Arkansas Code
Subchapter 11 - Prior Authorization Transparency Act
§ 23-99-1105. Prior authorization — Nonurgent healthcare service

(a) If a utilization review entity requires prior authorization of a nonurgent healthcare service, the utilization review entity shall make an authorization or adverse determination and notify the subscriber and the subscriber's nonurgent healthcare provider of the decision within two (2) business days of obtaining all necessary information to make the authorization or adverse determination.
(b) For purposes of this section, “necessary information” includes the results of any face-to-face clinical evaluation or second opinion that may be required.

Structure Arkansas Code

Arkansas Code

Title 23 - Public Utilities and Regulated Industries

Subtitle 3 - Insurance

Chapter 99 - Healthcare Providers

Subchapter 11 - Prior Authorization Transparency Act

§ 23-99-1101. Title

§ 23-99-1102. Legislative findings and intent

§ 23-99-1103. Definitions

§ 23-99-1104. Disclosure required

§ 23-99-1105. Prior authorization — Nonurgent healthcare service

§ 23-99-1106. Prior authorization — Urgent healthcare service

§ 23-99-1107. Prior authorization — Emergency healthcare service

§ 23-99-1108. Subscribers with terminal illness — Denial of prior authorization for covered prescription pain medication prohibited

§ 23-99-1109. Rescission of prior authorizations — Denial of payment for prior authorized services — Limitations

§ 23-99-1110. Waiver prohibited

§ 23-99-1111. Requests for prior authorization — Qualified persons authorized to review and approve — Adverse determinations to be made only by Arkansas-licensed physicians

§ 23-99-1112. Application of subchapter

§ 23-99-1113. Benefit inquiries authorized

§ 23-99-1114. Limitations on step therapy — Definition

§ 23-99-1115. Notice requirements — Process for appealing adverse determination and restriction or denial of healthcare service

§ 23-99-1116. Failure to comply with subchapter — Requested healthcare services deemed approved

§ 23-99-1117. Standardized form required for prescription drug benefits

§ 23-99-1118. Rules

§ 23-99-1119. Medication-assisted treatment for opioid addiction