LITTLE ROCK – The Senate passed a new version of the Medicaid expansion program, which is one of the most important bills of this year’s session because of the number of people it benefits and the amount of money that it generates in Arkansas. In order to continue to receive enhanced federal Medicaid funding to address the COVID pandemic, states have to agree to halt all coverage terminations for the duration of the public health emergency, and all states have done so. It is an extension of the traditional Medicaid program, which subsidizes health care for low-income families, the elderly and people with disabilities. But it’s notable that Arkansas Works enrollment was still well below the level it had been a few years earlier. Here is where Arkansas has set its eligibility levels: You can get a Medicaid application online in English or Spanish, by visiting a Department of Human Services office in your county, or by calling 1-800-482-8988. Arkansas implemented Medicaid on Jan. 1, 1970. var income = Number(pre_income.replace(',','')) * income_multiplier; Kentucky had initially been part of the appeal, as that state’s work requirement had also been overturned, but Gov. Our private option helps low-income families pay for private health insurance. At that point, after thousands of people had already lost their coverage due to non-compliance with the work requirement (and/or simply not being able to navigate the reporting system), more than 12,000 enrollees had not reported their work to the state. var income_multiplier = jQuery('input[name=income_multiplier]:checked').val(); The new program would replace Arkansas Works, which serves more than 300,000 Arkansans.. See more videos about Videos, Arkansas, Arkansas Politics, Northwest Arkansas, Medicaid. Arkansas’ Medicaid expansion waiver allows the state to use Medicaid expansion funds to subsidize premiums for beneficiaries who purchase private health insurance through the health insurance marketplace. The state attributed the decrease in enrollment to a stronger economy and the state’s review of enrollees’ eligibility. var household_size = jQuery('select#household_size option:selected').val(); Asa Hutchinson and Republican lawmakers on Monday proposed overhauling Arkansas' Medicaid expansion to encourage recipients to work after the state's work requirement was halted by the courts and President Joe Biden's administration. Download Publication (pdf) March 2020. Both systems are also referred to as the Private Option, because Arkansas uses Medicaid funds to purchase private health insurance (QHPs, or qualified health plans) in the exchange for people who are eligible for expanded Medicaid (enrollees can pick from among available silver plans in their area, and Arkansas Medicaid pays the premiums). But as of January 1, 2017, enrolled in expanded Medicaid dropped to 310,951, following the state’s efforts to remove people from Medicaid who were no longer eligible from the program. The higher costs are due to increasing prescription costs (a nationwide issue) and higher utilization of healthcare services among Arkansas Medicaid expansion enrollees. In a special session in 2016 legislators added a work requirement, in order to win the necessary number of votes. Governor Hutchinson had expressed his intent to continue to push for more modifications to Arkansas Works under the Trump Administration. The Arkansas House of Representatives passed it at the end of March, and Governor Asa Hutchinson signed it into law in early April. var state_abbr = jQuery('input[name=state]:checked').val(); Enrolling Medicaid beneficiaries in private plans is significantly more expensive than using a traditional fee-for-service or Medicaid managed care approach. Premiums cannot exceed 2 percent of income, and enrollees will not be dropped from the plan if they don’t pay the premiums (the premium was $13/month in 2017, but grew to 2 percent of income in 2018 and beyond). They would have been switched instead to regular premium subsidies (and cost-sharing subsidies if they pick Silver plans) for plans purchased in the exchange. In comparison, the maximum out-of-pocket costs (in addition to premiums) for a person at that income level with a cost-sharing reduction plan is $2,600 in 2019. The Arkansas legislature passed S.B.3 and H.B.1003 in May 2017; Hutchinson signed them into law the next day. Also, Arkansas' Medicaid expansion is in jeopardy while a ballot initiative is launched in Mississippi. March 23, 2021. For 2017, the average per-enrollee cost approved by CMS increased to $570.50/month, which was a 9 percent increase over the per-enrollee cost in 2016. S.B.196 reauthorized Medicaid expansion in March 2017. In December 2016, CMS granted a five-year approval for Arkansas Works, and the state’s Medicaid expansion program continued — with some modifications — in 2017 (as noted above, Arkansas is seeking CMS approval to implement new modifications to Arkansas Works in 2018). According to the Kaiser Family Foundation, about 86.5 percent of Arkansas Medicaid beneficiaries were enrolled in Medicaid managed care as of 2014. Some 213,000 Arkansans have enrolled in the private option. }); Capping eligibility at the poverty level instead of 138 percent of the poverty level would have made 60,000 current Arkansas Works enrollees ineligible for coverage.
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