1. 1 2 3 C - Carriers B - MMIS Federal Health Insurance Marketplace
3.5 Consumer Plan Selection
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