(a) When more than one (1) hospital provides services to a recipient and the amount of claims exceeds the recipient's benefit limit, then the hospitals are entitled to reimbursement based on the earliest date of service.
(b) If the claims have been paid by Medicaid contrary to this provision and voluntary coordination among the hospitals involved does not resolve the matter, then the hospitals shall resort to mediation or arbitration at the hospitals' expense.
Structure Arkansas Code
Title 20 - Public Health and Welfare
Chapter 77 - Medical Assistance
Subchapter 17 - Medicaid Fairness Act
§ 20-77-1701. Legislative findings and intent
§ 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
§ 20-77-1714. Hospital claims
§ 20-77-1716. Promulgation of rules