ARK A N S A S

DEPARTMENT O'
Division of Medical Services
P.O. Box 1437, Slot S-401 . Little Rock, AR 72203-1437
501-682-8292' Fax: 501-682-1197 . TOO: 501-682-6789
SERVICES
June 28, 2013
Cindy Mann, Director
Center for Medicaid and State Operations
Centers for Medicare and Medicaid Services
7500 Security Boulevard, Mail Stop S2-01-16
Baltimore, MD 21244-1850
Dear Ms. Mann:
The Arkansas Department of Human Services (DHS), Division of Medical Services (DMS) is requesting a third three-year
renewal of the TEFRA-like 1115(a) demonstration waiver, project number: II-W-00163. This renewal request has been
developed in conformance with section 1115(a) of the Social Security Act and 42 CFR 431.400 - 431.408. If approved, the
renewal period will run from January 1, 2014 through December 31, 2016.
Attached is supporting documentation. Due to uncertainties pertaining to the Supreme Court's decision relative to the
Affordable Care Act, the Arkansas State Legislature's decision on Medicaid expansion, the State's projected State Medicaid
shortfall, and how all this would affect the future ofArkansas' Medicaid programs, the Arkansas Department of Human
Services and Division of Medical Services were unable to make a final decision on the future of the TEFRA-Iike 11 I 5 (a)
demonstration waiver in sufficient time to meet the time frames specified in 431.408 pertaining to the public notice of intent
to renew and 30-day comment period and conducting two public input hearings prior to the June 30, 2013 submission due date
to CMS ofthe renewal request application. The State understands that the State's TEFRA-like 1115(a) demonstration waiver
renewal request application will be considered "incomplete" until such time the State submits to CMS the summary/any
request for change(s) as the result of comment(s) received during the 30-day comment period and the two public input
hearings. There are two public input hearings scheduled for July 3, 2013 in Little Rock, Arkansas and July 9, 2013 in Hot
Springs, Arkansas. The public input hearing in Little Rock will have web conference capabilities.
The State's contacts during the review/approval process are Jean Hecker (501-320-6433 or jean.hecker@arkansas.gov) and
Glenda Higgs (501-320-6425 or glenda.higgs@arkansas.gov). We look forward to working with Jessica Woodard during the
renewal review/approval process.
Sincerely,
thtoL, /"'1
Andy Allison, PhD
Director
Attachments
AA/jh
Cc: Bill Brooks, ARA, CMS, Region VI
Tamara Sampson, CMS, Region VI
Jessica Woodard, Project Officer, CMS, Central Office
Glenda Higgs, Arkansas DMS
Jean Hecker, Arkansas DMS
file
www.arkansas.gov/dhs
Serving more than one million Arkansans each year