HJAR Nov/Dec 2022

40 NOV / DEC 2022 I  HEALTHCARE JOURNAL OF ARKANSAS MEDICAID COLUMN MEDICAID or involvement with the juvenile jus- tice system and young adult veterans who are at high-risk of homelessness. The Success Life360 will provide in- tensive care coordination directly or contract with community organiza- tions to do so. ALife360 HOME service provider will be anArkansas Medicaid enrolled hospital that will employ its own staff or organize local partners that will assist a person to achieve his or her health and socioeconomic goals. Care coordination will include screening and assessing the individual’s needs for SDOH supports, developing a person-centered support plan, and assisting with obtaining needed medical services and social sup- port services. Activities will be directed by community “coaches,” peer specialists, peer counselors, and home visitors who work di- rectly with individuals and their families to improve their skills to be physically, socially, and emotionally healthy to live successfully in their communities. The Life360 HOME will coordinate with the individual’s medical providers, but the cost of medical services is not covered by the Life360 HOME. Medical services continue to be paid by the individual’s QHP or direct fee-for-service reimbursement to providers. EARLIER this year, Arkansas Works — the Medicaid expansion health coverage pro- gram in Arkansas — was replaced by the Arkansas Health and Opportunity for Me program, or ARHOME. ARHOME contin- ues to offer healthcare coverage for eligible Arkansans. Just like with Arkansas Works, ARHOME uses Medicaid dollars to buy healthcare coverage for clients from quali- fied health plans. Medicaid is a federal and state program that helps with healthcare costs for some people with limited income and resources. In general, Medicaid recipients must be U.S. citizens or qualified non-citizens, and may include low-income adults, their children, and people with certain disabilities. Some eligible clients have specialized needs and may benefit from or require intensive lev- els of intervention and care coordination. ARHOME, with approval from the Centers for Medicare and Medicaid Services (CMS), has created a special program called Life360 HOMEs. Life360 HOMEs (also called Life 360s) will ensure clients in target populations are connected to medical services and non- medical supports in their communities to address their social determinants of health (SDOH) through intensive care coordination. Life360s are designed to supplement, not supplant, existing supports and services. Medical care will continue to be delivered and billed as it is today. There are three types of Life360s that will target populations to receive intensive care coordination services and supports specifi- cally designed to meet those populations’ unique needs: • Maternal Life360 will support women whose Medicaid or Medicaid-funded Qualified Health Plan (QHP) claims reflect a diagnosis code of needing supervision for high-risk pregnancy. Intensive care coordination will be provided through the home-visiting program pre- and post-natal and will include the baby. Hospitals with ob- stetric units can be Life360s. • Rural Life360 will support individuals with mental illness or substance use disorder (SUD) who live in rural areas of the state by providing intensive care coordination through care coordina- tion coaches at rural hospitals. • Success Life360 will support young adults most at risk of long-term pov- erty and associated poor health out- comes due to prior incarceration, in- volvement with the foster care system, Life360 HOMEs