are generally understood as any of the following: obscene, profane, threatening, or otherwise inappropriate.

Refer to the Application

Open for Public Comment – 7/11/17 – 8/10/17

Please provide your comments here and/or attach below:

Dear Secretary Price: Thank you for the opportunity to Comment on the Arkansas 1115 Waiver Amended Application. We appreciate the intention of Arkansas Works to emphasize personal responsibility, promote work, and enhance program integrity. Our greatest concerns with the Arkansas Works 1115 Demonstration Waiver Application Amendment are 1) the elimination of retroactive eligibility and 2) the 100 percent of the federal poverty level (including the 5 percent disregard) enrollment cap for the expansion population. RECOMMENDATIONS • We propose that the application process be adjusted to allow for 90-days retroactive coverage from submission of application (as it is in current law - 42 U.S.C. §1396(a)(34)), allowing for provider reimbursement during the 90-day period prior to application if an applicant has medical bills during the current month or prior period. • We propose that the income limit be sustained at 138 percent of the federal poverty level, as required in TITLE II; Subtitle A; SEC. 2001 of the Patient Protection and Affordable Care Act to be considered Medicaid “expansion” and, therefore, eligible for enhanced federal funding. Attached is a detailed explanation supporting our recommendations.
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