(a) Except as provided in subsection (b) of this section, all healthcare services delivered through the Medicaid provider-led organized care system shall:
(1) Be available for all members of covered Medicaid beneficiary populations; and
(2) Be comparable in amount, duration, or scope as compared to other Medicaid-eligible individuals as specified in the state plan for medical assistance.
(b) The Medicaid provider-led organized care system shall be implemented to the extent possible, but shall not include the following services when provided to enrollable Medicaid beneficiary populations:
(1) Nonemergency medical transportation in a capitated program;
(2) Dental benefits in a capitated program;
(3) School-based services provided by school employees;
(4) Skilled nursing facility services;
(5) Assisted living facility services;
(6) Human development center services; or
(7) Waiver services provided to adults with physical disabilities through the ARChoices in Homecare program or the Arkansas IndependentChoices program.
Structure Arkansas Code
Title 20 - Public Health and Welfare
Chapter 77 - Medical Assistance
Subchapter 27 - Medicaid Provider-Led Organized Care Act
§ 20-77-2702. Legislative intent and purpose
§ 20-77-2704. Licensure by Insurance Commissioner
§ 20-77-2705. Excluded services
§ 20-77-2706. Characteristics and duties of risk-based provider organization