Little Rock, Ark. – Beginning in January 2027, Arkansas’ ARHOME Medicaid program will require participants to complete at least 80 hours per month of work, community‑engagement, education or a combination of those activities. The Arkansas Department of Human Services (DHS) announced that it has already identified about 68,500 members whose records do not yet show compliance with the new rule.
How the state will verify compliance
During a legislative hearing on Tuesday, DHS officials explained that the September data reflect an early review of available records, not a final eligibility determination. Division of Medical Services Director Elizabeth Pittman said the agency will send informational notices to members whose data match indicates they either meet the requirement or qualify for an exemption.
If DHS can verify a member’s status through existing income, work‑hour, disability and Medicaid claim records, no further action is required. When verification is not possible, the member will be asked to provide documentation proving compliance or eligibility for an exemption.
Exemptions and special cases
The program includes several exemption categories, including individuals with disabilities or special medical needs, veterans with qualifying disabilities, and those already meeting work requirements for food‑assistance or cash‑assistance programs. Those who qualify for an exemption will not need to fulfill the 80‑hour monthly quota.
Renewal timeline
The requirement officially starts on Jan. 1, 2027, but the first ARHOME members directly affected will be those whose coverage renews in March. DHS sends renewal notices two months in advance, so the March‑renewal group should receive their notices in January. Members must demonstrate compliance or exemption status every six months at renewal.
When DHS cannot verify status from existing records, a customer‑service center will reach out by phone, email or text to assist members in providing the necessary proof.
Transition away from Centene plans
In addition to the work‑requirement change, DHS is moving roughly 70,000 ARHOME members out of Centene‑managed plans. Those members may select from three Blue Cross options during the current enrollment period; if no choice is made by Nov. 15, DHS will assign a plan automatically. Pittman assured that coverage will not be lost during this transition.
Future of the ARHOME program
The federal government recently granted Arkansas a six‑month extension of its Medicaid waiver, allowing the state additional time to address financing concerns. While the long‑term structure of ARHOME remains under review, officials said they are evaluating options and have not yet decided on a permanent model.
Maternal‑health services update
Lawmakers also inquired about how the changes might affect women who do not qualify for Medicaid. DHS has not yet made decisions for that group but will consider impacts after finalizing ARHOME’s future.
During the hearing, DHS reported progress on maternal‑health services, noting that doulas and lactation consultants have been enrolled since Sept. 1, with eight doulas and one lactation consultant approved to date. A new Life 360 health center opened in northwest Arkansas, and the University of Arkansas for Medical Sciences (UAMS) is preparing to serve about 20 counties in central Arkansas and the Delta region.
What families should do
Arkansas families enrolled in ARHOME should watch for upcoming notices, review their eligibility status, and be prepared to submit any required documentation. The state’s proactive outreach aims to ensure that members retain coverage while meeting the new community‑engagement standards.
Original reporting: KATV Little Rock (local) — read the source article.