Arkansas Medicaid Program Overview
Enrollment, funding, and managed care facts for Arkansas Medicaid.
Get Arkansas's Medicaid Fee Schedule →Enrollment
Arkansas Medicaid covered approximately 0.79-0.90M people. Two independent sources give different-period figures for total Arkansas Medicaid/CHIP enrollment: KFF's state indicator (787,684, May 2026) and CMS's 2024 Medicaid Managed Care Enrollment and Program Characteristics report (900,323 total Medicaid enrollees, July 1, 2024). Consistent with continued post-pandemic 'unwinding' enrollment decline between mid-2024 and mid-2026, not a data error. Reported as a range rather than a single false-precision number.
Funding & federal match
Arkansas has adopted ACA Medicaid expansion, effective 2014-01-01.
For FFY2026 (Oct 1, 2025 - Sep 30, 2026), Arkansas's Federal Medical Assistance Percentage (FMAP) is 69.23%.
Delivery system & managed care
A large share of Arkansas Medicaid is delivered through managed care organizations (MCOs) rather than fee-for-service — estimates range from 3.6-5.4% of Medicaid enrollees.
Waivers
Arkansas operates Medicaid managed care under the Arkansas Health and Opportunity for Me (ARHOME), a Section 1115 demonstration waiver. Current vehicle for Arkansas's ACA Medicaid expansion population (successor to Arkansas Works and the original Private Option/Health Care Independence Program); premium assistance purchases qualified health plans on the exchange for most expansion enrollees rather than using a traditional Medicaid MCO. A January 2025-approved amendment added Life360 HOMEs -- targeted, medically necessary housing- and nutrition-support care coordination for rural enrollees, high-risk pregnant/postpartum enrollees, and young adults at risk of long-term poverty. Approved period extends through end of 2026; a renewal for the following period was pending as of this update.
Frequently Asked Questions
Get Arkansas's Free Medicaid Fee Schedule
Request actual Arkansas Medicaid reimbursement rates by billing code — free, delivered as a CSV.
Sources
- KFF State Health Facts - Total Monthly Medicaid & CHIP Enrollment
- CMS - Medicaid Managed Care Enrollment and Program Characteristics, 2024
- Federal Register / GPO - Federal Financial Participation in State Assistance Expenditures, FFY2026 FMAP Notice (2024-27910)
- KFF State Health Facts - Federal Matching Rate (FMAP) for Medicaid
- KFF - Status of State Action on the Medicaid Expansion Decision
- healthinsurance.org - Medicaid eligibility and enrollment in Arkansas
- MACPAC - MACStats Medicaid and CHIP Data Book, Exhibit 29 (Percentage of Medicaid Enrollees in Managed Care by State, July 1, 2022)
- CMS Newsroom - HHS Approves Arkansas' Medicaid Waiver to Provide Medically Necessary Housing and Nutrition Support Services
- Arkansas Department of Human Services - ARHOME Section 1115 Demonstration Renewal Application
Data last verified 2026-09-17. Also see our free Medicaid Fee Schedule tool.