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    • Legislation USA
    • Arkansas Code
    • Title 20 - Public Health and Welfare
    • Subtitle 5 - Social Services
    • Chapter 77 - Medical Assistance
    • Subchapter 17 - Medicaid Fairness Act
    • § 20-77-1708. Medical necessity

    Arkansas Code
    Subchapter 17 - Medicaid Fairness Act
    § 20-77-1708. Medical necessity

    (a) There is a presumption in favor of the medical judgment of the performing or prescribing physician in determining medical necessity of treatment.
    (b) If an administrative law judge finds that the Department of Human Services has overcome the presumption under subsection (a) of this section, he or she shall state the manner by which the presumption was overcome.

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    Structure Arkansas Code

    Arkansas Code

    Title 20 - Public Health and Welfare

    Subtitle 5 - Social Services

    Chapter 77 - Medical Assistance

    Subchapter 17 - Medicaid Fairness Act

    § 20-77-1701. Legislative findings and intent

    § 20-77-1702. Definitions

    § 20-77-1703. Recoupment

    § 20-77-1704. Provider administrative appeals allowed

    § 20-77-1705. Explanations for adverse decisions required

    § 20-77-1706. Reimbursement at an alternate level instead of complete denial

    § 20-77-1707. Prior authorizations — Retrospective reviews

    § 20-77-1708. Medical necessity

    § 20-77-1709. Promulgation before enforcement

    § 20-77-1710. Delivery of files

    § 20-77-1711. Copies of records to be supplied to department — Exception

    § 20-77-1712. Notices

    § 20-77-1713. Deadlines

    § 20-77-1714. Hospital claims

    § 20-77-1715. Federal law

    § 20-77-1716. Promulgation of rules

    § 20-77-1717. Timelines for audits

    § 20-77-1718. Termination — Appeals

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