Arkansas Code
Subchapter 1 - General Provisions
§ 23-86-123. Prior authorization by physician — Definitions

(a) As used in this section:
(1) “Prior authorization” means the process by which a health carrier determines the medical necessity or eligibility for coverage of a healthcare service before a covered person receives the healthcare service in order to provide coverage and reimbursement for the healthcare service; and
(2) “Telemedicine” means the same as defined in § 23-79-1601.

(b) When conducting prior authorization, whether for healthcare services provided through telemedicine or provided in person, a physician who possesses a current and unrestricted license to practice medicine in the State of Arkansas shall make all adverse determinations for healthcare services, medications, or equipment prescribed by a physician.

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