1 2 3 C - Carriers B - MMIS Federal Health Insurance Marketplace 3.5 Consumer Plan Selection 3.2 - Medicaid Eligibility Verification 3.1 - Consumer Sign In 3.4 Special Healthcare Needs?? Arkansas Health Care Independence – insureark.org B - MMIS 2.4 Medicaid Eligible – Notice Provided to Consumer to go to insureark.org 2.1 Consumer Sign In & Initiate Application 2.3 MAGI - Is Income ≤ 138% FPL Consumer Entry – Initiate Application 1.1 Consumer Sign In & Initiate Application 1.2 Complete MAGI and Provide Results to Consumer 1.5 – Consumer Plan Selection- Referred to Carrier for Payment C - Carriers Federal Health Insurance Marketplace Consumer Entry – Entry only after receipt of Medicaid eligibility notice 1.3 MAGI - Is Income >138% FPL 1.4 – Select Premium Tax Credit 2.2 Complete MAGI Arkansas Eligibility & Enrollment Framework ACCESS Arkansas YES 1 2 3 Marketplace sends data to AR Medicaid NO AR Medicaid provides notice to consumer and sends data to Marketplace A -Federal Data Services Hub verifies key application data Consumer Receives Insurance Card Consumer Receives Medicaid Card 3.3- Health Care Needs Assessment Traditional Medicaid Health Care Independence Plan