(a) A Medicaid provider that is aggrieved by an adverse decision of the Department of Human Services with respect to termination of the provider's certification or Medicaid provider agreement or an action by the department that has the same effect as terminating the provider's certification or Medicaid provider agreement for more than fifteen (15) days may appeal the decision to Pulaski County Circuit Court or in a circuit court in a county in which the provider resides or does business, regardless of whether all administrative remedies have been exhausted.
(b) Pending a determination by the circuit court of the matter on appeal, the provider is entitled to an injunction preserving the provider's Medicaid participation upon showing that immediate and irreparable injury, loss, or damage to the provider will result, unless the circuit court determines that preserving the provider's participation is likely to pose a danger to the health or safety of beneficiaries.
(c) This section does not apply to an adverse decision resulting from the department's determination that there is a credible allegation of fraud for which an investigation is pending.
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
§ 20-77-1716. Promulgation of rules