(a) A healthcare insurer issuing or delivering a managed care plan shall establish for those managed care plans a grievance procedure which provides covered persons with a prompt and meaningful review on the issue of denial, in whole or in part, of a healthcare treatment or service.
(b)
(1) The covered person shall be provided prompt notice in writing of the outcome of the grievance procedure.
(2) In the event the outcome is adverse to the covered person, the notice shall include specific findings related to the grievance.
Structure Arkansas Code
Title 23 - Public Utilities and Regulated Industries
Chapter 99 - Healthcare Providers
Subchapter 4 - Arkansas Health Care Consumer Act
§ 23-99-402. Legislative findings and intent
§ 23-99-404. Benefits for mothers and newborns
§ 23-99-406. Obstetrical and gynecological services
§ 23-99-407. “Gag clause” prohibition
§ 23-99-408. Continuity of care
§ 23-99-409. Prescription drug formulary
§ 23-99-410. Grievance procedures
§ 23-99-411. Processing applications of providers
§ 23-99-413. Disclosure requirements
§ 23-99-415. Enforcement and penalties
§ 23-99-416. Application of subchapter
§ 23-99-418. Coverage for autism spectrum disorders required — Definitions