Arkansas Code
Chapter 99 - Healthcare Providers
Subchapter 11 - Prior Authorization Transparency Act

§ 23-99-1101. Title - This subchapter shall be known and may be cited as...

§ 23-99-1102. Legislative findings and intent - (a) The General Assembly finds that: (1) A physician-patient relationship...

§ 23-99-1103. Definitions - As used in this subchapter: (1) (A) “Adverse determination” means...

§ 23-99-1104. Disclosure required - (a) (1) A utilization review entity shall disclose all of...

§ 23-99-1105. Prior authorization — Nonurgent healthcare service - (a) If a utilization review entity requires prior authorization of...

§ 23-99-1106. Prior authorization — Urgent healthcare service - A utilization review entity shall render an expedited authorization or...

§ 23-99-1107. Prior authorization — Emergency healthcare service - (a) A utilization review entity shall not require prior authorization...

§ 23-99-1108. Subscribers with terminal illness — Denial of prior authorization for covered prescription pain medication prohibited - If a subscriber's covered prescription pain medication requires a prior...

§ 23-99-1109. Rescission of prior authorizations — Denial of payment for prior authorized services — Limitations - (a) A decision on a request for prior authorization by...

§ 23-99-1110. Waiver prohibited - (a) The provisions of this subchapter shall not be waived...

§ 23-99-1111. Requests for prior authorization — Qualified persons authorized to review and approve — Adverse determinations to be made only by Arkansas-licensed physicians - (a) The initial review of information submitted in support of...

§ 23-99-1112. Application of subchapter - This subchapter applies to a healthcare insurer, whether or not...

§ 23-99-1113. Benefit inquiries authorized - (a) (1) An in-network or out-of-network healthcare provider may submit...

§ 23-99-1114. Limitations on step therapy — Definition - (a) If a utilization review entity has required a healthcare...

§ 23-99-1115. Notice requirements — Process for appealing adverse determination and restriction or denial of healthcare service - (a) (1) Notice of an adverse determination shall be provided...

§ 23-99-1116. Failure to comply with subchapter — Requested healthcare services deemed approved - (a) If a healthcare insurer or utilization review entity fails...

§ 23-99-1117. Standardized form required for prescription drug benefits - (a) On and after January 1, 2017, to establish uniformity...

§ 23-99-1118. Rules - The State Insurance Department may promulgate rules for the implementation...

§ 23-99-1119. Medication-assisted treatment for opioid addiction - (a) Except in the case of injectables, a healthcare insurer,...