With Arkansas' model plan to use Medicaid funds to purchase private insurance for the poor spared for another year, backers of the nationally watched program are now focusing on changes that will be needed to keep it alive in the future. State officials and architects of the ''private option'' said Wednesday they'll spend the coming weeks focusing on proposals Arkansas must submit to the federal government to alter a program that was approved last year as an alternative to expanding Medicaid under the federal health care law. The program survived a defunding attempt on Tuesday, with the House voting to reauthorize the program for another year.