Arkansas's Medicaid Director, Dawn Stehle, submitted a request to the federal Department of Health and Human Services to amend the state's 1115 waiver for the Private Option. The waiver amendment request would make the following changes to the program:
- Implement health savings-like accounts called Independence Accounts for Private Option enrollees with incomes greater than 50% FPL;
- Institute cost sharing for enrollees with incomes between 50-100% FPL; and
- Limit the non-emergency transportation benefit for Private Option enrollees to eight trip legs per year.
By statute, Arkansas is required to obtain federal approval for these changes by February 1, 2015.