7/28/2019 TEFRA Renewal (1!1!14 Thru 12-31-16-Cover Letter

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ARK A N S A SDEPARTMENT O ' Division of Medical Services~ H U M A N P.O. Box 1437, Slot S-401 . Little Rock, AR 72203-1437501-682-8292' Fax: 501-682-1197 . TOO: 501-682-6789~ f SERVICES

June 28, 2013Cindy Mann, DirectorCenter for Medicaid and State OperationsCenters for Medicare and Medicaid Services7500 Security Boulevard, Mail Stop S2-01-16Baltimore, MD 21244-1850Dear Ms. Mann:The Arkansas Department of Human Services (DHS), Division of Medical Services (DMS) is requesting a third three-yearrenewal of the TEFRA-like 1115(a) demonstration waiver, project number: II-W-00163. This renewal request has beendeveloped in conformance with section 1115(a) of the Social Security Act and 42 CFR 431.400 - 431.408. If approved, therenewal 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 theAffordable Care Act, the Arkansas State Legislature's decision on Medicaid expansion, the State's projected State Medicaidshortfall, and how all this would affect the future ofArkansas' Medicaid programs, the Arkansas Department of HumanServices 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 intentto renew and 30-day comment per iod and conducting two public input hearings prior to the June 30, 2013 submission due dateto CMS of the renewal request application. The State understands that the State 's TEFRA-like 1115(a) demonstration waiverrenewal request application will be considered "incomplete" until such time the State submits to CMS the summary/anyrequest for change(s) as the result of comment(s) received during the 30-day comment period and the two public inputhearings. There are two public input hearings scheduled for July 3, 2013 in Little Rock, Arkansas and July 9, 2013 in HotSprings, 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) andGlenda Higgs (501-320-6425 or glenda.higgs@arkansas.gov ). We look forward to working with Jessica Woodard during therenewal review/approval process.Sincerely,

thtoL, t 2 ~ ~ / " '1-Andy Allison, PhDDirectorAttachmentsAA/jhCc: Bill Brooks, ARA, CMS, Region VITamara Sampson, CMS, Region VIJessica Woodard, Project Officer, CMS, Central OfficeGlenda Higgs, Arkansas DMSJean Hecker, Arkansas DMSfile

www.arkansas.gov/dhs Serving more than one million Arkansans each year

mailto:jean.hecker@arkansas.govmailto:glenda.higgs@arkansas.govhttp://www.arkansas.gov/dhsmailto:jean.hecker@arkansas.govmailto:glenda.higgs@arkansas.govhttp://www.arkansas.gov/dhs