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Department of Human Services

Arkansas TEFRA Waiver (Updated)

Date: 07/11/2024
Contact: Office of Policy & Rules
Attachment: Arkansas TEFRA Waiver (Updated)

AR Medicaid has a program which is The Tax Equity and Fiscal Responsibility ACT (TEFRA).  This is a demonstration waiver which provides Medicaid coverage to children with disabilities to allow them to receive treatment in their community and avoid needing institutional care.  

One of the federal requirements is that we hold a public forum annually in conjunction with and existing commission meeting.  Please see below:

Post award. Within 6 months after the implementation date of the demonstration and annually thereafter, the State must hold a public forum –

(1) To solicit comments on the progress of a demonstration project.

(2) At which members of the public have an opportunity to provide comments and in such time as to include a summary of the forum in the quarterly report associated with the quarter in which the forum was held, as well as in its annual report to CMS.

(3) The public forum to solicit feedback on the progress of a demonstration project must occur using one of the following:

(i) A Medical Care Advisory Committee that operates in accordance with § 431.412 of this subpart.

(ii) A commission or other similar process, where meetings are open to members of the public, and would afford an interested party the opportunity to learn about the demonstration’s progress.

(iii) The State must publish the date, time, and location of the public forum in a prominent location on the State’s public Web site, at least 30 days prior to the date of the planned public forum.

The Child Health Advisory Committee has agreed to allow us to present during their September 12, 2024 meeting at 9am.   

The link to join the meeting is:

Topic: Child Health Advisory Committee CHAC

Join Zoom Meeting: https://us02web.zoom.us/j/83582295337?pwd=Uk1JZGxSUndqYS9YeTF4TXNHdXJVQT09

Meeting ID: 835 8229 5337 Passcode: 229369

One tap mobile: +1 646 931 3860 US, +1 301 715 8592 US (Washington DC)

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Historical documents:

TEFRA Demonstration Waiver

TEFRA Public Forum Presentation

View AR Child Health Advisory Committee – TEFRA Public Forum Minutes held on November 17, 2022

Access the Zoom Public Hearing that was held on June 2, 2022 at 2:30 pm CST

Access the Legislative Task Force on Autism meeting that was held on May 24, 2022 at 1:30 PM CST;

View TEFRA abbreviated notice

View TEFRA full notice

View 2022 Arkansas TEFRA Waiver Renewal Application

View TEFRA Completeness LetterUpdated 07.15.2022

Public Comment Summary

Demonstration Approval – Temporary Extension through December 31, 2023

Temporary Extension through December 31, 2024