(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
Title 23 - Public Utilities and Regulated Industries
Chapter 99 - Healthcare Providers
Subchapter 11 - Prior Authorization Transparency Act
§ 23-99-1102. Legislative findings and intent
§ 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
§ 23-99-1110. Waiver prohibited
§ 23-99-1112. Application of subchapter
§ 23-99-1113. Benefit inquiries authorized
§ 23-99-1114. Limitations on step therapy — Definition
§ 23-99-1116. Failure to comply with subchapter — Requested healthcare services deemed approved
§ 23-99-1117. Standardized form required for prescription drug benefits
§ 23-99-1119. Medication-assisted treatment for opioid addiction