A private review agent who approves or denies payment or who recommends approval or denial of payment for hospital or medical services or whose review results in approval or denial of payment for hospital or medical services on a case-by-case basis may not conduct utilization review in this state unless the State Board of Health has granted the private review agent a certificate.
Structure Arkansas Code
Title 20 - Public Health and Welfare
Subtitle 2 - Health and Safety
Chapter 9 - Health Facilities and Services Generally
Subchapter 9 - Utilization Review
§ 20-9-903. Certificate required
§ 20-9-904. When certificate not required
§ 20-9-906. Duties of State Board of Health
§ 20-9-907. Health insurance plans — Insurers
§ 20-9-908. Application for certification — Fee
§ 20-9-909. Information required with application
§ 20-9-910. Expiration of certificate — Renewal