All healthcare insurers issuing or delivering managed care plans shall be required to establish a mechanism whereby participating providers provide input into the healthcare insurer's medical policy, utilization review criteria and procedures, quality and credentialing criteria, and medical management procedures.
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