Arkansas: Governor Concludes Transition to State-Based Marketplace for Individuals Is Unnecessary

Arkansas should not develop a State-Based Marketplace (SBM) for the individual market, Governor Asa Hutchinson (R) said last week. Arkansas currently operates a Small Business Health Options Program (SHOP) and had planned to launch an SBM for the individual market beginning in January 2017. Governor Hutchinson, who put plans for the SBM on hold last fall, said the Federally-facilitated Marketplace was working well for individuals and that proposed changes to Arkansas's Medicaid expansion, known as "Arkansas Works," would not require an SBM.

District of Columbia: OIG Finds Varying Internal Effectiveness in Ensuring Compliant QHP Enrollment

An Office of Inspector General (OIG) audit of the District of Columbia's State-based Marketplace found that certain measures for ensuring accurate eligibility determinations were ineffective during the first open enrollment period in 2013, including: maintaining identity-proofing documentation, verifying annual household income, verifying eligibility for minimum essential coverage, and maintaining application and eligibility verification data. The report notes that the internal control to verify an applicant's citizenship was effective. The District's Marketplace concurred with OIG's findings and detailed steps taken both before and after the audit to confirm that applicants are properly enrolled and documented.