Arkansas Works Overview Work And Community Engagement Requirement

Arkansas Works Populations & Work and Community Engagement Requirement Arkansas Works enrollees will fall into three categories for work and community engagement requirement Not Subject to Work & Community Engagement Requirement Subject to Work & Community Engagement Requirement 1 2 Exempt 3 Required to Report Work Activities 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 Enrollees age 19-49* Meet an exemption – not required to report work activities Not at risk for losing Medicaid coverage 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 2 Exempt Subject to Work & Community Engagement Requirement 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 Y Receiving TEA Cash Assistance 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 Medically frail Demonstration valid until change in circumstance Living in home with dependent minor 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 Participation in alcohol or drug treatment program Full-time Education, Job Training, or Vocational Training Demonstration required every 6 months or at renewal, whichever is sooner Receiving unemployment benefits State to verify demonstrations for a sample of enrollees 2 Exempt Enrollees age 19-49 Meet an exemption – not required to report work activities Not at risk for losing Medicaid coverage Information collection for catastrophic events to be handled on a case-by-case basis

Work & Community Engagement Activities Subject to Work & Community Engagement Requirement Criteria Validation Approach Arkansas Works Application, Portal, or Change in Circumstance Submission Work < 80 hours/month Demonstrate monthly Education (less than full time) Job Training (WIOA, refugee, etc.) (less than full time) Vocational Training (less than full time) Volunteer 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 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

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) 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

Exemptions and Work & Community Engagement Activities Did client log sufficient work activity** on portal? Case closes at the end of the 3rd month of non-compliance Client Applies Exempt? Client must log on to portal and report an exemption or work activities* Exempt? Some exemption information is collected during application No No No Yes Yes Yes Client receives approval notice with exemption information; no additional action is required for duration of exemption Client receives notice with exemption information; no additional action is required for duration of exemption Case remains open **Work activity includes community engagement activities *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)

Arkansas Works – Work and Community Engagement Requirement Education Dept of Workforce Services 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 is 30-49 years old and eligible for AR Works Some exemption information is collected during application Exempt Client receives approval notice with information about reporting work activities* No SNAP E&T Client-Directed (On Their Own) Yes 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.