(a) As used in this section, “rule impacting state Medicaid costs” means a proposed rule as defined by § 25-15-202(9), or a proposed amendment to an existing rule as defined by § 25-15-202(9), that would, if adopted, adjust Medicaid reimbursement rates, Medicaid eligibility criteria, or Medicaid benefits, including without limitation a proposed rule or a proposed amendment to an existing rule seeking to:
(1) Reduce the number of individuals covered by the Arkansas Medicaid Program;
(2) Limit the types of services covered by the program;
(3) Reduce the utilization of services covered by the program;
(4) Reduce provider reimbursement;
(5) Increase consumer cost sharing;
(6) Reduce the cost of administering the program;
(7) Increase the program revenues;
(8) Reduce fraud and abuse in the program;
(9) Change any of the methodologies used for reimbursement of providers;
(10) Seek a new waiver or modification of an existing waiver of any provision under Title XIX of the Social Security Act, 42 U.S.C. § 1396-1 et seq., including a waiver that would allow a demonstration project;
(11) Participate or seek to participate in the waiver authority of Section 1115(a)(1) of the Social Security Act, 42 U.S.C. § 1315(a)(1), that would allow operation of a demonstration project or program;
(12) Participate or seek to participate in a request under Section 1115(a)(2) of the Social Security Act, 42 U.S.C. § 1315(a)(2), for the United States Secretary of Health and Human Services to provide federal financial participation for costs associated with a demonstration project or program;
(13) Implement managed care provisions under Section 1932 of the Social Security Act, 42 U.S.C. § 1396u-2; or
(14) Participate or seek to participate in the projects or programs of the Center for Medicare and Medicaid Innovation.
(b) “Rule impacting state Medicaid costs” does not include a modification, addition, or elimination of the medical codes used within the Arkansas Medicaid Program that are issued by the Centers for Medicare and Medicaid Services, including without limitation:
(1) Current Procedural Terminology codes;
(2) Healthcare Common Procedure Coding System codes;
(3) International Classification of Diseases codes;
(4) National Uniform Billing Committee Official UB-04 Data Specifications Manual codes; and
(5) National Correct Coding Initiative codes.