Practice before you pick up the phone · about five minutes
Practice the caseworker call.
Most people who lost Medicaid in Arkansas in 2018 qualified to keep it; they lost it on paperwork. The call to your Medicaid office is where paperwork is won or lost: what you say, which form you ask for, and whether you hang up with a deadline and a confirmation number. Rehearse it here first.
How this works, and what it cannot do
The caseworker is scripted, not an AI. Every line was written in advance. The caseworkers are invented, and they do not tell you your state’s rules.
A phrase-checker in your browser reads your answer. It is a mirror, not a judge, and it can miss a good answer worded differently.
Nothing leaves your device. No audio is recorded, no model is called, nothing is sent. This page loads no chat widget and no analytics.
This is practice, not legal or medical advice. Each state runs its own exemption process. Your state Medicaid agency decides.
A pen, or the call log below, for the name, date and numbers
The four things to leave with: the form, the deadline, a confirmation number, and what happens next
Choose a call to practice
Your call log (for the real calls)
Write down every call as it happens. A dated trail of names, numbers and deadlines is what you show if something goes missing. It is kept only in this browser, on this device. Print it, or erase it with one button.
Two federal rules worth knowing before an appeal call
You can ask for a fair hearing, and there is a time limit. Federal rules require your state to give you a reasonable time to ask for a hearing, up to 90 days from the date the notice was mailed. Your state sets its own window inside that, which is why the practice asks for the exact date. 42 CFR 431.221(d), checked 2026-09-29.
Asking early can matter. If you ask for a hearing before the date the action takes effect, the rule generally keeps coverage in place until the hearing decision, with exceptions; if the decision goes against you, the state may seek to recover the cost of that care. Ask your caseworker how this works in your state. 42 CFR 431.230, checked 2026-09-29.
Losing coverage is frightening. If you are thinking about hurting yourself, call or text 988 (the Suicide & Crisis Lifeline) to reach a person now. In an emergency, call 911.