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23-61-1004. Administration of Arkansas Works Program.
Arkansas Code — all titles (historical 2020) · legal_authorities
23-61-1004. Administration of Arkansas Works Program.
(a)(1) The Department of Human Services, in coordination with the State Insurance Department and other necessary state agencies, shall:
(A) Provide health insurance or medical assistance under this subchapter to eligible individuals;
(B) Create and administer the Arkansas Works Program;
(C) Submit and apply for any federal waivers, Medicaid state plan amendments, or other authority necessary to implement the Arkansas Works Program in a manner consistent with this subchapter;
(D) Offer incentive benefits to promote personal responsibility; and
(E) Seek a waiver to eliminate retroactive eligibility for an eligible individual under this subchapter.
(2) The Governor shall request the assistance and involvement of other state agencies that he or she deems necessary for the implementation of the Arkansas Works Program.
(b) Health insurance benefits under this subchapter shall be provided through:
(1) Individual premium assistance for enrollment of Arkansas Works Program participants in individual qualified health insurance plans; and
(2) Supplemental benefits to incentivize personal responsibility.
(c) The Department of Human Services, the State Insurance Department, the Division of Workforce Services, and other necessary state agencies shall promulgate and administer rules to implement the Arkansas Works Program.
(d)(1) Within thirty (30) days of a reduction in federal medical assistance percentages as described in this section, the Department of Human Services shall present to the Centers for Medicare and Medicaid Services a plan to terminate the Arkansas Works Program and transition eligible individuals out of the Arkansas Works Program within one hundred twenty (120) days of a reduction in any o
Source: Arkansas Code — historical release 78 (November 6, 2020) · 23-61-1004
Stored review status: Historical 2020-11-06 source release; later amendments not reconciled; machine-extracted, not independently legally reviewed; source heading status: text_in_historical_source. A text match is a research starting point; applicability is not established.
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Stable record: arkansas_code:legal_authorities:23-61-1004
Source file: gov.ar.code.title.23.odt
Pages: Not recorded – Not recorded
Passage SHA-256: 8df14bb0e4d7ecc576e12c18d899ac2d93fccdfc7624afc0397e3df1810c651d
Source location: content.xml paragraph 29519
Stored source content
23-61-1004. Administration of Arkansas Works Program.
(a)(1) The Department of Human Services, in coordination with the State Insurance Department and other necessary state agencies, shall:
(A) Provide health insurance or medical assistance under this subchapter to eligible individuals;
(B) Create and administer the Arkansas Works Program;
(C) Submit and apply for any federal waivers, Medicaid state plan amendments, or other authority necessary to implement the Arkansas Works Program in a manner consistent with this subchapter;
(D) Offer incentive benefits to promote personal responsibility; and
(E) Seek a waiver to eliminate retroactive eligibility for an eligible individual under this subchapter.
(2) The Governor shall request the assistance and involvement of other state agencies that he or she deems necessary for the implementation of the Arkansas Works Program.
(b) Health insurance benefits under this subchapter shall be provided through:
(1) Individual premium assistance for enrollment of Arkansas Works Program participants in individual qualified health insurance plans; and
(2) Supplemental benefits to incentivize personal responsibility.
(c) The Department of Human Services, the State Insurance Department, the Division of Workforce Services, and other necessary state agencies shall promulgate and administer rules to implement the Arkansas Works Program.
(d)(1) Within thirty (30) days of a reduction in federal medical assistance percentages as described in this section, the Department of Human Services shall present to the Centers for Medicare and Medicaid Services a plan to terminate the Arkansas Works Program and transition eligible individuals out of the Arkansas Works Program within one hundred twenty (120) days of a reduction in any of the following federal medical assistance percentages:
(A) Ninety-five percent (95%) in the year 2017;
(B) Ninety-four percent (94%) in the year 2018;
(C) Ninety-three percent (93%) in the year 2019; and
(D) Ninety percent (90%) in the year 2020 or any year after the year 2020.
(2) An eligible individual shall maintain coverage during the process to implement the plan to terminate the Arkansas Works Program and the transition of eligible individuals out of the Arkansas Works Program.
(e) State obligations for uncompensated care shall be tracked and reported to identify potential incremental future decreases.
(f) The Department of Human Services shall track the hospital assessment fee imposed by § 20-77-1902 and report to the General Assembly subsequent decreases based upon reduced uncompensated care.
(g)(1) On a quarterly basis, the Department of Human Services, the State Insurance Department, the Division of Workforce Services, and other necessary state agencies shall report to the Legislative Council, or to the Joint Budget Committee if the General Assembly is in session, available information regarding the overall Arkansas Works Program, including without limitation:
(A) Eligibility and enrollment;
(B) Utilization;
(C) Premium and cost-sharing reduction costs;
(D) Health insurer participation and competition;
(E) Avoided uncompensated care; and
(F) Participation in job training and job search programs.
(2)(A) A health insurer who is providing an individual qualified health insurance plan or employer health insurance coverage for an eligible individual shall submit claims and enrollment data to the State Insurance Department to facilitate reporting required under this subchapter or other state or federally required reporting or evaluation activities.
(B) A health insurer may utilize existing mechanisms with supplemental enrollment information to fulfill requirements under this subchapter, including without limitation the state's all-payer claims database established under the Arkansas Healthcare Transparency Initiative Act of 2015, § 23-61-901 et seq., for claims and enrollment data submission.
(h) The Governor shall request a block grant under relevant federal law and regulations for the funding of the Arkansas Medicaid Program as soon as practical if the federal law or regulations change to allow the approval of a block grant for this purpose.
Cross-references
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Arkansas Code — all titles (historical 2020) · legal_authorities
20-77-1902. Assessment.
(a)(1) An assessment is imposed on each hospital except those exempted under § 20-77-1905 for each state fiscal year in an amount calculated as a percentage of each hospital's net patient revenue.
(2) The assessment rate shall be determined annually based upon the percentage of net patient revenue needed to generate an amount up to the nonfederal portion of the upper payment limit gap plus the annual fee to be paid to Medicaid under § 20-77-1904(f)(1)(C), but in no case at a rate that would cause the assessment proceeds to exceed the indirect guarantee threshold set forth in 42 C.F.R. § 433.68(f)(3)(i).
(b)(1)(A) Except as set forth in subdivision (b)(1)(B) or subdivision (b)(1)(C) of this section, for state fiscal year 2010, net patient revenue shall be determined using the data from each hospital's fiscal year 2007 Medicare Cost Report contained in the Centers for Medicare & Medicaid Services' Healthcare Cost Report Information System file dated June 30, 2008.
(B) If a hospital's fiscal year 2007 Medicare Cost Report is not contained in the Centers for Medicare & Medicaid Services' Healthcare Cost Report Information System file dated June 30, 2008, the hospital shall submit a copy of the hospital's 2007 Medicare Cost Report to the Division of Medical Services of the Department of Human Services in order to allow the division to determine the hospital's net patient revenue for state fiscal year 2010.
(C) If a hospital commenced operations after the due date for a 2007 Medicare Cost Report, the hospital shall submit its 2008 Medicare Cost Report to the division in order to allow the division to determine the hospital's net patient revenue for state fiscal year 2010.
(2) For each subsequent state fiscal year, net patient revenue shall
Source: Arkansas Code — historical release 78 (November 6, 2020) · 20-77-1902
Stored review status: Historical 2020-11-06 source release; later amendments not reconciled; machine-extracted, not independently legally reviewed; source heading status: text_in_historical_source. The source passage cites 20-77-1902. This identifies an authority to review, not proof of applicability.
Arkansas Code — all titles (historical 2020) · legal_authorities
23-61-901. Title.
This subchapter shall be known and may be cited as the “Arkansas Healthcare Transparency Initiative Act of 2015”.
Source: Arkansas Code — historical release 78 (November 6, 2020) · 23-61-901
Stored review status: Historical 2020-11-06 source release; later amendments not reconciled; machine-extracted, not independently legally reviewed; source heading status: text_in_historical_source. The source passage cites 23-61-901. This identifies an authority to review, not proof of applicability.