Arkansass Journey through Medicaid Expansion Craig Wilson, JD, MPA Health Policy Director Families USA Health Action Conference February 5, 2016 Workforce Payment System Insurance Coverage Health IT Transparency Population Health Arkansas System Transformation Strategy Arkansas: Fed Min for Parents = 13% FPL Jobless Parents = 13% FPL Working Parents = 17% FPL Medicaid Income Eligibility Limits as a Percent of Federal Poverty Level Source: Kaiser Family Foundations statehealthfacts.org. Based on a national survey conducted by the Kaiser Commission on Medicaid and the Uninsured with the Georgetown University Center for Children and Families, 2012, with data updates. Emanated from 100 138% FPL discrepancy in ACA Alternative approach to Medicaid expansion (commonly called Private Option) Neither managed care nor traditional Medicaid coverage Use Medicaid funding through premium assistance to purchase private coverage through the Health Insurance Marketplace for those