Transitioning Individuals >100% FPL to the Marketplace
1 Arkansas Works Overview Work And Community Engagement Requirement Arkansas Works Populations & Work and Community Engagement Requirement 2 Arkansas Works enrollees will fall into three categories for work and community engagement requirement Not Subject to Work & Community Engagement Requirement 1 Enrollees age 50 or older Work requirement does not apply beginning the month in which the enrollee turns 50 Not at risk for losing Medicaid coverage Subject to Work & Community Engagement Requirement 2 Exempt Enrollees age 19-49* Meet an exemption not required to report work activities Not at risk for losing Medicaid coverage 3 Required to Report Work Activities Enrollees age 19-49* Do not meet an exemption
Will lose Medicaid coverage at the end of the 3rd month of non-compliance *Work Requirement will not apply to enrollees ages 19-29 in 2018, but will apply in future years Exemptions Subject to Work & Community Engagement Requirement 2 Exempt Enrollees age 19-49 3 Criteria Validation Approach Identify at Application or using State data? State Verifies Information Currently receiving a SNAP exemption Validated against state data every 30 days Receiving TEA Cash Assistance Validated against state data every 30 days Y Y Arkansas Works Application, Portal, or Change in Circumstance Submission Employed > 80 hours/month Demonstration (income > AR min wage x 80/month) valid until renewal or change in circumstance
Y Y Meet an exemption not required to report work activities Medically frail Demonstration valid until change in circumstance Living in home with dependent minor Demonstration valid until change in circumstance Not at risk for losing Medicaid coverage Pregnancy Demonstration valid until end of post-partum care Caring for incapacitated person Demonstration required every 2 months or at renewal, whichever is sooner N (report on portal only) Short-term incapacitation Demonstration required every 2 months or at renewal, whichever is sooner N (report on portal only) Participation in alcohol or drug treatment program Demonstration required every 2 months or at renewal, whichever is sooner N (report on portal only) Full-time Education, Job Training, or Vocational Training
Demonstration required every 6 months or at renewal, whichever is sooner N (report on portal only) Receiving unemployment benefits Demonstration required every 6 months or at renewal, whichever is sooner Y Information collection for catastrophic events to be handled on a case-by-case basis State to verify demonstrations for a sample of enrollees Y Y Work & Community Engagement Activities Subject to Work & Community Engagement Requirement 3 Required to Report Activities Enrollees age 19-49 Do not meet an exemption Will lose Medicaid coverage at the end of the 3rd month of non-compliance Information collection for catastrophic events to be handled on a case-by-case basis
Criteria 4 Validation Approach Arkansas Works Application, Portal, or Change in Circumstance Submission Work < 80 hours/month Demonstrate monthly Education (less than full time) Demonstrate monthly Job Training (WIOA, refugee, etc.) (less than full time) Demonstrate monthly Vocational Training (less than full time) Demonstrate monthly Volunteer Demonstrate monthly Job Search / Job Search Training Demonstrate monthly; must be less than 50% of reported hours each month Health Education Class Demonstrate monthly; cannot count for more than 20 hours per year Currently meeting SNAP work requirement Validated against state data every 30 days State to verify demonstrations for a sample of enrollees AR Works Population 5 Current AR Works Population <100% FPL, 30 49 years old
Exempt 59,576 Required to complete work & community engagement activities 38,371 Total 97,947 Data Date: 4/3/2018 2018 Work Requirement Phase In (4 months) 6 Existing AR Works clients (<100% FPL, 30 49 years old) will become subject to the work requirement between Jun and Sep 2018 based on renewal month Notices All existing AR Works clients below 100% FPL and between 30 and 49 will receive a notice in Apr with information about the upcoming work requirement Clients will receive a notice the month before they become subject to the work requirement in 2018 Subject to Work Req Renewal Month Estimated Population Required to report work activities June 1, 2018 Jan, Feb, Mar 9,969 July 1, 2018 Apr, May, Jun 9,156 August 1, 2018 Jul, Aug, Sep
8,440 September 1, 2018 Oct, Nov, Dec 10,806 Data Date: 4/3/2018 Total 38,371 7 Exemptions and Work & Community Engagement Activities Client Applies Some exemption information is collected during application Exempt ? No Client must log on to portal and report an exemption or work activities* Exempt ? Yes Client receives approval notice with exemption information; no additional action is required for duration of exemption No Yes
Case closes at the end No of the 3rdrd month of noncompliance Yes Client receives notice with exemption information; no additional action is required for duration of exemption *Clients receive an interim period between their coverage start date and required compliance with the work requirement for Arkansas Works (e.g., clients who are approved in June must comply with the work requirement starting August 1) Did client log sufficient work activity** on portal? 8 Case remains open **Work activity includes community engagement activities Arkansas Works Work and Community Engagement Requirement Education Client is 30-49 years old and eligible for AR Works Some exemption information is collected during application
Exempt Client receives approval notice No with information about reporting work activities* Yes AFMC / Carriers conduct outreach activities to: Educate the client about the work requirement and reporting on the portal Connect the client to resources for meeting the work requirement Client receives approval notice with exemption information; no additional action is required for duration of exemption *The Arkansas Works enrollment process currently includes a period between determination of eligibility and start of insurance coverage on the first of a month to allow for client choice of an insurance product. This period will be used for education with the Work Requirement starting as the insurance starts. 9 Dept of Workforce Services SNAP E&T Client-Directed (On Their Own)
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